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ORIGINAL ARTICLE
Year : 2020  |  Volume : 3  |  Issue : 1  |  Page : 31-34

Neonatal laryngeal disorders: 12-year experience of a multidisciplinary team


1 Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India
2 Department of Laryngology, Kerala Institute of Medical Sciences, Trivandrum, Kerala, India

Correspondence Address:
Dr. Femitha Pournami
Department of Neonatology, Kerala Institute of Medical Sciences, Trivandrum - 695 029, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ARWY.ARWY_8_20

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Background: Anatomical, developmental and functional disorders of the larynx and trachea in neonates are a not so uncommon clinical conundrum that may require confirmation with fibreoptic visualisation. The Level IIIB Neonatal Intensive Care Unit of our referral hospital has been associated with an established laryngology service for several years. Aims: The objective was to study the clinical and videolaryngoscopic findings of neonates who required a laryngology consultation. Patients and Methods: This retrospective descriptive study included all neonates who were referred for laryngology evaluation over a 12-year period from 2006 to 2018. The indications for referral, clinical findings and management essentials were retrieved from electronic medical records. Clinical details of 90 infants are described. Results: The most common need for evaluation was stridor, most of whom were diagnosed to have laryngomalacia. Specific surgical interventions were performed according to diagnoses. Tracheostomy was performed with no complications in 12 infants. The absence of neurological concerns and bronchopulmonary dysplasia increased the chances of successful decannulation in the first 2 years of life. Conclusions: Stridor and laryngomalacia are common grounds for seeking subspeciality cross-consultations. Availability of expertise, trained nursing staff and parent–education programmes can improve outcomes.


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