喉软化症：不只是一种婴儿疾病

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

International journal of pediatric otorhinolaryngology Pub Date : 2025-02-27 DOI:10.1016/j.ijporl.2025.112291

Leon Joseph , Shmuel Goldberg , Shlomo Cohen , Gabrielle Aschkenasy , Elie Picard

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引用次数: 0

摘要

喉软化症是喉最常见的先天性异常，一般认为是在两岁时消退的过程。本研究的目的是评估2岁以上喉软化症的患病率，描述其临床特征并确定危险因素。方法回顾性分析所有3年内的支气管镜检查。我们比较了两岁以下和两岁以上儿童喉软化症的患病率。我们还比较了两个年龄组的表现症状和合并症。结果618例小儿支气管镜检查中有167例（27%）诊断为喉软化症。在喉软化症患者中，小于2岁的125例（75%），大于2岁的42例（25%）。患有喉软化症的年龄较大的儿童更有可能出现打鼾而不是喘鸣（44%比24%），并且有更多的合并症（48%比22%）。结论喉软化症在2岁以上儿童中并不少见。在这些儿童中经常报道合并症。打鼾是这个年龄段更常见的症状。需要进一步的补充前瞻性研究来证实我们的观察结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Laryngomalacia: Not just an infant disease

Aim

Laryngomalacia is the most common congenital anomaly of the larynx and is regarded as a process that resolves by the age of two years. The aim of the current study was to assess the prevalence of laryngomalacia beyond the age of 2 years, to describe its clinical characteristics and to identify risk factors.

Methods

We retrospectively reviewed all bronchoscopies performed over a 3 year period. We compared the prevalence of laryngomalacia between children younger and older than 2 years of age. We also compared the presenting symptoms and co-morbidities between the two age groups.

Results

Laryngomalacia was diagnosed in 167 (27 %) out of 618 pediatric bronchoscopies. Among the patients with laryngomalacia, 125 (75 %) were less than 2 years old and 42 (25 %) were more than 2 years old. Older children with laryngomalacia were more likely to present with snoring than stridor (44 % vs 24 %) and had more co-morbidities (48 % vs 22 %) than the younger group.

Conclusions

Laryngomalacia is not rare in children older than 2 years of age. Co-morbidities are reported frequently in these children. Snoring is a more common symptom in this age group. Further complementary prospective studies are necessary to confirm our observations.

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来源期刊

International journal of pediatric otorhinolaryngology 医学-耳鼻喉科学

CiteScore

3.20

自引率

6.70%

发文量

276

审稿时长

62 days

期刊介绍： The purpose of the International Journal of Pediatric Otorhinolaryngology is to concentrate and disseminate information concerning prevention, cure and care of otorhinolaryngological disorders in infants and children due to developmental, degenerative, infectious, neoplastic, traumatic, social, psychiatric and economic causes. The Journal provides a medium for clinical and basic contributions in all of the areas of pediatric otorhinolaryngology. This includes medical and surgical otology, bronchoesophagology, laryngology, rhinology, diseases of the head and neck, and disorders of communication, including voice, speech and language disorders.