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Etiology, Clinical Features, and Management of Pediatric Stridor

Definition and Classification of Stridor

Pediatric stridor is a critical airway condition requiring prompt diagnosis and intervention. This article explores its causes, symptoms, and treatment approaches.

6/6/20254 min read54 views
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normalintermediateOtorhinolaryngology (ENT)
Pediatric Stridor: Causes, Symptoms & Treatment

Etiology, Clinical Features, and Management of Pediatric Stridor

Definition and Classification of Stridor

Stridor is a high-pitched, harsh sound resulting from turbulent airflow through a narrowed upper airway. It is often a symptom of underlying airway obstruction.

Etiology

Congenital Causes

  • Laryngomalacia
  • Vocal cord paralysis
  • Subglottic stenosis

Acquired Causes

  • Croup (Laryngotracheobronchitis)
  • Epiglottitis
  • Foreign body aspiration

Clinical Features

Pediatric stridor presents with varying degrees of respiratory distress. The severity depends on the extent of airway obstruction and the child's ability to compensate.

Management

Emergency Management

  • Secure airway if respiratory distress is severe
  • Administer humidified oxygen
  • Consider nebulized epinephrine

Definitive Treatment

  • Treat underlying infection with appropriate antibiotics
  • Perform surgical intervention for structural abnormalities
  • Monitor and follow up for long-term airway management

Tags

#Pediatric Stridor#Airway Obstruction#Otorhinolaryngology#Emergency Management

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