Surgical Treatment of Laryngomalacia

Laryngomalacia is the most common cause of stridor in neonates. It generally presents as occasional inspiratory stridor, but may be associated with feeding problems, failure to thrive, and significant respiratory distress. The majority of patients are managed conservatively with watchful waiting and anti-reflux medication, and can expect to see symptom resolution by 12-18 months of age. About 10% of patients require surgical treatment for their symptoms. Surgical management has evolved over the past century from tracheotomy to the modern endoscopic supraglottoplasty. Results of this surgery are excellent, and severe complications, such as supraglottic stenosis and aspiration, are uncommon.