EPISODE · May 29, 2025 · 6 MIN
Paediatrics: Laryngomalacia: Free MSRA Podcast
from Pass the MSRA: Free Podcasts · host Pass the MSRA
🎙️ MSRA Paediatrics Deep Dive: Laryngomalacia (Infant Stridor)Welcome back! In today’s revision session, we explore Laryngomalacia—the most common cause of stridor in infants. Whether you’re prepping for the MSRA or managing paediatric patients, this high-yield overview will solidify your understanding of this key topic.👶 What is Laryngomalacia?It’s a congenital structural condition where the tissues above the vocal cords are floppy and collapse inward during inspiration, causing airway turbulence and inspiratory stridor.📌 Key Features to Remember:👶 Most common cause of infant stridor🎯 Appears in first few weeks of life📈 Peaks around 4–8 months🔊 Stridor worsens with crying, feeding, agitation, or lying flat🍼 May cause feeding difficulties or poor weight gain in severe cases🧠 Mnemonic:"LARYNGEAL FOLD-IN"L: Laryngeal collapseA: Agitation worsens stridorR: Resolves by 12–18 monthsY: Young infants (<1 year)N: Noisy breathing (stridor)G: GERD associationE: Epiglottis involvedA: Apnoea in severe casesL: Laryngoscopy confirmsFOLD-IN = Tissues folding inward during inspiration🔍 Differentials for Infant Stridor:Vocal cord paralysisSubglottic stenosisTracheomalaciaLaryngeal web or cysts🧪 Diagnosis:🩺 Mostly clinicalConfirmed via flexible laryngoscopyImaging (e.g. MRI) rarely needed unless atypical or severe🩹 Management Overview:✅ Supportive care for most cases (feeding position, monitoring)🍽️ Feeding support if growth is affected💊 Treat associated GERD🔪 Supraglottoplasty only in severe or non-resolving cases🔮 Prognosis:⭐ Excellent in most childrenSymptoms resolve by 12–18 months as structures matureRarely leads to complications like failure to thrive or airway obstruction📚 MSRA Revision Resources for Laryngomalacia:📄 Revision Notes👉 https://www.passthemsra.com/topic/laryngomalacia-revision-notes/🧠 Flashcards👉 https://www.passthemsra.com/topic/laryngomalacia-flashcards/📚 Accordion Q&A Notes👉 https://www.passthemsra.com/topic/laryngomalacia-accordion-qa-notes/⚡ Rapid Quiz👉 https://www.passthemsra.com/topic/laryngomalacia-rapid-quiz/🎯 Quiz Bank👉 https://www.passthemsra.com/quizzes/laryngomalacia/🎓 Course Access:Full Paediatrics MSRA Course – https://www.passthemsra.com/courses/paediatrics-for-the-msra/💡 Final Takeaway:Laryngomalacia = floppy airway + noisy breathing in babies. It's benign in most cases and resolves with time—but knowing the red flags for severe disease is critical for exams and real-life practice.#MSRA #Laryngomalacia #Paediatrics #Stridor #MSRAQuiz #MSRARevision #PassTheMSRA #MSRAFlashcards #MSRAAccordions #MedicalEducation
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