Aetiological profile of paediatric stridor in a Malaysian tertiary hospital

Sai Guan Lum, Ishak Noor Liza, Velayutham Priatharisiny, Abu Bakar Saraiza, Bee See Goh

Research output: Contribution to journalReview article

2 Citations (Scopus)

Abstract

Background: Conditions causing stridor in paediatric patients can range from minor illnesses to life-threatening disorders. Proper evaluation and correct diagnosis are essential for timely intervention. The objective of this study was to determine the aetiological profiles and the management of paediatric patients with stridor referred to the Otorhinolaryngology Department of Hospital Serdang. Methods: Medical records of all paediatric patients presenting with symptom of stridor from January 2010 to February 2015 were reviewed retrospectively. The patients’ demographic data, clinical notes, laryngoscope findings, diagnosis and management were retrieved and analysed. Results: Out of the total 137 patients referred for noisy breathing, 121 patients had stridor and were included in this study. There were 73 males and 48 females-most were of Malay ethnicity (77.7%). The age of presentation ranged from newborn to 10 years, with a mean of 4.9 months. Eighteen patients (14.9%) had associated congenital pathologies. The majority were congenital causes (90.9%), in which laryngomalacia was the commonest (78.5%), followed by subglottic stenosis (5.0%), vallecular cyst (2.5%) and congenital vocal fold paralysis (2.5%). Twelve patients (9.9%) had synchronous airway lesion. The majority of the patients were managed conservatively. Thirty-one patients (25.6%) required surgical intervention, of which only one needed tracheostomy. Conclusion: Laryngomalacia was the commonest cause of stridor among paediatric patients. A synchronous airway lesion should be considered if the child has persistent or severe symptoms. The majority of the patients were managed conservatively.

Original languageEnglish
Pages (from-to)2-6
Number of pages5
JournalMalaysian Family Physician
Volume11
Issue number1
Publication statusPublished - 2016

Fingerprint

Respiratory Sounds
Tertiary Care Centers
Pediatrics
Laryngomalacia
Laryngoscopes
Vocal Cords
Tracheostomy
Hospital Departments
Otolaryngology
Paralysis
Medical Records
Cysts
Pathologic Constriction
Respiration
Demography
Newborn Infant
Pathology

Keywords

  • Congenital laryngeal anomaly
  • Laryngomalacia
  • Paediatric
  • Stridor
  • Synchronous airway lesion

ASJC Scopus subject areas

  • Community and Home Care
  • Family Practice

Cite this

Lum, S. G., Noor Liza, I., Priatharisiny, V., Saraiza, A. B., & Goh, B. S. (2016). Aetiological profile of paediatric stridor in a Malaysian tertiary hospital. Malaysian Family Physician, 11(1), 2-6.

Aetiological profile of paediatric stridor in a Malaysian tertiary hospital. / Lum, Sai Guan; Noor Liza, Ishak; Priatharisiny, Velayutham; Saraiza, Abu Bakar; Goh, Bee See.

In: Malaysian Family Physician, Vol. 11, No. 1, 2016, p. 2-6.

Research output: Contribution to journalReview article

Lum, SG, Noor Liza, I, Priatharisiny, V, Saraiza, AB & Goh, BS 2016, 'Aetiological profile of paediatric stridor in a Malaysian tertiary hospital', Malaysian Family Physician, vol. 11, no. 1, pp. 2-6.
Lum, Sai Guan ; Noor Liza, Ishak ; Priatharisiny, Velayutham ; Saraiza, Abu Bakar ; Goh, Bee See. / Aetiological profile of paediatric stridor in a Malaysian tertiary hospital. In: Malaysian Family Physician. 2016 ; Vol. 11, No. 1. pp. 2-6.
@article{5e881b28d7ab4fd29fbdedd539ef46d1,
title = "Aetiological profile of paediatric stridor in a Malaysian tertiary hospital",
abstract = "Background: Conditions causing stridor in paediatric patients can range from minor illnesses to life-threatening disorders. Proper evaluation and correct diagnosis are essential for timely intervention. The objective of this study was to determine the aetiological profiles and the management of paediatric patients with stridor referred to the Otorhinolaryngology Department of Hospital Serdang. Methods: Medical records of all paediatric patients presenting with symptom of stridor from January 2010 to February 2015 were reviewed retrospectively. The patients’ demographic data, clinical notes, laryngoscope findings, diagnosis and management were retrieved and analysed. Results: Out of the total 137 patients referred for noisy breathing, 121 patients had stridor and were included in this study. There were 73 males and 48 females-most were of Malay ethnicity (77.7{\%}). The age of presentation ranged from newborn to 10 years, with a mean of 4.9 months. Eighteen patients (14.9{\%}) had associated congenital pathologies. The majority were congenital causes (90.9{\%}), in which laryngomalacia was the commonest (78.5{\%}), followed by subglottic stenosis (5.0{\%}), vallecular cyst (2.5{\%}) and congenital vocal fold paralysis (2.5{\%}). Twelve patients (9.9{\%}) had synchronous airway lesion. The majority of the patients were managed conservatively. Thirty-one patients (25.6{\%}) required surgical intervention, of which only one needed tracheostomy. Conclusion: Laryngomalacia was the commonest cause of stridor among paediatric patients. A synchronous airway lesion should be considered if the child has persistent or severe symptoms. The majority of the patients were managed conservatively.",
keywords = "Congenital laryngeal anomaly, Laryngomalacia, Paediatric, Stridor, Synchronous airway lesion",
author = "Lum, {Sai Guan} and {Noor Liza}, Ishak and Velayutham Priatharisiny and Saraiza, {Abu Bakar} and Goh, {Bee See}",
year = "2016",
language = "English",
volume = "11",
pages = "2--6",
journal = "Malaysian Family Physician",
issn = "1985-207X",
publisher = "Academy of Family Physicians of Malaysia",
number = "1",

}

TY - JOUR

T1 - Aetiological profile of paediatric stridor in a Malaysian tertiary hospital

AU - Lum, Sai Guan

AU - Noor Liza, Ishak

AU - Priatharisiny, Velayutham

AU - Saraiza, Abu Bakar

AU - Goh, Bee See

PY - 2016

Y1 - 2016

N2 - Background: Conditions causing stridor in paediatric patients can range from minor illnesses to life-threatening disorders. Proper evaluation and correct diagnosis are essential for timely intervention. The objective of this study was to determine the aetiological profiles and the management of paediatric patients with stridor referred to the Otorhinolaryngology Department of Hospital Serdang. Methods: Medical records of all paediatric patients presenting with symptom of stridor from January 2010 to February 2015 were reviewed retrospectively. The patients’ demographic data, clinical notes, laryngoscope findings, diagnosis and management were retrieved and analysed. Results: Out of the total 137 patients referred for noisy breathing, 121 patients had stridor and were included in this study. There were 73 males and 48 females-most were of Malay ethnicity (77.7%). The age of presentation ranged from newborn to 10 years, with a mean of 4.9 months. Eighteen patients (14.9%) had associated congenital pathologies. The majority were congenital causes (90.9%), in which laryngomalacia was the commonest (78.5%), followed by subglottic stenosis (5.0%), vallecular cyst (2.5%) and congenital vocal fold paralysis (2.5%). Twelve patients (9.9%) had synchronous airway lesion. The majority of the patients were managed conservatively. Thirty-one patients (25.6%) required surgical intervention, of which only one needed tracheostomy. Conclusion: Laryngomalacia was the commonest cause of stridor among paediatric patients. A synchronous airway lesion should be considered if the child has persistent or severe symptoms. The majority of the patients were managed conservatively.

AB - Background: Conditions causing stridor in paediatric patients can range from minor illnesses to life-threatening disorders. Proper evaluation and correct diagnosis are essential for timely intervention. The objective of this study was to determine the aetiological profiles and the management of paediatric patients with stridor referred to the Otorhinolaryngology Department of Hospital Serdang. Methods: Medical records of all paediatric patients presenting with symptom of stridor from January 2010 to February 2015 were reviewed retrospectively. The patients’ demographic data, clinical notes, laryngoscope findings, diagnosis and management were retrieved and analysed. Results: Out of the total 137 patients referred for noisy breathing, 121 patients had stridor and were included in this study. There were 73 males and 48 females-most were of Malay ethnicity (77.7%). The age of presentation ranged from newborn to 10 years, with a mean of 4.9 months. Eighteen patients (14.9%) had associated congenital pathologies. The majority were congenital causes (90.9%), in which laryngomalacia was the commonest (78.5%), followed by subglottic stenosis (5.0%), vallecular cyst (2.5%) and congenital vocal fold paralysis (2.5%). Twelve patients (9.9%) had synchronous airway lesion. The majority of the patients were managed conservatively. Thirty-one patients (25.6%) required surgical intervention, of which only one needed tracheostomy. Conclusion: Laryngomalacia was the commonest cause of stridor among paediatric patients. A synchronous airway lesion should be considered if the child has persistent or severe symptoms. The majority of the patients were managed conservatively.

KW - Congenital laryngeal anomaly

KW - Laryngomalacia

KW - Paediatric

KW - Stridor

KW - Synchronous airway lesion

UR - http://www.scopus.com/inward/record.url?scp=84997161517&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84997161517&partnerID=8YFLogxK

M3 - Review article

VL - 11

SP - 2

EP - 6

JO - Malaysian Family Physician

JF - Malaysian Family Physician

SN - 1985-207X

IS - 1

ER -