LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Neumología Pediátrica. Anexos ❚ 103 g. Complications 5. Prevention and therapeutic approach a. Prevention b. Therapeutic approach 1. Recognize that excision is the treatment of choice for laryngeal cyst c. Side effects of therapy 1. Recognize that there is a risk of recurrence of laryngeal cyst following simple needle aspiration of the contents of the cyst e. Laryngomalacia 1. Epidemiology a. Recognize that laryngomalacia is the most common cause of stridor in infants 2. Etiology/Genetics 3. Pathophysiology a. Pathology b. Path mechanisms and consequences 4. Diagnosis and clinical manifestations a. History 1. Recognize that the clinical presentation of laryngomalacia includes onset of stridor shortly after birth, minimal respiratory distress, positional effects, and marked reduction of noise when the infant is at rest 2. Describe the effect of position on stridor secondary to laryngomalacia (worse in supine position) b. Physical examination 1. Recognize that laryngomalacia is associated with normal voice quality and pitch c. Imaging 1. Recognize that the diagnosis of laryngomalacia cannot be established on the basis of standard x-ray studies of the neck d. Pulmonary function tests e. Other investigations 1. Recognize the role of fiberoptic laryngoscopy in establishing the diagnosis of laryngomalacia f. Diagnostic criteria g. Complications 1. Know that symptoms of laryngomalacia can include apnea and feeding problems 5. Prevention and therapeutic approach a. Prevention b. Therapeutic approach 1. Recognize the indications for surgical intervention in infants with laryngomalacia 2. Know that in most instances no therapy is required for laryngomalacia 6. Prognosis a. Natural history