International Pediatric ORL Group (IPOG) laryngomalacia consensus recommendations

Authors

John Carter, Ann & Robert H. Lurie Children's Hospital of Chicago
Reza Rahbar, Children's Hospital Boston
Matthew Brigger, Rady Children's Hospital
Kenny Chan, The Children's Hospital, Aurora
Alan Cheng, The University of Sydney
Sam J. Daniel, Centre Universitaire de Santé McGill, Hôpital de Montreal Pour Enfants
Alessandro De Alarcon, University of Cincinnati
Noel Garabedian, Hôpital Necker Enfants Malades
Catherine Hart, University of Cincinnati
Christopher Hartnick, Harvard Medical School
Ian Jacobs, The Children's Hospital of Philadelphia
Bryan Liming, University of Iowa Hospitals & Clinics
Richard Nicollas, Aix Marseille Université
Seth Pransky, Rady Children's Hospital
Gresham Richter, University of Arkansas for Medical Sciences
John Russell, Our Lady's Hospital for Sick Children
Michael J. Rutter, University of Cincinnati
Anne Schilder, Royal National Throat, Nose and Ear Hospital
Richard J.H. Smith, University of Iowa Hospitals & Clinics
Julie Strychowsky, Western UniversityFollow
Robert Ward, NYU Langone Health
Karen Watters, Children's Hospital Boston
Michelle Wyatt, Great Ormond Street Hospital for Children NHS Foundation Trust
George Zalzal, Childrens National Health System
Karen Zur, The Children's Hospital of Philadelphia
Dana Thompson, Ann & Robert H. Lurie Children's Hospital of Chicago

Document Type

Article

Publication Date

7-1-2016

Journal

International Journal of Pediatric Otorhinolaryngology

Volume

86

First Page

256

Last Page

261

URL with Digital Object Identifier

10.1016/j.ijporl.2016.04.007

Abstract

Objective To provide recommendations for the comprehensive management of young infants who present with signs or symptoms concerning for laryngomalacia. Methods Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). Results Consensus recommendations include initial care and triage recommendations for health care providers who commonly evaluate young infants with noisy breathing. The consensus statement also provides comprehensive care recommendations for otolaryngologists who manage young infants with laryngomalacia including: evaluation and treatment considerations for commonly debated issues in laryngomalacia, initial work-up of infants presenting with inspiratory stridor, treatment recommendations based on disease severity, management of the infant with feeding difficulties, post-surgical treatment management recommendations, and suggestions for acid suppression therapy. Conclusion Laryngomalacia care consensus recommendations are aimed at improving patient-centered care in infants with laryngomalacia.