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How an ENT Pediatric Specialist Diagnoses and Treats Laryngomalacia in Children

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ENT Pediatric Specialist

Laryngomalacia is a common condition in infants, marked by soft and floppy tissues around the voice box that can cause noisy breathing. Although it might resolve on its own in mild cases, professional care is essential when symptoms are severe. If you’re searching for trusted care, a pediatric ENT specialist in Alpharetta can accurately diagnose and manage your child’s condition. Understanding the diagnosis and treatment process is key to ensuring your child receives appropriate care. Here’s an overview of what to expect.

What Is Laryngomalacia?

Laryngomalacia is a congenital condition where the tissues of the larynx are softer than usual, leading to partial airway obstruction during breathing. This often results in a high-pitched sound called stridor, usually heard when the baby inhales. While most cases present mild symptoms, more severe forms can cause issues such as difficulty feeding, poor weight gain, or frequent choking.

Parents are often referred to an ear, nose, and throat (ENT) specialist for evaluation when symptoms suggest laryngomalacia. Understanding the roles of otolaryngologists versus ENT specialists can also help you choose the right care professional for your child’s specific needs.

How Does an ENT Pediatric Specialist Diagnose Laryngomalacia?

When you visit an ENT pediatric specialist, they will carefully evaluate your child to confirm if laryngomalacia is the cause of the breathing difficulties. The process typically includes a detailed medical history, a physical exam, and specialized diagnostic tools.

Review of Symptoms and Medical History

The specialist will start by discussing your child’s symptoms in detail. They will ask about the onset of symptoms, feeding patterns, and whether weight gain has been consistent. Any developmental concerns or past medical issues will also be taken into account.

Physical Examination

The next step involves a thorough physical examination, which includes listening to your child’s breathing and observing how the symptoms respond to different positions or feeding. Often, the noisy breathing caused by laryngomalacia becomes louder when the baby is on their back and quieter when upright.

Flexible Laryngoscopy

For a definitive diagnosis, the ENT specialist may perform a flexible laryngoscopy. This quick, minimally invasive procedure involves inserting a thin, flexible tube with a camera through the nose to get a clear view of the throat and larynx. This allows them to observe the movement and structure of the tissues.

It’s essential to understand that an accurate diagnosis of laryngomalacia is crucial, as other conditions can mimic its symptoms. This careful approach prevents any misdiagnosis and sets the stage for the right treatment plan. Understanding laryngomalacia and its symptoms is crucial for recognizing the condition early and seeking appropriate medical care.

Treatment of Laryngomalacia in Children

Once the ENT specialist has confirmed the diagnosis, the next step is designing a treatment plan tailored to your child’s needs. The management of laryngomalacia depends on the severity of the symptoms.

Monitoring for Mild Cases

For many children with mild laryngomalacia, their condition improves without intervention by the time they turn 18 to 20 months. During this period, regular monitoring is key. The ENT specialist will ensure that your child’s weight gain and overall development remain on track. Parents may also be guided on feeding techniques or positioning to help ease symptoms at home.

Medical Interventions

If laryngomalacia affects feeding or growth, the specialist might recommend medical treatments. This could include medications to manage gastroesophageal reflux disease (GERD), which frequently coexists with laryngomalacia and can worsen symptoms.

Surgical Treatment

For severe cases, surgery becomes necessary to correct the airway obstruction. The most common procedure is supraglottoplasty, where the excess tissue causing airway collapse is removed or reshaped. It’s usually performed as a minimally invasive procedure and has a high success rate in relieving symptoms.

Regardless of the severity, close follow-up and professional management ensure the best outcomes for children with laryngomalacia.

Why Professional Care Matters

Attempting to manage laryngomalacia on your own can lead to unnecessary complications. An ENT pediatric specialist possesses the expertise, tools, and experience needed to provide a thorough diagnosis and recommend appropriate treatment. Professional care ensures that underlying issues, such as GERD or feeding difficulties, are not overlooked and that your child receives the support they need to thrive.

Conclusion

Laryngomalacia can be a challenging condition for both infants and their parents, but prompt diagnosis and professional care make all the difference. If your child is showing symptoms like noisy breathing, feeding difficulties, or poor weight gain, don’t wait to consult a specialist. A pediatric ENT specialist can guide you through every step, from diagnosis to effective treatment, ensuring your child’s health and development are safeguarded.

Mary Rodriguez

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