Clinical features and flexible laryngoscopy results laryngomalacia in hospitalized children at the respiratory department of chldren’s hospital 1, Ho Chi Minh City

Objective: To describe the presentation, diagnosis, and treatment children with endoscpically confirmed laryngomalacia in hospitalized at the respiratory department of children’s hospital 1. Methods: Prospective case series children with endoscpically confirmed laryngomalacia dunring 1-year period 05/2020 to 05/2021. We included all 34 children under 2 years old with endoscpically confirmed laryngomalacia without prior documentation of the diagnosis. Results: 34 children had a confirmed diagnosis of laryngomalacia and were thus included (1.8:1 male to female sex ratio; mean age, 3 months, age range, 0-6 months). Twenty- three children (67,6%) presented with stridor, 34 (100%) with pulmonary rales, 33 (97,1%) with using accessory respiratory muscles. Type 1 laryngomalacia was the most commoly encountered (29,4%). Most with severe laryngomalacia (52,9%) needed medical treatments in our study. GERD and pneumonia are theo two common comorbidities in our study. Medical comorbidites were associated with severe laryngomalacia. Conclusions: Early diagnosis of laryngomalacia by typical clinical presentations and flexible fiberoptic laryngoscopy may improve the disease severity and outcomes of laryngomalacia patients. Besides, evaluating and treating the comorbidities are also important.