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Laryngotracheal Stenosis in Children

What is laryngotracheal stenosis?

Laryngotracheal stenosis (LS), a narrowing of the larynx or trachea, is a condition that can occur in infants and children for several reasons. Acquired LS develops as a result of trauma to the larynx and trachea, usually from endotracheal intubation, while congenital LS is a narrowing present at birth. Neck trauma, inhalation burns and prolonged intubation can also lead to LS.

Symptoms

  • Stridor (noisy breathing)
  • Feeding problems
  • Croup, a loud cough that sounds like barking
  • Recurrent or severe croup

Diagnosis

  • Physical exam
  • Imaging tests of the larynx and trachea including neck X-Rays, fluoroscopy and CT scans
  • Airway endoscopy in the office and in the operating room

Treatment

This condition may require surgical correction if severe.

When to Call for Help

If your child develops any of the symptoms listed above, call your pediatrician.

Jonathan Walsh with patient

Johns Hopkins Pediatric Otolaryngology

Our pediatric otolaryngologists are committed to providing compassionate and comprehensive care for children with ear, nose, and throat conditions. As part of the Johns Hopkins Children's Center, you have access to all the specialized resources of a children's hospital. Your child will also benefit from experts who use advanced techniques to treat both common and rare conditions.

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