SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

eISSN: 3023-7289
Creative Commons CC BY-NC-ND 4.0 International License.
EndNote Style

Online Manuscript System

Index
Case Report
Anesthesia management of an infant with laryngomalacia
Abstract
Potential complications in the pediatric airway are significantly more frequent and diverse compared to adults. The underlying reasons include not only anatomical and physiological differences but also the higher prevalence of congenital anomalies affecting the airway in the pediatric population. Among these anomalies, the most common is laryngomalacia, characterized by the collapse of supraglottic structures during inspiration. Congenital laryngomalacia typically presents with stridor within the first 15 days of life, follows a self-limiting course, and tends to resolve by 24 months of age. In this report, we present our experience with difficult airway management and anesthesia in a 3.5-month-old, 5 kg patient diagnosed with laryngomalacia during surgery.

Keywords : Anhestesia, children, laryngomalacia, difficult airway

Download Article


1. Jain D, Jain S. Management of stridor in severe laryngomalacia: a review article. Cureus. 2022;14(9):e29585. doi:10.7759/cureus.29585
2. Richter GT, Thompson DM. The surgical management of laryngomalacia. Otolaryngol Clin North Am. 2008;41(5):837-864. doi:10.1016/j.otc.2008. 04.013
3. Cook TM, Woodall N, Frerk C. Major complications of airway management in the UK: results of the Fourth National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 1: anaesthesia. Br J Anaesth. 2011;106(5):617-631. doi:10.1093/bja/aer058
4. Fiadjoe JE, Nishisaki A, Jagannathan N, et al. Airway management complications in children with difficult tracheal intubation from the Pediatric Difficult Intubation (PeDI) registry: a prospective cohort analysis. Lancet Respir Med. 2016;4(1):37-48. doi:10.1016/S2213-2600 (15)00508-1
5. Duprat AD, Campos CAH, Costa HOO. Tratado de otorrinolaringologia. 1st ed. Vol 4. São Paulo, Brazil: Roca; 2003:440-450.
6. Olney DR, Greinwald JH, Smith RJ, Bauman N. Laryngomalacia and its treatment. Laryngoscope. 1999;109(11):1770-1775. doi:10.1097/ 00005537-199911000-00011
7. Holinger LD. Diagnostic endoscopy of the pediatric airway. Laryngoscope. 1989;99(4):346-348. doi:10.1288/00005537-198904000-00011
8. Berkowitz RG. Neonatal upper airway assessment by awake flexible laryngoscopy. Ann Otol Rhinol Laryngol. 1998;107(1):75-80. doi:10.1177/ 000348949810700115
9. Moumoulidis I, Gray RF, Wilson T. Outpatient fiber-optic laryngoscopy for stridor in children and infants. Eur Arch Otorhinolaryngol. 2005; 262(3):204-207. doi:10.1007/s00405-004-0804-3
10. Biricik E. Pediatric syndromes that may cause difficult airway. Cukurova J Anesth Surg Sci. 2023;6(2):366-374. doi:10.36516/cjass.1310065
11. Krishna SG, Bryant JF, Tobias JD. Management of the difficult airway in the pediatric patient. J Pediatr Intensive Care. 2018;7(3):115-125. doi: 10.1055/s-0038-1624576
12. Patel N, Madi P, Monteiro I, Shah SP. The anesthetic management of a child with Ohtahara syndrome and severe stridor: a case report. BMC Pediatr. 2024;24(1):434. doi:10.1186/s12887-024-04907-8
13. Takeshita J, Nishiyama K, Fujii M, et al. Repetitive postoperative extubation failure and cardiac arrest due to laryngomalacia after general anesthesia in an elderly patient: a case report. J Anesth. 2017; 31(5):779-781. doi:10.1007/s00540-017-2373-8
14. Jagannathan N, Asai T. Difficult airway management: children are different from adults, and neonates are different from children! Br J Anaesth. 2021;126(6):1086-1088. doi:10.1016/j.bja.2021.03.012
15. Garcia-Marcinkiewicz AG, Kovatsis PG, Hunyady AI, et al. First-attempt success rate of video laryngoscopy in small infants (VISI): a multicentre, randomised controlled trial. Lancet. 2020;396(10266):1905-1913. doi:10.1016/S0140-6736(20)32532-0
16. Burjek NE, Nishisaki A, Fiadjoe JE, et al. Videolaryngoscopy versus fiber-optic intubation through a supraglottic airway in children with a difficult airway: an analysis from the multicenter pediatric difficult intubation registry. Anesthesiology. 2017;127(3):432-440. doi:10.1097/ALN.0000000000001758
17. Yeniay D, Değermenci M, Yucak Özdemir A. Laringomalazili bir yenidoğanda bilateral kasık fıtığı onarımı için kaudal anestezi. Hitit Med J. 2024;6(2):236-240. doi:10.52827/hititmedj.1444951
Article available in :
Volume 3, Issue 2, 2026
Page : 57-60
https://doi.org/10.51271/SOC-0070
Article Information
Received : 29 Ağu 2025
Accepted : 05 Eki 2025
Published : 27 Nis 2026
Corresponding Author :

Akif Demirel: Department of Anesthesiology and Reanimation Bozok University, Faculty of Medicine, Yozgat, Turkiye

[email protected]
Citation : Demirel A, Yardımcı C, Andıran Şenaylı Y, Sargın ES, Kanbak M. Anesthesia management of an infant with laryngomalacia. Surg Child. 2026;3(2):57-60. doi:10.51271/SOC-0070

Read: 95
Download : 142
Cited: 0
_Footer