Stomatological management in patients with Laryngomalacia. Case report

Abstract

Laryngomalacia is the most common congenital laryngeal anomaly, being the cause of stridor in neonates in 60%. It is of unknown etiology, but there are risk factors such as inflammation secondary to gastroesophageal reflux (GER). Signs and symptoms are respiratory stridor, regurgitation, emesis, etc. Treatment will be symptomatic or with a supraglottoplasty, although the majority of patients evolve spontaneously before 5 years of age.

 The case of a 9-year-old patient with a diagnosis of laryngomalacia treated at the Reforma Clinic of the UNAM is presented. Her perinatal history reports positive data for GER. The mother refers as the reason for consultation “to check her teeth”, during the intraoral examination multiple caries lesions are observed. The treatment was divided into 3 phases: a preventive phase where adequate oral hygiene is instructed. Phase 2 consisted of restoration through the use of resins, CAC and extractions, establishing considerations such as:

• Short appointments
• Recline of the dental chair of 130º
• Use of absolute isolate
• Minimum amount of water in the high-pressure part

Finally there is an intervention for malocclusion.

 Laryngomalacia is the most common cause of stridor and resolves spontaneously without intervention in most patients. As pediatric dentists, it is necessary to develop clinical guides that make it possible to standardize the management of airway disorders.