2017 Sec 1 Green Book

Reprinted by permission of Int J Pediatr Otorhinolaryngol. 2016; 86:256-261.

International Journal of Pediatric Otorhinolaryngology 86 (2016) 256–261

Contents lists available at ScienceDirect

International Journal of Pediatric Otorhinolaryngology

journal homepage: www.elsevier.com/locate/ijporl

Review Article International Pediatric ORL Group (IPOG) laryngomalacia consensus recommendations John Carter a , * , Reza Rahbar b , Matthew Brigger c , Kenny Chan d , Alan Cheng e , Sam J. Daniel f , Alessandro De Alarcon g , Noel Garabedian h , Catherine Hart g , Christopher Hartnick i , Ian Jacobs j , Bryan Liming k , Richard Nicollas l , Seth Pransky c , Gresham Richter m , John Russell n , Michael J. Rutter g , Anne Schilder o , Richard J.H. Smith k , Julie Strychowsky p , Robert Ward q , Karen Watters b , Michelle Wyatt r , George Zalzal s , Karen Zur j , Dana Thompson a

a Division of Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA b Department of Otolaryngology and Communication Enhancement, Boston Children’s Hospital, Boston, MA, USA

c Rady Children’s Hospital, San Diego, CA, USA d Children’s Hospital Colorado, Aurora, CO, USA

e Department of Pediatric Otolaryngology, The Sydney Children’s Hospital Network-Westmead Campus, The University of Sydney, Sydney, NSW, Australia f Department of Otolaryngology – Head and Neck Surgery, Montreal Children’s Hospital, McGill University Health Center, Montreal, Quebec, Canada g Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Cincinnati, OH, USA

h Pediatric ENT Department, Hôpital Necker-Enfants Malades, AP-HP, Université Paris Descartes, Paris, France i Department of Otolaryngology, Massachusetts Eye and Ear Infirmary, Harvard Medical School, Boston, MA, USA

j Division of Otolaryngology, Children’s Hospital of Philadelphia, Philadelphia, PA, USA k Department of Otolaryngology, University of Iowa Hospitals & Clinics, Iowa City, IA, USA l Department of Pediatric Otolaryngology, La Timone Children’s Hospital, Aix-Marseille Université, Marseille, France m University of Arkansas for Medical Sciences, Little Rock, AR, USA n Our Lady’s Children’s Hospital, Crumlin, Dublin, Ireland o evidENT, UCL Ear Institute, Royal National Throat, Nose and Ear Hospital, London, UK p Department of Otolaryngology-Head and Neck Surgery, Children’s Hospital at London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada q Department of Otolaryngology-Head and Neck Surgery, NYU Langone Medical Center, New York, NY, USA r Great Ormond Street Hospital for Children, London, UK s Department of Otolaryngology, Children’s National Hospital, Washington, DC, USA

A R T I C L E I N F O

A B S T R A C T

Article history: Received 29 March 2016 Received in revised form 1 April 2016 Accepted 5 April 2016 Available online 7 April 2016

Objective: To provide recommendations for the comprehensive management of young infants who present with signs or symptoms concerning for laryngomalacia. Methods: Expert opinion by the members of the International Pediatric Otolaryngology Group (IPOG). Results: Consensus recommendations include initial care and triage recommendations for health care providers who commonly evaluate young infants with noisy breathing. The consensus statement also provides comprehensive care recommendations for otolaryngologists who manage young infants with laryngomalacia including: evaluation and treatment considerations for commonly debated issues in laryngomalacia, initial work-up of infants presenting with inspiratory stridor, treatment recommenda- tions based on disease severity, management of the infant with feeding difficulties, post-surgical treatment management recommendations, and suggestions for acid suppression therapy. Conclusion: Laryngomalacia care consensus recommendations are aimed at improving patient- centered care in infants with laryngomalacia. © 2016 Elsevier Ireland Ltd. All rights reserved.

Keywords: Laryngomalacia Infant Stridor Pediatric

Financial disclosures: None. * Corresponding author at: Division of Otolaryngology-Head and Neck Surgery, Ann & Robert H. Lurie Children’s Hospital of Chicago, 225 Chicago Ave. Chicago, IL 60611, USA. Tel.: + 312 227 6814; fax: + 312 227 9414. E-mail address: jmcarter@luriechildrens.org (J. Carter).

http://dx.doi.org/10.1016/j.ijporl.2016.04.007 0165-5876/© 2016 Elsevier Ireland Ltd. All rights reserved.

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