Tuesday, April 22, 2008

Happy 2 Month Birthday Baby Kace!!!

I haven't updated our blog in quite a while, as we all are, we have been very busy running here and there for the kids. Jace is still recovering from his hand surgery but was able to get his cast off last Tuesday and is very grateful of that, although he has had to find other weapons against Trace. As far as Trace goes he has had school and several functions there in the past week or so, baseball practice and baseball games. Baby Kace has also been through a lot the past week. On Wednesday my mom and I took him to an (ear,nose and throat) doctor and he was diagnosed with laryngomalasia. Laryngomalacia is essentially a floppiness of the upper airway. It occurs most commonly in otherwise healthy children. Symptoms of noisy breathing or stridor usually present several weeks after birth. The noise is often high-pitched and associated with agitation or excitement. Other important findings include difficulty with feeding or any respiratory distress or "blue spells."

Laryngomalacia (literally, "soft larynx") is a very common condition of infancy, in which the soft, immature cartilage of the upper larynx collapses inward during inhalation, causing airway obstruction.

In infantile laryngomalacia, the supraglottic larynx (the part above the vocal cords) is tightly curled, with a short band holding the cartilage shield in the front (the epiglottis) tightly to the mobile cartilage in the back of the larynx (the arytenoids). These bands are known as the aryepiglottic folds; they create the movements that opens and closes the vocal cords for phonation. The shortened aryepiglottic folds cause the epiglottis to be furled on itself. This is the well known "omega shaped" epiglottis in laryngomalacia.
Laryngomalacia results in partial airway obstruction, most commonly causing a characteristic high-pitched squeaking noise on inhalation (inspiratory stridor). Some infants have feeding difficulties related to this problem. Rarely, children will have significant life threatening airway obstruction. The vast majority, however, will only have stridor without other more serious symptoms.
The conventional wisdom about laryngomalacia is that the noise is more pronounced when the patient is on his or her back (with gravity making the epiglottis fall backwards). This, however, is a more common finding in older patients rather than in infants. In rare cases, surgery is necessary. [3][4][5] Most commonly, this involves cutting the aryepiglottic folds to let the supraglottic airway spring open. supraglottoplasty