Iqbal Zein Assyidiqie, Nastiti Kaswandani, Darmawan B. Setyanto
Objective: Stridor is an abnormal sound as a sign of upper airway obstruction in children that frequently bring children to medical care. This study aims to evaluate children with clinical feature of stridor that have performed rhino-pharyngo-laryngoscopy procedure in Cipto Mangunkusumo Hospital (CMH). Methods: A retrospective study from 2015 to first-quarter of 2019 was performed. We collected data from registry about baseline characteristics and etiology of stridor in children based on rhino-pharyngo-laryngoscopy performed in Respirology Division, Department of Child Health, CMH. Results: There were 74 patients (70% male and 30% female) with stridor had been evaluated. The most common group age were 0-6 month-old (44%) and 1-5 year-old group (30%). All patient were undergone rhino-pharyngo-laryngoscopy performed by pediatric respirologist. All patients received chloral hydrate solution before procedure as sedation. There were no complications found after commencing procedure. The results showed that laryngomalacia was the most common diagnosis (73%), followed by adenoid hypertrophy (12%) and laryngeal edema (8%). Laryngomalacia type 1 was the most common type of all patients with laryngomalacia (70%) and laryngopharyngeal reflux occured quite a lot accompanying the condition of laryngomalasia (35%). Conclusions: Laryngomalacia is the most common finding in children with stridor, followed by adenoid hypertrophy and laryngeal edema. Rhino-pharyngo-laryngoscopy is a safe procedure that can be performed to children with stridor to determine the abnormality of the upper respiratory tract.