All are true regarding laryngomalacia except:
**Core Concept**
Laryngomalacia is a congenital condition characterized by the softening of the tissues of the larynx, leading to partial airway obstruction during inspiration. This condition is often associated with an abnormal collapse of the supraglottic airway, resulting in stridor and respiratory distress in infants.
**Why the Correct Answer is Right**
Laryngomalacia is a common cause of stridor in infants, usually presenting within the first few weeks of life. The condition is often caused by a narrow or floppy epiglottis, aryepiglottic folds, or vocal cords, which can collapse during inspiration, causing partial airway obstruction. This can lead to symptoms such as noisy breathing, feeding difficulties, and failure to thrive.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is incorrect because laryngomalacia is not typically caused by an abnormality in the cricoid cartilage. While the cricoid cartilage is a critical structure in the larynx, laryngomalacia is more commonly associated with supraglottic abnormalities.
**Option B:** This option is incorrect because tracheomalacia is a different condition that involves the softening of the tracheal cartilage. While both conditions can cause airway obstruction, they have distinct underlying pathologies and clinical presentations.
**Option C:** This option is incorrect because laryngomalacia is not typically associated with an abnormality in the vocal cord paralysis. Vocal cord paralysis can cause airway obstruction, but it is a distinct condition from laryngomalacia.
**Clinical Pearl / High-Yield Fact**
Important to note that laryngomalacia is a dynamic condition, and symptoms may worsen with crying, feeding, or other respiratory infections.
**Correct Answer: D.**