Most common cause of stridor in infant and young children –
**Core Concept**
Stridor in infants and young children is a high-pitched sound heard during inhalation, often indicative of an obstruction in the upper airway. The most common cause of stridor in this age group is related to the anatomy and development of their airways.
**Why the Correct Answer is Right**
Laryngomalacia is the most common cause of stridor in infants and young children. It is characterized by the softening of the cartilaginous structures of the larynx, leading to partial airway obstruction during inhalation. This condition is often associated with the collapse of the supraglottic region, particularly the epiglottis and the aryepiglottic folds. The partial obstruction causes the high-pitched sound of stridor, which is typically more pronounced during episodes of coughing, crying, or feeding.
**Why Each Wrong Option is Incorrect**
* **Option A:** Croup is a common cause of stridor in children, but it is more typically associated with a barking cough and occurs in older children. It is not the most common cause of stridor in infants and young children.
* **Option B:** Foreign body aspiration can cause stridor, but it is a less common cause in infants and young children compared to laryngomalacia. Additionally, the presentation of foreign body aspiration often includes other symptoms such as sudden onset of respiratory distress and possibly a history of a witnessed choking event.
* **Option D:** Subglottic stenosis is a condition characterized by narrowing of the subglottic airway, which can cause stridor. However, it is a less common cause of stridor in infants and young children compared to laryngomalacia.
**Clinical Pearl / High-Yield Fact**
Laryngomalacia is often associated with a soft, pliable epiglottis and aryepiglottic folds, which can be visualized during flexible laryngoscopy. It is essential to differentiate laryngomalacia from other causes of stridor, as the management and prognosis of these conditions can differ significantly.
**Correct Answer:** C. Laryngomalacia is the most common cause of stridor in infant and young children.