Congenital laryngeal stridor is also known as:
**Core Concept**
Congenital laryngeal stridor, also known as laryngomalacia, is a condition characterized by the soft and pliable laryngeal cartilages collapsing inward during inspiration, leading to partial airway obstruction. This condition is often associated with a high-pitched inspiratory stridor.
**Why the Correct Answer is Right**
Laryngomalacia is the most common congenital anomaly of the larynx, accounting for 75-90% of cases. The condition is thought to result from a combination of factors, including the incomplete formation of the laryngeal cartilages and the overlying soft tissues, which can lead to the inward collapse of the laryngeal structures during inspiration. This collapse can cause a partial airway obstruction, resulting in the characteristic high-pitched inspiratory stridor.
**Why Each Wrong Option is Incorrect**
**Option A:** Laryngomalacia is not the same as vocal cord paralysis, which is a separate condition that can also cause stridor, but is typically associated with a more sudden onset and a unilateral (one-sided) effect.
**Option B:** Croup is a different condition that can cause stridor, but it is typically associated with a barking cough and a hoarse voice, rather than the high-pitched inspiratory stridor characteristic of laryngomalacia.
**Option C:** Subglottic stenosis is a condition characterized by a narrowing of the airway below the vocal cords, which can cause stridor, but it is typically associated with a more severe and persistent obstruction than laryngomalacia.
**Clinical Pearl / High-Yield Fact**
Laryngomalacia is often associated with other congenital anomalies, such as cardiac defects and gastrointestinal abnormalities, and may require surgical intervention in severe cases.
**Correct Answer:** C.