Main treatment of congenital laryngeal stridor is –
**Core Concept**
Congenital laryngeal stridor is a condition characterized by abnormal vocal cord movement leading to high-pitched breathing sounds. This condition often results from an intrinsic laryngeal abnormality, such as vocal cord paralysis or a fixed vocal cord. The primary goal of treatment is to alleviate symptoms and prevent complications.
**Why the Correct Answer is Right**
The main treatment for congenital laryngeal stridor involves surgical intervention to correct the underlying anatomic abnormality. Specifically, a laryngomalacia repair, such as a supraglottoplasty, is often performed to remove excess tissue or correct the position of the vocal cords. This procedure aims to improve airway patency and reduce stridor. In some cases, a tracheostomy may be necessary to secure the airway.
**Why Each Wrong Option is Incorrect**
**Option A:** This option may refer to a conservative approach, which is not the main treatment for congenital laryngeal stridor. While some cases may be managed with observation and monitoring, surgical intervention is usually necessary.
**Option B:** This option may refer to a procedure that is not directly related to the treatment of congenital laryngeal stridor. For example, a tracheostomy may be necessary in some cases, but it is not the primary treatment.
**Option C:** This option may refer to a medication that is not effective in treating congenital laryngeal stridor. There is no established pharmacological treatment for this condition.
**Clinical Pearl / High-Yield Fact**
A key point to remember is that congenital laryngeal stridor often presents with inspiratory stridor, whereas acquired laryngeal lesions typically present with biphasic stridor. This distinction can help guide diagnosis and treatment.
**Correct Answer:** C. Tracheostomy