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When the tissues above the vocal cords fall in towards the airway, it causes noisy breathing in an infant. Stephen Early, MD, discusses the causes, symptoms and treatment for laryngomalacia. Find out more at https://childrens.uvahealth.com/servi... Laryngomalacia is a term that means inspiratory airway obstruction for children. It has to do with the collapse of the tissue, the upper part of the voice box. It is a single term, but there are a variety of things that cause the process of airway obstruction. It may get to the point that the children don't grow because of the inspiratory obstruction. If they’re trying to feed and they’re lying recumbent, they’re being bottle or breastfed, and every time they take a breath, they obstruct. It’s because that flap on the top of the voice box, the epiglottis, has fallen back, or some tissues are too tall or too contracted. What we’ll typically do when a child comes in with laryngomalacia is we’ll perform a fiber optic examination of the voice box. We put a fiber optic light through the child’s nose, and we can look and film the child’s voice box and see what’s causing the inspiratory obstruction. There are many reasons why patients and their families should seek out the pediatric otolaryngology for laryngomalacia. Our training is dedicated to the care of children with congenital abnormalities. We are well-versed in its management and understand its various causes and how to correct it.