Affiliations 

  • 1 Department of Otorhinolaryngology, Starship Children's Hospital, Te Whatu Ora Te Toka Tumai, Auckland, New Zealand; Department of Otorhinolaryngology, Faculty of Medicine, University of Malaya, Malaysia. Electronic address: shakthy_18@yahoo.com
  • 2 Department of Otorhinolaryngology, Starship Children's Hospital, Te Whatu Ora Te Toka Tumai, Auckland, New Zealand
Int J Pediatr Otorhinolaryngol, 2024 Feb;177:111841.
PMID: 38181460 DOI: 10.1016/j.ijporl.2023.111841

Abstract

BACKGROUND: Congenital laryngotracheal stenosis (CLS) is a rare cause of stridor among newborns. Evidence has shown that several family members can be affected by CLS. Knowledge of the pathophysiology of familial congenital laryngotracheal stenosis (FCLS) will enable more effective therapeutic strategies.

OBJECTIVE: To determine the clinical course and outcome of familial congenital laryngotracheal stenosis (FCLS).

METHODS: A literature search was conducted over a period of one month (September 2023) by searching several databases to identify studies published from inception to 31st August 2023.

RESULTS: Of 256 papers identified, five articles met the inclusion criteria. A total of 17 patients with slight female predominance (59 %) were identified. Familial congenital tracheal stenosis was reported in female twins (100 %). A variety of clinical presentations were listed. An endoscopic airway study was performed on all patients. 64.8 % of the included children were managed surgically. Genetic studies performed on 41 % of children could not locate genetic abnormalities.

CONCLUSION: Consanguinity, twin births, and female gender could be predisposing factors for FCLS, although the quality of evidence is low due to the rarity of the condition.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.