Unresolved airway obstruction in a child secondary to multiple pathologies

In neonates, noisy breathing is one of the common presenting illnesses that require immediate attention and it is always referred to otorhinolaryngology (ORL) team for further assessment. Neonatal stridor can arise from congenital or acquired pathologies at different anatomical sites such as supraglottis, glottis, subglottis and laryngotracheal tree. We report a case of a 5-year-old boy with unresolved airway obstruction since the age of 2 weeks old. He presented with progressively worsening of stridor and dyspnea. Emergency tracheostomy was done at neonatal period. He was diagnosed with different airway pathologies at different occasions. Tracheomalacia and laryngomalacia were initially found at neonatal and infantile periods. At later age, a subglottic band was revealed and CO2 laser therapy was employed in treatment.