Suggest treatment for epiglottic prolapse and spastic laryngeal muscles
seems to be spastic laryngeal muscles.
I had gone through your question and understand your concerns that your son is having stridor secondary to epiglottic prolapse.
Epiglottic prolapse (laryngomalacia) could be congenital or acquired secondary to previous surgery or after head injury and coma, where injury by intubation, ventilatory support or repeated suctions. The other possibility is spastic laryngeal muscles secondary to multiple sclerosis, cerebral plasy or brain injury.
As such, Baclofen therapy will solve spasticity. Steroids, nebulisations and antibiotics will take care of infections. where as, in establised acquired laryngomalcia (epiglottic prolapse) secondary to trauma needs surgery or CO2 lasers.
In my opinion, it is a difficult task of managing these type of patients at out patient department. There fore, I suggest you to keep him in hospital, till he is free from stridor episodes.
Hope this answers your question, if you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
Wishing you good health.
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