{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,11]],"date-time":"2025-09-11T19:11:06Z","timestamp":1757617866405,"version":"3.44.0"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100002386","name":"Cairo University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100002386","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objectives<\/jats:title>\n            <jats:p>To propose a novel classification method for assessing the severity of laryngomalacia (LM).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Materials and methods<\/jats:title>\n            <jats:p>During a three-year period, all paediatric patients diagnosed with laryngomalacia were included. A disease-specific questionnaire consisting of eleven questions with four possible responses was administered to gather patient information, and a scoring system was utilized to classify the severity of their condition based on medical history and examination findings. Patients were assigned to two groups: group 1 included those having LM with no or mild co morbidities, group 2 included patients with severe co morbidities. Group 1 was further subdivided into three subgroups based on symptom scores [ (1a) with a score of 1\u201311, (1b) with a score of 12\u201322, and (1c) with a score of 23\u201333].<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The study enrolled a total of fifty participants. Five individuals with laryngomalacia and severe comorbidities were placed in group 2, while the remaining forty-five participants were assigned to group 1. Initial assessment revealed that thirty-five participants were categorized in subgroup 1c and 10 in subgroup 1b. Individuals in subgroup 1c underwent supraglottoplasty and demonstrated an average 25% reduction in symptom scores at 6 weeks post-surgery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>A severity-based classification system is proposed, and a management strategy is presented for laryngomalacia.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00405-025-09434-5","type":"journal-article","created":{"date-parts":[[2025,5,12]],"date-time":"2025-05-12T22:37:35Z","timestamp":1747089455000},"page":"3637-3646","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A new classification scheme for laryngomalacia"],"prefix":"10.1007","volume":"282","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7175-8666","authenticated-orcid":false,"given":"H.","family":"Attya","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"issue":"11","key":"9434_CR1","doi-asserted-by":"publisher","first-page":"1770","DOI":"10.1097\/00005537-199911000-00009","volume":"109","author":"DR Olney","year":"1999","unstructured":"Olney DR, Greinwald JH Jr, Smith RJ, Bauman NM (1999) Laryngomalacia and its treatment. 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