{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T06:07:43Z","timestamp":1779084463726,"version":"3.51.4"},"reference-count":18,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T00:00:00Z","timestamp":1779062400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Laryngomalacia (LM) is the most common cause of infant stridor, significantly impacting the quality of life for both patients and caregivers. Early recognition by parents is crucial to reducing morbidity and anxiety. However, parental knowledge, attitudes, and practices (KAP) regarding LM remain underexplored in Saudi Arabia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A nationwide cross-sectional study was conducted from December 2024 to July 2025 among parents residing in Saudi Arabia with at least one child aged \u22656 months. A validated, self-administered questionnaire assessed sociodemographics, knowledge, attitudes, and practices toward LM. Data were analyzed using descriptive statistics, chi-square, one-way ANOVA, and Spearman's correlation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 1,537 participants, most were mothers (74.9%), aged 30\u201339 years (34.7%), and held a bachelor's degree (62.1%). Awareness was low, with 87.4% reporting they had never heard of LM. Knowledge gaps were evident, particularly in areas such as symptoms, diagnosis, and treatment. Positive attitudes were noted, with 76.9% agreeing that visiting a doctor for stridor is essential. In practice, 80.7% would seek medical care for stridor, while most rejected self-medication. Significant associations were found between KAP variables and sociodemographic factors, especially occupation, age, and residency. Knowledge correlated moderately with attitude (rho\u2009=\u20090.406,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001) and weakly with practice (rho\u2009=\u20090.196,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Parental awareness of LM in Saudi Arabia is limited despite positive healthcare-seeking attitudes. Tailored educational initiatives targeting identified knowledge gaps and misconceptions could enhance early diagnosis and management, ultimately improving outcomes for affected children.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fped.2026.1745657","type":"journal-article","created":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T05:42:13Z","timestamp":1779082933000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Parental knowledge, attitudes, and practices regarding laryngomalacia in Saudi Arabia: a nationwide cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Hisham","family":"AlMutawa","sequence":"first","affiliation":[{"name":"Department of Otolaryngology-Head and Neck Surgery, King Abdullah bin Abdulaziz University Hospital","place":["Riyadh, Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alya","family":"AlZabin","sequence":"additional","affiliation":[{"name":"College of Medicine, Princess Nourah Bint Abdulrahman University","place":["Riyadh, Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aseel","family":"AlSaleh","sequence":"additional","affiliation":[{"name":"College of Medicine, Princess Nourah Bint Abdulrahman University","place":["Riyadh, Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Renad","family":"AlNofiey","sequence":"additional","affiliation":[{"name":"College of Medicine, Princess Nourah Bint Abdulrahman University","place":["Riyadh, Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Layan","family":"AlAmri","sequence":"additional","affiliation":[{"name":"College of Medicine, Princess Nourah Bint Abdulrahman University","place":["Riyadh, Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad Z.","family":"AlOtaibi","sequence":"additional","affiliation":[{"name":"Department of Otorhinolaryngology-Head and Neck Surgery, Imam Mohammad Ibn Saud Islamic University","place":["Riyadh, Saudi Arabia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,5,18]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1016\/J.OTC.2008.04.011","article-title":"The surgical management of laryngomalacia","volume":"41","author":"Richter","year":"2008","journal-title":"Otolaryngol Clin North Am"},{"key":"B2","doi-asserted-by":"publisher","first-page":"753526","DOI":"10.1155\/2012\/753526","article-title":"Laryngomalacia: disease presentation, spectrum, and management","volume":"2012","author":"Landry","year":"2012","journal-title":"Int J Pediatr"},{"key":"B3","doi-asserted-by":"publisher","first-page":"85","DOI":"10.1080\/00016489.2020.1821246","article-title":"Histopathology of laryngomalacia","volume":"141","author":"Gan","year":"2021","journal-title":"Acta Otolaryngol"},{"key":"B4","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1053\/J.SEMPEDSURG.2016.02.004","article-title":"Laryngomalacia","volume":"25","author":"Bedwell","year":"2016","journal-title":"Semin Pediatr Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"273","DOI":"10.1007\/S00405-023-08254-9\/METRICS","article-title":"Profiling the clinical characteristics and surgical efficacy of laryngomalacia in children","volume":"281","author":"Xiao","year":"2024","journal-title":"Eur Arch Oto-Rhino-Laryngol"},{"key":"B6","doi-asserted-by":"publisher","first-page":"110368","DOI":"10.1016\/J.IJPORL.2020.110368","article-title":"The burden of laryngomalacia and its effects on caregivers: a support group survey evaluation","volume":"138","author":"Conway","year":"2020","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1232","DOI":"10.31729\/jnma.5244","article-title":"Prevalence of laryngomalacia among young children presenting with stridor in a tertiary care hospital","volume":"58","author":"Pokharel","year":"2020","journal-title":"J Nepal Med Assoc"},{"key":"B8","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1177\/0253717620946111","article-title":"Designing and conducting knowledge, attitude, and practice surveys in psychiatry: practical guidance","volume":"42","author":"Andrade","year":"2020","journal-title":"Indian J Psychol Med"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7759\/CUREUS.35339","article-title":"Knowledge and awareness of parents attending pediatric clinic regarding pediatric obstructive sleep apnea in Jeddah: a cross-sectional study","volume":"15","author":"Alosaimi","year":"2023","journal-title":"Cureus"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7759\/CUREUS.34816","article-title":"Parental knowledge and practices related to foreign body aspiration in children in Makkah, Saudi Arabia","volume":"15","author":"Bin Laswad","year":"2023","journal-title":"Cureus"},{"key":"B11","doi-asserted-by":"publisher","first-page":"26","DOI":"10.20471\/ACC.2022.61.S4.3","article-title":"Parental awareness of the dangers of foreign body inhalation in children","volume":"61","author":"Begovi\u0107","year":"2022","journal-title":"Acta Clin Croat"},{"key":"B12","doi-asserted-by":"publisher","first-page":"199","DOI":"10.4103\/JFMPC.JFMPC_1500_20","article-title":"Parental knowledge and practices toward foreign body aspiration in children in the al qassim region of Saudi Arabia","volume":"10","author":"Almutairi","year":"2021","journal-title":"J Family Med Prim Care"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7759\/CUREUS.85252","article-title":"Is YouTube a reliable source for laryngomalacia information?","volume":"17","author":"Walsh","year":"2025","journal-title":"Cureus"},{"key":"B14","first-page":"63","article-title":"The knowledge of paediatricians about laryngomalacia: is it always a trivial disease?","volume":"18","author":"Ramos","year":"2016","journal-title":"Rev Pediatr Aten Primaria"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7759\/CUREUS.47432","article-title":"Features and associated comorbidities of laryngomalacia in Saudi Arabia","volume":"15","author":"Alanzi","year":"2023","journal-title":"Cureus"},{"key":"B16","doi-asserted-by":"publisher","first-page":"406","DOI":"10.15537\/SMJ.2020.4.25014","article-title":"Correlation between the clinical severity of laryngomalacia and endoscopic findings","volume":"41","author":"Alshumrani","year":"2020","journal-title":"Saudi Med J"},{"key":"B17","doi-asserted-by":"publisher","first-page":"583","DOI":"10.1016\/j.ijporl.2014.01.001","article-title":"Prospective quality of life assessment in congenital laryngomalacia","volume":"78","author":"Kilpatrick","year":"2014","journal-title":"Int J Pediatr Otorhinolaryngol"},{"key":"B18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.7759\/CUREUS.48749","article-title":"Caregiver burnout in pediatric laryngomalacia: the role of clinical and psychological factors","volume":"15","author":"Duymaz","year":"2023","journal-title":"Cureus"}],"container-title":["Frontiers in Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1745657\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T05:42:15Z","timestamp":1779082935000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fped.2026.1745657\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,18]]},"references-count":18,"alternative-id":["10.3389\/fped.2026.1745657"],"URL":"https:\/\/doi.org\/10.3389\/fped.2026.1745657","relation":{},"ISSN":["2296-2360"],"issn-type":[{"value":"2296-2360","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,18]]},"article-number":"1745657"}}