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In this presentation, moderated by Dr. David Eibling, UPMC’s Dr. Jeffrey Simons discusses some of the rational approaches to evaluating and managing infants with noisy breathing. 

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Implement a rational approach to the evaluation and management of infants and children with noisy breathing. 
  • Describe common causes of stridor and airway abnormalities in the pediatric population.
  • Review history, physical examination, and endoscopy findings in order to localize the site of the lesion or abnormality causing noisy breathing in infants and children.

Reading Resources:

  1. Bluestone CD, Simons JP, Healy GB, eds. Bluestone and Stool’s Pediatric Otolaryngology. Fifth Edition. Shelton, CT: PMPH-USA; 2014.
  2. Simons JP, Greenberg LL, Mehta DK, Fabio A, Maguire RC, Mandell DL. Laryngomalacia and swallowing function in children. Triological Thesis. Laryngoscope 2016; 126: 478-484. 
  3. Sink JR, Kitsko DJ, Georg MW, Winger DG, Simons JP. Predictors of foreign body aspiration in children. Otolaryngol Head Neck Surg 2016; 155 (3): 501-507.
  4. Wilcox LJ, Hull BP, Baldassari CM, Derkay CS. Diagnosis and management of recurrent respiratory papillomatosis. Pediatr Infect Dis J 2014; 33(12): 1283-4.


Drs. Simons and Eibling have reported no relevant relationships with any entities producing health care goods or services.

All presenters disclosure of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services, used on, or consumed by, patients is listed above.  No other planners, members of the planning committee, speakers, presenters, authors, content reviewers and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.1) continuing education units (CEU) which are equivalent to 1 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 2/7/2017 | Last Modified On: 2/7/2017 | Expires: 2/7/2018

This course has been expired.