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TABLE 2
MALACIA SCORING SYSTEM
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| Arytenoid score (AS)* |
| 0 points |
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No discernible collapse into glottis with inspiration |
| 1 point |
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Subtle collapse of arytenoids into glottis |
| 2 points |
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Collapse of arytenoids into glottis, 25 to 50% of vocal cords ob-
scured |
| 3 points |
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Collapse of arytenoids into glottis, about 75% of vocal cords ob-
scured |
| 4 points |
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Collapse of arytenoids into glottis, 100% of vocal cords obscured |
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| Epiglottis score (ES) |
| 0 points |
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Normal epiglottis, no folding during inspiration |
| 1 point |
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Slight length-wise folding of epiglottis |
| 2 points |
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Moderate fold of epiglottis without contact between lateral edges |
| 3 points |
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Intermittent contact of lateral edges of epiglottis |
| 4 points |
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Continuous contact and even overlap of lateral edges of epiglottis |
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*
If the two arytenoids varied in score, the mean score was used.
The sum of the arytenoid and epiglottis scores is the laryngomalacia score (LS). The
difference between prelidocaine LS and postlidocaine LS is the LS.
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