When should I consider referring an infant with laryngomalacia to an ENT specialist?

Consider referring an infant with laryngomalacia to an ear, nose, and throat (ENT) specialist if the infant shows signs of significant airway obstruction, feeding difficulties, failure to thrive, or if symptoms are severe or worsening. Although the provided guideline context does not explicitly detail laryngomalacia referral criteria, it is standard clinical practice to refer infants with suspected airway compromise or feeding issues related to laryngomalacia to an ENT specialist for assessment and management.

In addition, if the infant has persistent or severe symptoms such as stridor, respiratory distress, or apnoeic episodes, referral to ENT is warranted to exclude other causes and to consider interventions.