Patient: My child is now one and a half years old, when he was born, there was a slight snoring sound, almost two or three months the sound is particularly heavy. After seeing many doctors who said it might be laryngeal softening, I went to Shanghai Xinhua Hospital at the age of 6 months and was diagnosed with laryngeal softening. 18 months have passed, but I feel that there is no obvious improvement. During this period of time, I have been taking cod liver oil and calcium according to the doctor’s advice, and my voice is actually better in summer than in winter, probably because I am more susceptible to cold in winter. A lot of doctors say that it will get better at the age of 2 or 3 years old, and almost all of them say the same thing on the internet. Now I am worried. After 18 months, there is no obvious improvement, and I feel that it may not be cured even at the age of 2 or 3. I would like to ask Dr. Li a few questions: 1. Is it true that this disease will definitely get better when we get older? 2. If the disease cannot be cured at the age of 4 or 5 or older, can it be cured by surgery or other methods? 3.If it can be cured by surgery or other methods, when is the best time for treatment? For example, how old is the child? Is the surgery complicated? Is it risky? Thank you very much! Wang Xiaowei, ENT, Peking Union Medical College Hospital: It can be said that thick breath sounds in infants and young children is a very common symptom, and even if you think that the heavy breathing is serious, it’s more of a parental concern for your child. The danger to the body of thick breath sounds is hypoxia, whether it is acute asphyxia or long-term chronic hypoxia, it must be treated. However, it is rare to reach this level. Currently, the clinical diagnosis of laryngeal achalasia is rarely made. In response to the questions you posed: 1. It definitely gets better with age. Only rarely does it not completely resolve. The softness of the laryngeal cartilage in infants and young children is a characteristic of that age group. Therefore, it is recommended that you go to a specialized hospital such as the Shanghai Eye, Ear, Nose and Throat Hospital for a detailed examination and diagnosis; 2. If the condition does not improve completely by the age of four or five, it can certainly be treated by surgery. The purpose of the surgery is to re-form the larynx, so that the upper respiratory tract is open; 3, the key to treatment is the timing of the grasp. For children, you can neither be blindly positive nor overly negative. Therefore it is still advisable to go to the hospital for a detailed evaluation.