Strider in neonates is a symptom of upper airway obstruction, usually
of the large diameter airways. Its presence should prompt a thorough w
orkup. The steps of evaluating neonatal strider include history, physi
cal examination, rapid assessment of its severity, and prompt transpor
tation to a testing care center. The most common causes of neonatal st
rider are presented, and the role of the otolaryngologist experienced
in endoscopy of the pediatric airway is detailed.