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Tracheomalacia and tracheobronchomalacia in children and adults: an in-depth review
Kelly A Carden1, Philip M Boiselle, David A Waltz
1Division of Pulmonary and Critical Care Medicine, Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA 02446, USA.
Insights
Tracheomalacia and tracheobronchomalacia are airway disorders affecting children and adults. This review covers their history, causes, diagnosis, and current treatments like stents and surgery.
Area of Science:
- Medicine
- Pulmonology
- Pediatrics
Background:
- Tracheomalacia and tracheobronchomalacia are airway disorders affecting both pediatric and adult populations.
- Despite increased recognition, uncertainties persist regarding their identification, etiology, and management.
- These conditions involve weakness of the trachea and/or bronchi, leading to airway collapse.
Purpose of the Study:
- To provide a comprehensive review of tracheomalacia and tracheobronchomalacia in both pediatric and adult patients.
- To consolidate current knowledge on the historical aspects, classification, associated conditions, histopathology, and natural history of these disorders.
- To summarize diagnostic modalities and state-of-the-art treatments, including surgical interventions and airway stent placement.
Main Methods:
- Literature review and synthesis of existing research on tracheomalacia and tracheobronchomalacia.
- Analysis of historical data, epidemiological trends, and clinical case studies.
- Evaluation of diagnostic techniques and therapeutic outcomes from published studies.
Main Results:
- The review details the historical evolution of understanding these conditions.
- It classifies the disorders and discusses associated pathologies and their natural progression.
- Current diagnostic tools and advanced treatment options, including surgical and interventional procedures, are presented.
Conclusions:
- Tracheomalacia and tracheobronchomalacia are complex airway diseases requiring a multidisciplinary approach.
- Accurate diagnosis and tailored treatment strategies are crucial for improving patient outcomes.
- Further research is needed to fully elucidate the pathophysiology and optimize management protocols.
Abstract:
Tracheomalacia and tracheobronchomalacia are disorders that are encountered in both pediatric and adult medicine. Despite increasing recognition of these disease processes, there remains some uncertainty regarding their identification, causes, and treatment. This article is intended to be a comprehensive review of both the adult and pediatric forms of the diseases, and includes sections on the historical aspects of the disorders, and their classification, associated conditions, histopathology, and natural history. We also review the various modalities that are used for diagnosis as well as the state of the art of treatment, including airway stent placement and surgical intervention.
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