Severe tracheobronchomalacia associated with laryngeal cleft

We report 3 cases of severe tracheobronchomalacia associated with laryngeal cleft. Each of these children had a major cleft, type 3 in Evans' classification. Separately each of these conditions are difficult to treat, in combination these major airway anomalies caused management problems of great complexity. We describe the presentation of these cases, the diagnosis of the lesions and the management paths we followed. We discuss the pathology of the conditions and the diagnostic options which are available for defining the extent of responsibility of each component to the overall clinical picture. We discuss the therapeutic options available and describe our own management regime.