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Pediatric tracheomalacia

Jose Carlos Fraga1, Russell W Jennings2, Peter C W Kim3

  • 1Department of Surgery, Pediatric Surgeon at Hospitals de Clinicas, Moinhos de Vento and Materno-Infantil Presidente Vargas, Federal University of Rio Grande do Sul, Rua Ramiro Barcelos 2350, Sala 600-Porto Alegre, CEP90035-903, Porto Alegre, RS, Brazil.

Seminars in Pediatric Surgery
|June 16, 2016
PubMed

Insights

Tracheomalacia (TM) is a condition where the trachea collapses, often seen in infants. While many cases resolve, some children require surgical intervention for severe symptoms.

Area of Science:

  • Pediatric Pulmonology
  • Congenital Anomalies
  • Surgical Innovation

Background:

  • Tracheomalacia (TM) involves trachea collapse due to cartilage or membrane abnormalities.
  • It is frequently associated with esophageal atresia and tracheoesophageal fistula in newborns.
  • Symptoms vary from mild stridor to life-threatening respiratory distress.

Purpose of the Study:

  • To review the pediatric literature on tracheomalacia.
  • To detail clinical presentation, evaluation, and diagnostic methods.
  • To explore various treatment options for pediatric TM.

Main Methods:

  • Systematic review of published pediatric literature on TM.
  • Analysis of clinical presentation, diagnostic approaches, and treatment strategies.
  • Synthesis of current knowledge on tracheomalacia management.

Main Results:

  • Tracheomalacia presents with a spectrum of symptoms, from stridor to severe respiratory distress.
  • While most pediatric cases are mild, some necessitate surgical intervention.
  • Esophageal atresia and tracheoesophageal fistula are common co-occurring conditions.

Conclusions:

  • Tracheomalacia management requires a comprehensive understanding of its diverse presentations.
  • Early diagnosis and appropriate intervention are crucial for improving outcomes.
  • Further research into optimal surgical and non-surgical treatments is warranted.

Keywords:
AortopexyBronchoscopyExternal airway fixationTracheobronchomalaciaTracheobronchopexyTracheomalacia

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