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Clinical Characteristics and Associated Congenital Lesions with Tracheomalacia in Infants
D Vijayasekaran1, S Balasubramanian2, Somu Sivabalan2
1Departments of Pediatrics and Pulmonology, Kanchi Kamakoti CHILDS Trust Hospital, Chennai, India. Correspondence to: Dr D Vijayasekaran, Consultant Pulmonologist, Kanchi Kamakoti CHILDS Trust Hospital,12-A, Nageshwara Road, Nungambakkam, Chennai 600 034, India. vijsekar@hotmail.com.
Insights
Congenital tracheomalacia in infants presents with wheezing, stridor, and cough. Associated conditions include laryngomalacia and congenital heart disease, requiring careful diagnosis and management.
Area of Science:
- Pediatric Pulmonology
- Congenital Airway Disorders
- Neonatal Medicine
Background:
- Congenital tracheomalacia is a rare condition affecting the infant airway.
- Understanding its clinical presentation and associated anomalies is crucial for diagnosis.
Purpose of the Study:
- To detail the clinical symptoms, bronchoscopic findings, and co-occurring anomalies in infants with congenital tracheomalacia.
Main Methods:
- A retrospective review of 88 infants diagnosed with tracheomalacia via flexible bronchoscopy.
- Data collected between 2012 and 2015.
Main Results:
- Common symptoms included wheeze (57.9%), stridor (42.1%), and cough (38.6%).
- Tracheomalacia was most often found in the lower trachea (57.9%).
- Associated anomalies were laryngomalacia (30.7%) and congenital heart disease (17%).
Conclusions:
- Wheeze, stridor, and cough are key indicators of infant tracheomalacia.
- Laryngomalacia and congenital heart disease are frequently observed co-existing conditions.
Objective:
To describe clinical presentation, bronchoscopy findings and associated anomalies in cases of congenital tracheomalacia in infants (age <1y).
Methods:
Hospital record review of 88 infants (mean age 8 mo, 57 males) diagnosed as having tracheomalacia by flexible bronchoscopy between 2012 and 2015.
Results:
The predominant features were wheeze (57.9%), stridor (42.1%), cough (38.6%), pneumonia (29.5%) and collapse (12.5%). On bronchoscopy, malacia was observed in lower half of trachea in 51 (57.9%) infants. Synchronized airway lesions observed were laryngomalacia (30.7%) and bronchomalacia (3.4%). 15 (17%) infants had associated congenital heart disease and 21 (23.8%) required care in intensive care unit.
Conclusion:
Wheeze,stridor and cough are the main symptoms in tracheomalacia. Laryngomalacia and congenital heart diseases are the most common other anomalies associated in these infants.
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