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Tracheobronchomalacia in children

I N Jacobs1, R F Wetmore, L W Tom

  • 1Department of Otolaryngology, Children's Hospital of Philadelphia, Pa.

Archives of Otolaryngology--Head & Neck Surgery
|February 1, 1994
PubMed
Summary

Tracheobronchomalacia (TBM) is a common infant airway issue that typically resolves naturally. Most infants with TBM can be decannulated without surgery, indicating a self-limited disease course.

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Area of Science:

  • Pediatric Pulmonology
  • Neonatology
  • Pediatric Surgery

Background:

  • Tracheobronchomalacia (TBM) is a significant cause of infant airway distress.
  • TBM often resolves spontaneously as the infant airway grows.

Purpose of the Study:

  • To investigate the origin and natural history of tracheobronchomalacia (TBM).
  • To assess the long-term outcomes for infants diagnosed with TBM.

Main Methods:

  • Retrospective chart review and telephone survey of 50 pediatric patients with TBM.
  • Analysis of diagnostic bronchoscopy findings and treatment interventions.

Main Results:

  • TBM is a common airway abnormality, identified in 15% of diagnostic bronchoscopies.

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  • Prematurity, low birth weight, bronchopulmonary dysplasia, and prolonged ventilation are risk factors for severe TBM.
  • 71% of patients were decannulated without further surgery, remaining largely asymptomatic.

    • Conclusions:

    • Tracheobronchomalacia (TBM) is generally a self-limited condition in infants.
    • Most cases of TBM resolve without surgical intervention.
    • Associated airway lesions can complicate decannulation in some TBM patients.