Tracheomalacia: Difference between revisions
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***Characterized by cyanosis, apnea, bradycardia, and hypotonia that require resuscitation<ref>*Boudewyns A, Claes J, Van de Heyning P. Clinical Practic: An approach to stridor in infants and children. Eur J Pediatr. 2010;169:135-141</ref> | ***Characterized by cyanosis, apnea, bradycardia, and hypotonia that require resuscitation<ref>*Boudewyns A, Claes J, Van de Heyning P. Clinical Practic: An approach to stridor in infants and children. Eur J Pediatr. 2010;169:135-141</ref> | ||
*Severe | *Severe | ||
**Stridor at rest | **[[Stridor]] at rest | ||
**Biphasic stridor | **Biphasic stridor | ||
**Dyspnea with feeding | **Dyspnea with feeding | ||
| Line 22: | Line 22: | ||
===Workup=== | ===Workup=== | ||
*CXR | *[[CXR]] | ||
==Management== | ==Management== | ||
Revision as of 17:34, 4 September 2015
Background
- Can present as an isolated congenital lesion
- Associated with TEF
- A frequent complication of surgical repair of esophageal atresia (EA) and TEF
- Typically infant to <2 years
Clinical Presentation
- Infants
- Severe
- Stridor at rest
- Biphasic stridor
- Dyspnea with feeding
- Expiratory wheezing with respiratory infections
Differential Diagnosis
Diagnosis
Workup
Management
- Close observation
- Recurrent “death spells”
- May require more invasive intervention such as nasal CPAP temporarily
- Aortopexy or tracheostomy for long-term relief