Tracheomalacia: Difference between revisions
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*Typically infant to <2 years | *Typically infant to <2 years | ||
==Clinical== | ==Clinical Presentation== | ||
*Infants | *Infants | ||
**Brassy, barking cough | **Brassy, barking cough | ||
| Line 16: | Line 16: | ||
**Expiratory wheezing with respiratory infections | **Expiratory wheezing with respiratory infections | ||
==Workup== | ==Differential Diagnosis== | ||
==Diagnosis== | |||
===Workup=== | |||
*CXR | *CXR | ||
== | ==Management== | ||
*Close observation | *Close observation | ||
*Recurrent “death spells” | *Recurrent “death spells” | ||
| Line 25: | Line 30: | ||
*Aortopexy or tracheostomy for long-term relief | *Aortopexy or tracheostomy for long-term relief | ||
== | ==Disposition== | ||
==References== | |||
<references/> | <references/> | ||
[[Category:Peds]] | [[Category:Peds]] | ||
Revision as of 19:20, 10 August 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
- CXR
Management
- Close observation
- Recurrent “death spells”
- May require more invasive intervention such as nasal CPAP temporarily
- Aortopexy or tracheostomy for long-term relief