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- M Fayon and L Donato.
- Service de pneumologie pédiatrique, hôpital d'Enfants-Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France. michael.fayon@chu-bordeaux.fr
- Arch Pediatr. 2010 Jan 1;17(1):97-104.
AbstractTracheomalacia (TM) or bronchomalacia (BM) refers to softness or weakness of the trachea or the bronchi. Its management is not evidenced-based. Conservative therapy is preferred in milder cases, since the outcome is usually favourable within the first 2 years of life. The clinical utility of non-specific treatments (anti-inflammatory agents, bronchodilators, antibiotics, physiotherapy) has not been proven by clinical trials. Treatment of symptomatic cases should be discussed on an individual basis. Airway surgery should be avoided, and non-invasive ventilation may be proposed as a temporary measure. In case of very severe cases, aortopexy, trachostomy or stent placement are the preferred treatments. Regular respiratory monitoring until remission is mandatory.Copyright 2009 Elsevier Masson SAS. All rights reserved.
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