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Congenital Tracheomalacia

Congenital Tracheal Collapse


Presentation

  • Search Search for a rare disease Congenital tracheomalacia Disease definition Congenital tracheomalacia is a rare condition where the trachea is soft and flexible causing the tracheal wall to collapse when exhaling, coughing or crying, that usually presents[orpha.net]
  • The trachea is made of C-shaped rings of cartilage, a firm connective tissue that is present in the ear, joints, and other parts of the body.[diseaseinfosearch.org]
  • On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery, are[icd10data.com]
Sneezing
  • Tracheomalacia(TM) is a weakening of the trachea causing notable narrowing of the windpipe (trachea) and thereby leading to airway obstruction, especially during sneezing, coughing or feeding.[desimd.com]
Chronic Abdominal Pain
  • Endoscopic Surgery for Peritoneal Dialysis Catheters in Children 484 Abdominal Trauma 501 Laparoscopy for Pediatric Abdominal Malignancies 511 Chronic Abdominal Pain of Childhood 524 Laparoscopic Approach to Sacrococcygeal Teratomas 531 Laparoscopic Adjustable[books.google.com]
Muscle Weakness
  • Use of intraoperative opioids, neuromuscular relaxants and volatile anesthetics may cause residual postoperative effects, such as respiratory depression and skeletal muscle weakness, thus increasing the incidence of adverse events in this category of[apicareonline.com]
Cutis Laxa
  • Causes include: cystic fibrosis : seen in up to 69% of patients 4 Mounier-Kuhn syndrome : idiopathic or associated with Ehlers-Danlos syndrome (in adults) cutis laxa (in children) Marfan syndrome Kenny-Caffey syndrome Cornelia de Lange syndrome Bruton-type[radiopaedia.org]

Workup

  • Workup for stridor in an infant or child involves a careful history and examination by a pediatric ENT specialist.[entforchildren.net]
  • A combination of symptom presentation and bronchoscopic scores used together are best at determining the indications for treatment for the patient once the workup is complete 2.[lungdiseasesjournal.com]
  • […] associated with substantial respiratory morbidity. 4 Based on radiographic estimates, the prevalence of tracheal collapse in adults varies from 7.1% 5 to 10.5% in men and 17.1% in women 6 who had chest computed tomogram (CT) as a part of pulmonary emphysema workup[rc.rcjournal.com]

Treatment

  • 742 Laparoscopic Treatment of Nonpalpable Testis 753 Transperitoneal Laparoscopic Treatment of Varicocele 759 Oneport Retroperitoneoscopic Varicocelectomy in Children and Adolescents 765 Laparoscopy in Functional Ovarian Cysts in Neonates 771 Laparoscopy[books.google.com]
  • Treatments to prevent these complications include positive pressure ventilatory support (cPAP) or surgery (e.g., aortopexy, tracheopexy, tracheal stent).[rarediseases.info.nih.gov]
  • The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.[sites.magellanhealth.com]
  • A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions.[pennstatehershey.adam.com]

Prognosis

  • Expectations (prognosis) Congenital tracheomalacia generally goes away on its own by the age of 18-24 months. As the tracheal cartilage gets stronger and the trachea grows, the noisy respirations and breathing difficulties gradually stop.[coordinatedhealth.com]
  • Other tests may include: Airway fluoroscopy -- a kind of x-ray that shows the images on a screen Barium swallow Bronchoscopy -- camera down the throat to see the airways and lungs CT scan Lung function tests Magnetic resonance imaging (MRI) Outlook (Prognosis[account.allinahealth.org]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • (Etiology) Congenital Tracheomalacia is a disorder that occurs sporadically at birth, with no underlying cause. What are the Signs and Symptoms of Congenital Tracheomalacia? The signs and symptoms of Congenital Tracheomalacia can be mild to severe.[dovemed.com]
  • The underlying etiology is one of reduced or abnormal connective tissues in the trachea, particularly the cartilaginous rings.[radiopaedia.org]
  • ., Thiruvananthapuram - 695 029, Kerala India Source of Support: None, Conflict of Interest: None DOI: 10.4103/0970-2113.205328 Abstract Tracheomalacia is one of the rarest etiologies of chronic cough.[lungindia.com]

Epidemiology

  • Epidemiology History : earliest references to tracheomalacia are from the 1930’s-1940’s, describing congenital thoracic vascular abnormalities which resulted in tracheal obstruction Prevalence : acquired tracheobronchomalacia is more common than congenital[mdnxs.com]
  • Only 3 broad studies were undertaken to describe the epidemiologic characteristics in this area.[jamanetwork.com]
  • Epidemiology Frequency All types of tracheomalacia are extremely rare; no definite incidence rates are available. [4] In a total of 512 bronchoscopies, airway malacia was diagnosed in 160 children (94 males) at a median age of 4.0 years (range, 0-17 y[thehealthscience.com]
  • […] post-lung transplantation) Emphysema Chronic bronchitis Chronic inflammation (relapsing polychondritis) [5] Chronic external compression of trachea (malignancy, benign tumors, cysts, abscesses, aortic aneurysm) Vascular rings (undiagnosed in childhood) Epidemiology[emedicine.com]
  • The epidemiology of tracheo-oesophageal fistula and oesophageal atresia in Europe. EUROCAT Working Group. Arch Dis Child 1993; 68:743. GeneReviews [Internet]. Pagon RA, Bird TD, Dolan CR, et al., editors.[pedclerk.bsd.uchicago.edu]
Sex distribution
Age distribution

Pathophysiology

  • "Tracheomalacia and bronchomalacia in children: pathophysiology, assessment, treatment and anaesthesia management". Paediatr Anaesth. 13 (1): 3–11. doi : 10.1046/j.1460-9592.2003.00802.x. PMID 12535032. van der Zee DC, Bax NM (2007).[en.wikipedia.org]
  • Tracheomalacia Pathophysiology – expiratory collapse of the intrathoracic airway, due to defective cartilaginous support.[pedclerk.bsd.uchicago.edu]
  • Vicencio, MD Sanjay Parikh, MD Albert Einstein College of Medicine and Children’s Hospital at Montefiore Bronx, NY Tracheomalacia and Bronchomalacia in Children: Pathophysiology, Assessment, Treatment and Anaesthesia Management. Austin J, Ali T.[pedsinreview.aappublications.org]
  • This chapter will present the pathophysiology of airway obstruction, the diagnostic paradigm, and the surgical options for the treatment of tracheal stenosis and tracheomalacia.[accesssurgery.mhmedical.com]

Prevention

  • None of the measure can assure complete prevention of TM but several approaches may help one to prevent complications associated with TM.[desimd.com]
  • - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis[codelay.com]
  • Prevention References Rahbar R, Healy GB. Congenital disorders of the trachea. In: Cummings CW, Flint PW, Haughey BH, et al, eds. Otolaryngology: Head & Neck Surgery. 4th ed. Philadelphia, Pa: Mosby Elsevier; 2005:chap 191.[mostellarmedical.org]

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