| Title | [Tracheomalacia (TM) or bronchomalacia (BM) in children: Conservative or invasive therapy?] | | Author(s) | Fayon M, Donato L | | Institution | Service de pneumologie pédiatrique, hôpital d'Enfants-Pellegrin, place Amélie-Raba-Léon, 33076 Bordeaux, France. | | Source | Arch Pediatr 2009 Nov 3. | | Abstract | Tracheomalacia (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. | | Language | FRE | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 19892533 |
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