Tracheomalacia - Revision history

Rossdonaldson1: /* Evaluation */

2023-01-04T21:10:36Z

Evaluation

← Revisión anterior		Revisión del 21:10 4 ene 2023
Línea 24:		Línea 24:

	==Evaluation==		==Evaluation==
			[[File:Tracheomalacia.jpg\|thumb\|(A) Tracheal structure with normal C-shape rings. (B) U-shaped rings with a wider posterior membrane, demonstrating posterior intrusion. (C) Bow-shaped rings with a broad posterior membrane and severe posterior intrusion.]]
	[[File:PMC5371593 fped-05-00060-g005.png\|thumb\|Bronchoscopy in a neonate showing narrowing of tracheomalacia.]]		[[File:PMC5371593 fped-05-00060-g005.png\|thumb\|Bronchoscopy in a neonate showing narrowing of tracheomalacia.]]

2023-01-04T20:15:51Z

2023-01-04T18:41:46Z

Background

← Revisión anterior		Revisión del 18:41 4 ene 2023
Línea 1:		Línea 1:
	==Background==		==Background==
	[[File:Cross section of a trachea and esophagus.png\|thumb\|~~File:~~Cross section of a trachea and esophagus anatomy.]]		[[File:Cross section of a trachea and esophagus.png\|thumb\|Cross section of a trachea and esophagus anatomy.]]
	[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Tracheal anatomy.]]		[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Tracheal anatomy.]]
	*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.		*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.

2023-01-04T18:37:47Z

Differential Diagnosis

2021-12-11T14:40:05Z

Background

← Revisión anterior		Revisión del 14:40 11 dic 2021
Línea 1:		Línea 1:
	==Background==		==Background==
	[[File:Cross section of a trachea and esophagus.png\|thumb\|File:Cross section of a trachea and esophagus anatomy.]]		[[File:Cross section of a trachea and esophagus.png\|thumb\|File:Cross section of a trachea and esophagus anatomy.]]
	[[File:~~Gray994~~.png\|thumb\|~~Anatomy of the pharynx~~.]]		[[File:Blausen 0865 TracheaAnatomy.png\|thumb\|Tracheal anatomy.]]
	*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.		*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.
	**A frequent complication of surgical repair of esophageal atresia (EA) and TEF		**A frequent complication of surgical repair of esophageal atresia (EA) and TEF

2021-12-11T14:38:23Z

Background

← Revisión anterior		Revisión del 14:38 11 dic 2021
Línea 1:		Línea 1:
	==Background==		==Background==
	[[File:Cross section of a trachea and esophagus.png\|thumb\|File:Cross section of a trachea and esophagus anatomy.]]		[[File:Cross section of a trachea and esophagus.png\|thumb\|File:Cross section of a trachea and esophagus anatomy.]]
			[[File:Gray994.png\|thumb\|Anatomy of the pharynx.]]
	*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.		*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.
	**A frequent complication of surgical repair of esophageal atresia (EA) and TEF		**A frequent complication of surgical repair of esophageal atresia (EA) and TEF

2021-12-11T14:04:39Z

Background

← Revisión anterior		Revisión del 14:04 11 dic 2021
Línea 1:		Línea 1:
	==Background==		==Background==
			[[File:Cross section of a trachea and esophagus.png\|thumb\|File:Cross section of a trachea and esophagus anatomy.]]
	*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.		*Congenital narrowing of the larygeal cartilage that causes upper airway obstruction and problems with swallowing.
	**A frequent complication of surgical repair of esophageal atresia (EA) and TEF		**A frequent complication of surgical repair of esophageal atresia (EA) and TEF

2021-09-25T13:54:29Z

Evaluation

← Revisión anterior		Revisión del 13:54 25 sep 2021
Línea 22:		Línea 22:

	==Evaluation==		==Evaluation==
	*High clinical suspicion		[[File:PMC5371593 fped-05-00060-g005.png\|thumb\|Bronchoscopy in a neonate showing narrowing of tracheomalacia.]]
	*ENT consult for nasopharyngoscopy vs. ~~bronchoscopy~~

	===Workup===		===Workup===
	*[[CXR]]		*[[CXR]]

			===Diagnosis===
			*High clinical suspicion
			*ENT consult for nasopharyngoscopy vs. bronchoscopy

	==Management==		==Management==

2019-10-06T21:05:21Z

References

2019-10-06T21:04:18Z

← Revisión anterior		Revisión del 21:04 6 oct 2019
Línea 9:		Línea 9:
	==Clinical Features==		==Clinical Features==
	*Infants		*Infants
	**Brassy, barking cough		**Brassy, barking [[cough]]
	*Can also develop “dying/death spells” that begin after 2–3 months of age<ref>Kovesi T, Rubin S. Long-Term Complications of Congenital Esophageal Astresia and/or Tracheoesophageal Fistula. Chest. 2004;915-925.</ref>		*Can also develop “dying/death spells” that begin after 2–3 months of age<ref>Kovesi T, Rubin S. Long-Term Complications of Congenital Esophageal Astresia and/or Tracheoesophageal Fistula. Chest. 2004;915-925.</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>		**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>
Línea 15:		Línea 15:
	**[[Stridor]] at rest		**[[Stridor]] at rest
	**Biphasic stridor		**Biphasic stridor
	**Dyspnea with feeding		**[[Dyspnea]] with feeding
	**Expiratory wheezing with respiratory infections		**Expiratory [[wheezing]] with respiratory infections

	==Differential Diagnosis==		==Differential Diagnosis==