Pediatric and adult tracheobronchomalacia

Abstract
Twelve cases of tracheobronchomalacia (TBM) cases were reviewed: fivewere pediatric, and seven were adult, two of which were due to relapsingpolychondritis (RPC). In pediatric TBM, the malacic segments were short.Resection of the malacic segment in one case and laryngotracheoplasty withautologous costal cartilage in one case were unsuccessful. However,aortopexy gained good results. Two cases managed conservatively experiencedgradual improvement of their symptoms. In adult TBM, plication of parsmembranacea was not effective in one case. The insertion of a stent wasminimally effective in one case, and distinctly in one polychondritic case.The other four cases managed conservatively have deteriorated gradually.From these findings, a new classification system is proposed.

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