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Arch Dis Child Fetal Neonatal Ed 1997;76:F203-F205 ( May )

Tracheobronchomalacia in preterm infants with chronic lung disease

Iolo J M Doull, Quen Mok, Robert C Tasker

Paediatric Intensive Care Unit, Great Ormond Street Hospital for Children, London

Correspondence to: Dr Iolo Doull, Cystic Fibrosis Unit, Department of Child Health, University Hospital of Wales, Cardiff CF4 4XW.

Accepted 14 January 1977

Tracheobronchomalacia is a treatable cause of persisting ventilatory requirements in the preterm neonate, and warrants a high index of suspicion. Five preterm infants with persisting ventilatory requirements with evidence of tracheobronchomalacia are reported. Four were diagnosed by tracheobronchogram and one by flexible endoscopy. All were successfully managed by continuous positive airway pressure (CPAP) via a tracheostomy. One infant died of unrelated causes. The oldest child in this series at the age of 2 years requires no further ventilatory support. Tracheobronchial anomalies should be considered in all preterm infants with persisting ventilatory requirements.

Keywords: tracheobronchomalacia; continuous positive airway pressure

© 1997 by Archives of Disease in Childhood


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