Tracheobronchomalacia in preterm infants with chronic lung disease
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.
© 1997 by Archives of Disease in Childhood
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