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2014, Number 4

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Rev Med MD 2014; 5.6 (4)

Severe laryngotracheobronchomalacia. Case report

Alcántar-Molina A, Arce-García IE
Full text How to cite this article

Language: Spanish
References: 7
Page: 258-262
PDF size: 854.38 Kb.


Key words:

CPAP, laryngotracheobronchomalacia, congenital malformation, Silverman, ICU.

ABSTRACT

Laryngotracheobronchomalacia is an unusual congenital airway malformation. We present the case of a full-term newborn female patient with normal evolution, no important records, born through vaginal way, dystocic presenting breathing failure at birth with a Silverman score of 4 with expiratory laryngeal stridor. In the neonatal intensive care unit she is diagnosed with Laryngotracheobronchomalacia and it is managed with intermittent continuous positive airway pressure having a favorable evolution.


REFERENCES

  1. Carden KA, Boiselle PM, Waltz DA et al. Tracheomalacia and tracheobronchomalacia in children and adults: an in-depth review. Chest 2005; 127:984–100.

  2. Dal-negro RW, Tognella S, Guerriero M, Micheletto C. Prevalence of tracheobronchomalacia and excessive dynamic airway collapse in bronchial asthma of different severity. Multidisciplinary Respiratory Medicine 2013; 8(32).

  3. Patel R, Irugulapati L, Patel V, Esan A, Lapidus C, Weingarten J, Saleh A, Sung A. The Prevalence of Tracheobronchomalacia in Patients with Asthma or Chronic Obstructive Pulmonary Disease. The Internet Journal of Pulmonary Medicine 2009; 12(1).

  4. Choo EM, Seaman JC, Musani AI. Tracheomalacia / Tracheobronchomalacia and Hyperdynamic airway collapse. Immunol Allergy Clin North Am. 2013; 33(1): 23-34.

  5. Ferguson GT, Benoist J. Nasal continuous positive a irway pressure in the treatment of tracheobronchomalacia. Am Rev Respir Dis. 1993; 147(2): 457-61.

  6. Torre M, Carlucci M, Speggiorin S, Elliot MJ. Aortopexy for the treatment of tracheomalacia in children: review of the literatura. Ital J Pediatr. 2012; 30;38:62.

  7. Gilkeson RC, Ciancibello LM, Hejal RB et al. Tracheobronchomalacia: dynamic airway evaluation with multidetector CT. AJR Am J Roentgenol. 2001; 176:205.




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Rev Med MD. 2014;5.6