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Children (Paediatric) ENT

Tracheomalacia in Children: Symptoms, Causes, Diagnosis & Treatment in Patna, Bihar, India

What is Tracheomalacia in Children?

Tracheomalacia is a condition where the walls of the trachea (also called the windpipe) are weaker than normal. The airway is not rigid, so the trachea collapses to some extent during breathing, particularly on exhalation, when crying, coughing, feeding, or lying down. Difficulty breathing can occur due to airway  narrowing and may be associated with breathing sounds in infants and children. Tracheomalacia may be present at birth (congenital tracheomalacia) or may develop as a result of infection, prolonged ventilation, injury to the airway, or compression from a surrounding structure. It can range from mild, in which airway cartilage strengthens or improves with age, to more severe, in which there are recurring respiratory infections, breathing distress, feeding problems, and growth failure. As this condition directly affects the airway, it is important to make an early diagnosis and provide a comprehensive ENT and airway review to promote safe breathing, good health, and development.

Tracheomalacia in Children

What Causes Tracheomalacia in Children?

Tracheomalacia is caused by an underdeveloped or weak tracheal cartilage.

Common Causes Include:

  • Congenital weakness of tracheal cartilage
  • Premature birth
  • Congenital abnormalities of the airway
  • Use of breathing tubes or ventilators for prolonged periods
  • Chronic respiratory infection
  • Compression from adjacent blood vessels or structures
  • Prior trauma or surgery of the airway
  • Gastroesophageal reflux accompanied by airway irritation

Congenital tracheomalacia is generally seen in infants and children.

Symptoms of Tracheomalacia in Children

The degree of airway collapse determines the symptoms.

Common Symptoms Include:

  • Noisy or wheezy breathing
  • Barking cough
  • Difficulty feeding and breathing
  • Frequent lung infections
  • Persistent coughing
  • Stridor (noisy breathing)
  • Bluish appearance on the face during spells
  • Difficulty feeding and failure to grow
  • Fatigue during feeding in infants

Symptoms tend to worsen during chest infections or exercise.

Types of Tracheomalacia in Children

Tracheomalacia can be classified by its cause and location in the airway.

  1. Congenital Tracheomalacia: Occurs from birth due to weak airway cartilage.
  2. Acquired Tracheomalacia: It develops later as a result of damage, chronic infection, or inflammation of the airway or prolonged use of a breathing tube.
  3. Localized Tracheomalacia: Weakness is only present in a specific region of the airway.
  4. Diffuse Tracheomalacia:
    1. The weakness is more extensive across the airway.
    2. Diagnosing the cause, location, and degree of airway collapse is key to formulating treatment plans.

Diagnosis of Tracheomalacia in Children

Accurate assessment of the extent of the airway collapse and the degree of breathing difficulty is required.

Diagnosis Is Made Using:

  • Careful history and physical exam
  • Bronchoscopy helps visualize airway collapse directly.
  • Laryngoscopy and evaluation of the airway
  • CT scan or other imaging study of the airway and surrounding areas
  • Oxygen level monitoring
  • Feeding and swallowing assessment

ENT specialists perform these procedures to provide the appropriate airway evaluation and care.

Treatment of Tracheomalacia in Children

The treatment of tracheomalacia is tailored to the individual based on age, symptom severity, and the degree of airway collapse.

Observation & Monitoring

The child is monitored when the disease is in its milder forms, and the airway may improve on its own as growth progresses and the cartilage gains strength.

Medical Management

Treatment of respiratory infection, control of acid reflux, breathing support, oxygen administration, airway clearance therapy, etc.

Supportive Care

Modified feeds may be recommended in infants, and close monitoring of breathing and oxygen levels is required. Preventing respiratory infection.

Surgery

Surgery is usually resorted to in those who have serious problems with breathing.

The surgeries that can be performed include:

  • Aortopexy to relieve pressure on the airway
  • Tracheal stenting
  • Tracheostomy is performed when breathing is significantly compromised.
  • Airway reconstruction procedures
  • Modern airway management methods are used to facilitate effective breathing and minimize the risk of complications.

Complications of Untreated Tracheomalacia in Children

If tracheomalacia is not properly treated, breathing may be affected and so may the child’s development.

Complications that can be expected:

  • Recurring chest infections
  • Severe difficulty in breathing
  • Inability to gain weight and feeding difficulties
  • Disturbed sleep patterns
  • Low blood oxygen
  • Developmental delay

Early diagnosis helps prevent these complications.

How Tracheomalacia Prevented in Children?

Congenital tracheomalacia cannot really be prevented, but early detection is crucial.

Important Measures Include:

  • Prompt evaluation of noisy breathing in babies
  • Treating infections promptly
  • Careful observation and monitoring of growth and feeding
  • Regular ENT and airway follow-up

Good airway management helps prevent serious complications.

Living with the Tracheomalacia

In most children, symptoms of tracheomalacia improve as they get older.

Key Tips for Parents

  • Always monitor the breathing pattern.
  • Avoid environmental conditions that can aggravate the condition, such as smoke.
  • Regular review with an ENT specialist.
  • For cases of abrupt breathing problems, the child must be attended to immediately.
  • Follow the guidelines for feeding and airway care.

If well managed, the child will breathe normally and flourish.

Why choose LIKITA ENT Hospital for Tracheomalacia Treatment in Children in Patna, Bihar, India?

Likita ENT Hospital offers safe and effective Tracheomalacia Treatment in Children in Patna, Bihar, India, at an affordable cost. Our team of experienced Pediatric ENT specialists provides accurate airway examination and diagnostic assessment to identify weakening of the tracheal walls and evaluate its effect on the child’s breathing. Treatment is tailored according to the severity of airway collapse, age of the child, symptoms, underlying cause, and individual needs. When required, our Pediatric ENT specialists can manage associated noisy breathing, stridor, coughing, recurrent respiratory infections, breathing difficulties, or feeding problems and recommend suitable observation, medical management, respiratory support, or surgical treatment when appropriate. With advanced ENT diagnostic facilities, experienced specialists, and a child-focused approach, Likita ENT Hospital is committed to providing safe, precise, and comfortable Tracheomalacia Treatment in Children in Patna, Bihar, India.

To seek an Expert Consultation for Tracheomalacia Treatment in Children in Patna, Bihar, India:

+91 8797863384 contact@patnaent.com
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