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Tracheomalacia
Compiled from across the library · built automatically
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
The classification system for tracheomalacia is in evolution, and trying to describe what is mild or severe or moderate is a little bit challenging. — Aaron Garrison, QUAD #2 Thoracoscopic Tracheopexy with Dr. Aaron Garrison · 2:17
Posterior Tracheopexy For Severe Tracheomalacia
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Dr. Ian Glenn and Dr. Todd Ponsky give a two minute review of "posterior tracheopexy for severe tracheomalacia," and article published in the Journal of Pediatric Surgery. Dr. Hester Shieh and colleagues performed posterior tracheopexy on p
video2:17 · Sep 2018
Posterior Tracheopexy For Severe Tracheomalacia
Watch →
Dr. Ian Glenn and Dr. Todd Ponskygive a two minute review of "posterior tracheopexy for severe tracheomalacia," and article published in the Journal of Pediatric Surgery.Dr. Hester Shieh and colleagues performed posterior tracheopexy on pat
video2:18 · Sep 2018
QUAD #1: Cervical Tracheopexy with Dr. Alessandro de Alarcon
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Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway c
video5:26 · Dec 2023
QUAD #2 Thoracoscopic Tracheopexy with Dr. Aaron Garrison
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Cincinnati Children's hosted the QUAD conference in October 2022 which was a combination of four conferences: The international organization for is Esophageal atresia, the Aerodigestive Society Conference, the Cincinnati Children's Airway c
video7:36 · Jan 2024
Most cases of FETO-associated tracheomalacia resolve and do not appear to have long-term effects — Carlos Colunga, Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study · 0:46
Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study
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David Basurto, Kanokwaroon Watananirun, Anne-Gael Cordier, Juan Otaño, Diane Carriere, Marianna Scuglia, Anna Moraes de Luna Freire Vargas, Jordi Prat, Francesca Maria Russo, Anne Debeer, Cleisson Fábio Andrioli Peralta, Paolo De Coppi, Edu
video0:59 · Oct 2024
Quick Literature Updates Ep 19
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We’re back with nineteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most int
video4:27 · May 2025
Quick Literature Updates Ep 27
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We’re back with 27th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video4:20 · Feb 2026
Expert statements from the recordings in this collection.
Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study
Tracheomalacia was 5% more common in tracheal occluded infants with 4% more cases
Carlos Colunga0:24
Tracheomalacia symptoms typically receded within 55 months in FETO-treated infants
Carlos Colunga0:29
FETO-treated infants showed a larger trachea, approximately 31% wider
Carlos Colunga0:33
37% of tracheally occluded cases retained metallic balloon components
Carlos Colunga0:33
No significant complications were reported from retained metallic balloon components
Carlos Colunga0:33
Tracheal occlusion is effective in promoting lung growth
Carlos Colunga0:46
FETO is associated with a higher risk of tracheomalacia
Carlos Colunga0:46
Most cases of FETO-associated tracheomalacia resolve and do not appear to have long-term effects
Carlos Colunga0:46
QUAD #1: Cervical Tracheopexy with Dr. Alessandro de Alarcon
Cincinnati Children's typically uses a combined cervical and thoracic approach for esophageal atresia cases.
Alessandro de Alarcon0:49
Preoperative testing includes dynamic CT imaging, pulmonary function tests, microlaryngoscopy and bronchoscopy, and flexible bronchoscopy.
Host summaryTodd Ponsky summarizes what Dr. Alessandro de Alarcon said — not the host's own clinical position0:55
Required intraoperative equipment includes a neck tray, MLB tray, and Maloney dilators or NG tubes.
Alessandro de Alarcon1:15
Flexible bronchoscopy during the operation is key, and endotracheal tube placement must allow visualization during the procedure.
Alessandro de Alarcon1:21
Nasotracheal intubation is often used with the cuff positioned high, sometimes almost at the glottis.
Alessandro de Alarcon1:29
A NIM tube is preferred when possible to prevent injury to recurrent nerves or provide awareness when approaching them.
Alessandro de Alarcon1:39
The surgical approach uses subplatysmal flaps and addresses anterior compression as needed.
Alessandro de Alarcon1:55
The cervical approach can assist thoracoscopic procedures by removing residual or regrown large thymus tissue.
Host summaryTodd Ponsky summarizes what Dr. Alessandro de Alarcon said — not the host's own clinical position2:01
Aortopexy and innominate artery pexy can be added at the same time as the cervical procedure.
Alessandro de Alarcon2:09
In the lateral approach, the surgical team works on the side of the airway to find the esophagus.
Host summaryTodd Ponsky summarizes what Dr. Alessandro de Alarcon said — not the host's own clinical position2:19
Pediatric surgeons identify the recurrent nerve for the ENT team to help prevent injury.
Host summaryTodd Ponsky summarizes what Dr. Alessandro de Alarcon said — not the host's own clinical position2:23
The Cincinnati team has learned not to be afraid of mobilizing the esophagus, which is important for the procedure.
The esophagus is mobilized above the level where the team aims to perform the pexy, making suture placement easier.
Host summaryTodd Ponsky summarizes what Dr. Alessandro de Alarcon said — not the host's own clinical position2:43
Stitches are sometimes placed in the trachea to pull it up and out of the way for visualization of the posterior aspect and spine.
Alessandro de Alarcon2:54
A pulmonologist assists with flexible endoscopy through the endotracheal tube to visualize inside the trachea while stitches are placed.
Host summaryTodd Ponsky summarizes what Dr. Alessandro de Alarcon said — not the host's own clinical position3:02
The team uses 3-0 prolene sutures and places all stitches before securing them down.
Alessandro de Alarcon3:15
Suture placement is performed under spontaneous ventilation conditions.
Alessandro de Alarcon3:15
The combined approach is valuable for complicated cases or patients needing additional operations for symptom relief.
Host summaryTodd Ponsky summarizes what Dr. Alessandro de Alarcon said — not the host's own clinical position3:24
A patient who had prior thoracoscopic tracheopexy with dysphagia from torqued esophagus underwent the combined approach and became symptom-free.
Alessandro de Alarcon3:33
Outcome measures include follow-up endoscopy, pulmonary function tests when patients are old enough, and imaging.
Alessandro de Alarcon4:00
At 36 months follow-up, imaging may still show tracheomalacia, but patients can be symptomatically better.
Alessandro de Alarcon4:09
The team is still learning what measures should define good versus bad outcomes.