SURGICAL MANAGEMENT OF TRACHEOBRONCHOMALACIA IN CHILDREN: INDICATIONS, RESULTS AND TECHNIQUES BASED ON A LARGE CASE SERIES

jpedsurg.org

Pediatric tracheobronchomalacia (TBM) may require surgical treatment for a range of symptoms, from chronic barking cough to severe respiratory episodes. However, there is limited consensus on surgical indications and techniques. Moreover, few reports describe the clinical outcome of TBM surgery, which includes anterior aortopexy (AA) and posterior tracheopexy (PT). Therefore, we evaluated indications, outcomes and surgical techniques in a large series of patients operated at our center for TBM.

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Article · Jun 2025 · 1 min read

In brief

This article examines surgical management strategies for pediatric tracheobronchomalacia, focusing on indications and outcomes for anterior aortopexy and posterior tracheopexy procedures. Based on a large institutional case series, it addresses the lack of consensus on when and how to surgically treat children with TBM-related symptoms ranging from chronic cough to life-threatening respiratory episodes.

Pediatric TBM presents with varied severity from chronic cough to life-threatening respiratory episodes requiring individualized surgical planning.
Anterior aortopexy and posterior tracheopexy are the primary surgical techniques for TBM, but consensus on optimal indications remains limited.
Large case series analysis is essential to establish evidence-based surgical criteria and predict outcomes in pediatric TBM management.
Surgical intervention for TBM should be considered when symptoms significantly impact quality of life or pose respiratory risk despite medical therapy.
Standardized outcome reporting across institutions is needed to refine surgical technique selection and timing for pediatric TBM patients.

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