Hysinger Erik B
Division of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH.
Curr Probl Pediatr Adolesc Health Care. 2018 Apr;48(4):113-118. doi: 10.1016/j.cppeds.2018.03.002. Epub 2018 Apr 3.
Airway malacia can occur in the larynx (larygomalacia), trachea (tracheomalacia), or bronchi (bronchomalacia). As a group these are the most common congenital abnormalities of the pediatric airway and are characterized by increased airway compliance, resulting in excessive dynamic collapse during the respiratory cycle. While a diagnosis can be suspected based on clinical history and physical examination, definitive evaluation is based of nasopharyngolaryngoscopy and/or bronchoscopy. Observation and conservative management are typically all that are required. However, surgical intervention can be necessary in the most severe cases, and can result in significant improvement in symptoms.
气道软化可发生于喉部(喉软化)、气管(气管软化)或支气管(支气管软化)。作为一个整体,这些是儿科气道最常见的先天性异常,其特征是气道顺应性增加,导致呼吸周期中过度的动态塌陷。虽然根据临床病史和体格检查可怀疑诊断,但明确的评估基于鼻咽喉镜检查和/或支气管镜检查。通常仅需观察和保守治疗。然而,在最严重的情况下可能需要手术干预,这可使症状得到显著改善。