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Doctor insights on: Chondro Malacia

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Hi, what does the bilateral in 'bilateral broncho malacia mean/refer to?

Hi, what does the bilateral in 'bilateral broncho malacia mean/refer to?

Both sides: "bilateral" means both sides, such as both the left and right lungs, or both the left and right main bronchi. ...Read more

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What causes and what is tracheal malacia?

What causes and what is tracheal malacia?

Floppy airway: Tracheomalacia is a condition where the trachea (windpipe) collapses too easily, usually causing more trouble with expiration (or breathing out) it can have various causes including previous heart or chest surgery, prematurity, or can be a primary problem symptoms are noisy breathing, harsh brassy cough, sometimes "dying spells" should be diagnosed with a bronchoscopy. ...Read more

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Will a baby with airways malacia that will apparently grow out of it, have just as strong airways eventually as a child that didn't have issues?!?

Will a baby with airways malacia that will apparently grow out of it, have just as strong airways eventually as a child that didn't have issues?!?

Good prognosis: The prognosis is excellent. Most patients outgrow this condition by the time they are aged 3 years; many infants outgrow tracheomalacia before they are aged 1 year. Tracheomalacia after a compressing lesion lasts longer, depending on the length of time of the compression. ...Read more

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Is bronchospasm more common in children with airway malacia (weakness/floppyness)?

Is bronchospasm more common in children with airway malacia (weakness/floppyness)?

Yes: Children with Tracheobronchomalacia have a weakness in the airway. This predisposes them to airway obstruction because of the accumulation of mucus. Their inability to properly clear the airway of mucus might result in irritation of the bronchial mucosa and bronchospasm. The child needs to be under the management of a Pediatrician, who will prescribe the appropriate treatment, as needed. ...Read more

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5 month old caught a croup like virus from our 2 year old.What should I do he gets a coughing fit during the night? He has mild congenital b+l malacia

5 month old caught a croup like virus from our 2 year old.What should I do he gets a coughing fit during the night? He has mild congenital b+l malacia

See below: Broncho and laryngomalacia is made worse when there is an increased effort in breathing. With the croup you want to control fever, and can expose to cool air or warm mist if worsens at night. If there is persistent noisy breathing when the baby is comfortable or asleep then you should seek medical attention. ...Read more

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Is a cpap machine 100 % safe for a 6 month old for mild sleep apnea poss due to mild malacia? Or are there side effects?

Is a cpap machine 100 % safe for a 6 month old for mild sleep apnea poss due to mild malacia? Or are there side effects?

No.: Very little is 100% in medicine. I would not use a CPAP machine on a 6 month-old. I would have a competent individual (obstetrician, ENT physician) evaluate the nasal airway. ...Read more

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Is nasal spray safe to use for a 4 month old that is nasaly congested, who already has a diagnosis of mild laryngo, trachea, broncho - malacia? Thanks

Is nasal spray safe to use for a 4 month old that is nasaly congested, who already has a diagnosis of mild laryngo, trachea, broncho - malacia?

Thanks

Only saline: Don't use any other type of nasal sprays in a child without direct recommendation from your doctor. Other sprays can have significant side effects in children. By the way, and otherwise normal child does not have malacia of the whole respiratory tree. It doesn't happen. ...Read more

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Why is it that my sons epicanthal folds show now at 3.5 and didnt really show at 2...?? Incidently born with COA, bicuspid valve and airway malacia...

Why is it that my sons epicanthal folds show now at 3.5 and didnt really show at 2...?? Incidently born with COA, bicuspid valve and airway malacia...

Mgt: Facial growth may change the appearance of the eye area. If there is concern that there is a genetic problem, I think a consultation with a genetics specialist is indicated. Were your sons twins and born prematurely? ...Read more

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My daughter has cchs- her dr seems puzzled when we explain that her o2 sats run low, while still maintaining an appropriate co2 level. The best they have come up with is malacia- she shows no signs of pulmonary hypertension. What else should we have rul

My daughter has cchs- her dr seems puzzled when we explain that her o2 sats run low, while still maintaining an appropriate co2 level.  The best they have come up with is malacia- she shows no signs of pulmonary hypertension.  What else should we have rul

A few things: As you know, cchs is a rare condition and is not fully understood. There are a number of diseases that are associated with and syndromic with cchs. An example is hirschprungs disease, which seems to share a link with an underlying genetic defect that also can cause cchs. The best way to evaluate is a pulmonoligist affiliated with a children's hospital that has a wide range of subspecialities. ...Read more

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My baby had single umbilical artery, is that why he had coarctation aortic arch + lary, trach, bronc malacia?

My baby had single umbilical artery, is that why he had coarctation aortic arch + lary, trach, bronc malacia?

No: The single umbilical artery did not cause those issues. Single umbilical arteries are related to many issues (though not specifically related to the lesions you mentioned). But nevertheless, it was not the cause per se. ...Read more

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