Twelve cases of tracheobronchomalacia (TBM) cases were reviewed: five
were pediatric, and seven were adult, two of which were due to relapsi
ng polychondritis (RPC). In pediatric TBM, the mala cic segments were
short. Resection of the malacic segment in one case and laryngotracheo
plasty with autologous costal cartilage in one case were unsuccessful.
However, aortopexy gained good results. Two cases managed conservativ
ely experienced gradual improvement of their symptoms. In adult TBM, p
lication of pars membranacea was not effective in one case. The insert
ion of a stent was minimally effective in one case, and distinctly in
one polychondritic case, The other four cases managed conservatively h
ave deteriorated gradually. From these findings, a new classification
system is proposed.