Tracheomalacia is characterized by an expiratory tracheal collapse. The rev
ealing clinical features usually occur after a symptom-free period during t
he first year of life (during the first three months in 60% of cases): main
ly stridor, wheezing, chronic cough, apnoeic attacks, and difficult breathi
ng. Tracheoscopy allows the differentiation of primary tracheomalacia and t
racheomalacia secondary to pressure on the trachea from the vascular ring o
r mediastinal tumour. Tracheomalacia is also frequently associated with oes
ophagal atresia. Surgical treatment is indicated in severe and secondary fo
rms. (C) 2001 Editions scientifiques et medicales Elsevier SAS.