Approximately 90% Expiratory Narrowing in Pediatrics — 2yo Child | Pediatric Respiratory | SMLE Q#18119
SMLE Question #18119
Pediatrics
Pediatric Respiratory
Objective: OBJ-TRACH-RESP-001
Last updated: February 2026
A 2-year-old child has recurrent cyanotic episodes triggered by crying and multiple admissions for pneumonia. Flexible bronchoscopy shows dynamic collapse of the distal third of the trachea with approximately 90% expiratory narrowing. A tracheostomy is performed for airway access, but the child continues to have expiratory obstruction. What is the most appropriate next step in management to improve expiratory airway patency?
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