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LEGENDS - FIGURES
Figure 1 . Schematic presentation of the methodology for the development of the recommendations on the diagnosis & management of the respiratory complications of EA-TEF.
Figure 2. Schematic diagram of the pathophysiology of the respiratory complications of TEF.
Figure 3A. MEFVCs in a child with EA-TEF and tracheomalacia.Red line (Baseline ) . The flow-volume curve is concave consistent with significant lower airway obstruction. The partial collapse of the trachea affects the initial portion of the MEFVC causing greater decrease in the FEFmax and the FEF25 than on the FEV1. . The inspiratory flow-volume loop is normal.Green line (post-bronchodilator ): There is more extensive flattening of the MEFVC reflecting increased collapse of the trachea and major bronchii due to overrelaxation of the airway smooth muscle. The inspiratory flow-volume loop remains normal.
3B. Tidal flow-volume loop in an infant with significant tracheomalacia. The flattening of the expiratory tidal loop is due to the collapse of the trachea on expiration, while the inspiratory flow-volume loop is normal. The ratio of the maximal expiratory to the maximal inspiratory flow (ME/MI) that is normally approximately 1, is only 0.3. The tidal inspiratory and expiratory volumes are not affected.