TRALULALA

Tracheomalacia in Focus

Welcome to the TRALULALA study

A research project on lungs and airway health in children and adolescents with tracheomalcia associated with esophageal atresia


The TRALULALA study is a nationwide Danish research initiative focused on children and adolescents born with esophageal atresia (EA) and tracheomalacia (TM) — two rare but serious congenital conditions that can lead to long-term respiratory challenges.

Despite surgical correction of esophageal atresia in early infancy, many of these children face ongoing difficulties with breathing, feeding, and physical activity. However, the full extent and mechanisms of their respiratory problems remain poorly understood, and current follow-up practices vary widely.

Our goal is to:

  • Improve our understanding of lung disease in this group

  • Identify the most accurate and relevant diagnostic tools

  • Develop a national structured follow-up program based on new methods and technologies

  • Ultimately, enhance the long-term care and quality of life for children with EA and TM

This project is led by a collaborative team of pediatric pulmonologists, surgeons, and researchers from Rigshospitalet and Odense University Hospital, with support from national and international partners.


TRALULALA NEWS

📅 July 2025

📢 NEW PUBLICATION: National Study on Esophageal Atresia and Respiratory Morbidity

We are proud to share that a new research article from the Tralulala project has been published:

Incidence of Esophageal Atresia and Associated Respiratory Morbidity in Children: A National Registry Study in Denmark (1998–2018)

This nationwide study is the first of its kind to examine how esophageal atresia is linked to long-term respiratory complications in childhood. Using data from national health registries, the study provides valuable insights into the burden of disease and the need for multidisciplinary follow-up of affected children.

The article is published as PREPRINT.


📅 July 2025
🧪 NATIONWIDE CROSS-SECTIONAL STUDY LAUNCHED 
 
We are pleased to announce the launch of a nationwide cross-sectional study investigating lung symptoms, airway function and quality of life in children born with esophageal atresia.

This phase of the project includes clinical assessments, lung function testing, and patient-reported outcomes, and involves collaboration between multiple pediatric centers across Denmark.


📅 May 2025 
🔍 PILOT STUDY ON LUNG FUNCTIONS TESTING COMPLETED  
 
We have completed the pilot study assessing various lung function tests in children with esophageal atresia and suspected tracheomalacia.

The study explored feasibility, quality and clinical relevance of spirometry, body plethysmography, multiple breath washout, and cardiopulmonary exercise testing (CPET).

Findings from this pilot will inform the design of the upcoming multicenter cross-sectional study.

Full study launch planned for autumn 2025


📅 January 2025 

📄 NEW ARTICLE PUBLISHED!

Former research scholar Helene Holmark published a case study regarding the surgical options for tracheomalacia in Danish children. 

Full article here: Tracheomalacia and surgical options: A case series perspective


📅 Oktober 2024
🗣️ REPRESENTATION AT THE ERS CONFERENCE IN VIENNA

TRALULALA was represented by Marika Nathalie Rønne at the European Respiratory Society (ERS) International Congress 2024 in Vienna. 

The congress provided a valuable platform for scientific exchange and collaboration across pediatric pulmonology. 


(C) 2023 Marika Rønne, marika.nathalie.roenne@regionh.dk

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