To the Editor: Severe airway malacia is an uncommon entity and not rare as previously reported by us [1]. With availability of fiberoptic bronchoscopy the documentation of airway malacia is increasing in developing countries. Due to lack of registry, incidence cannot be estimated in our country. As already mentioned in previous report, external compression was ruled out with CT angiogram chest, which was normal. The index case was gradually weaned off from Bipap support and tracheostomy tube was decannulated. Child is currently growing well.

Severe airway malacia is life threatening condition and should be managed at specialized centers. A registry should be maintained for estimation of incidence of airway malacia.