Ramiah's first birthday

Ramiah's first birthday

Ramiah's first birthday

Ramiah Martin, 1, eyes up the birthday streamers framing the doorway outside of her room in the Pediatric Intermediate Care Unit at Penn State Children’s Hospital on Dec. 12, 2018. Ramiah had been diagnosed with a rare condition called tracheal agenesis, meaning she was born without a trachea. Once this was discovered, a 3D printed device was surgically implanted as a scaffold to help Ramiah’s esophagus serve as a replacement for her missing trachea.

IMAGE: Penn State