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Tracheobronchomalacia
Abhishek Biswas1, Michael A Jantz1, P S Sriram1
1Division of Pulmonary and Critical Care Medicine, University of Florida, Gainesville, FL, United States.
Disease-A-Month : DM
|May 28, 2017
Summary
Tracheobronchomalacia, characterized by collapsible airways, is often misdiagnosed. This review covers its causes, symptoms, diagnosis, and varied treatments, including conservative and surgical options.
Area of Science:
- Pulmonology
- Respiratory Medicine
- Medical Diagnostics
Background:
- Tracheobronchomalacia involves excessive compliance and collapse of central airways, leading to various respiratory symptoms.
- It is frequently misdiagnosed as asthma, bronchitis, or chronic cough due to non-specific clinical presentations.
- While often a coexisting condition, it can independently cause significant symptoms.
Purpose of the Study:
- To elucidate the pathophysiology of tracheobronchomalacia.
- To identify common symptoms and underlying causes.
- To outline diagnostic approaches and cause-specific therapeutic interventions.
Main Methods:
- Review of existing literature on tracheobronchomalacia.
- Discussion of diagnostic modalities including imaging, lung function testing, and flexible bronchoscopy.
- Analysis of treatment strategies ranging from conservative management to surgical interventions.
Main Results:
- Tracheobronchomalacia presents with diverse symptoms and can be mistaken for other pulmonary conditions.
- Diagnosis relies on a combination of clinical evaluation, imaging, pulmonary function tests, and bronchoscopy.
- Treatment is tailored to the underlying cause, with non-invasive ventilation being common, alongside potential surgery or stenting.
Conclusions:
- Accurate diagnosis of tracheobronchomalacia requires a comprehensive approach, differentiating it from other airway diseases.
- Understanding the pathophysiology is key to effective management.
- Therapeutic options are varied, emphasizing personalized treatment based on etiology and severity.
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