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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
PubMed
Summary
This summary is machine-generated.

Tracheobronchomalacia, characterized by collapsible airways, is often misdiagnosed. This review covers its causes, symptoms, diagnosis, and varied treatments, including conservative and surgical options.

Keywords:
Central airway obstructionEndobronchial ultrasoundExcessive dynamic airway collapseTracheobronchial stentTracheobronchomalacia

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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.