Tracheobronchial dyskinesia (also known as excessive dynamic airway collapse or tracheobronchomalacia) is a condition in which the walls of the trachea and major bronchi lose their structural rigidity and collapse during exhalation. This leads to chronic cough, shortness of breath, and airflow limitation. Treatment is aimed at stabilizing the airways, relieving symptoms, and preventing the development of respiratory failure.
When is treatment for tracheobronchial dyskinesia required?
- Chronic cough that worsens during physical exertion, laughter, or forced exhalation.
- Sensation of air hunger and wheezing predominantly during expiration.
- Recurrent respiratory tract infections or prolonged bronchitis.
- Signs of airway obstruction accompanied by shortness of breath.
- Chest tightness and difficulty with prolonged exhalation.
How is treatment carried out?
- Diagnostic evaluation and pulmonologist consultation – including bronchoscopy, pulmonary function tests, and chest CT imaging.
- Pharmacological therapy – bronchodilators, mucolytics, and anti-inflammatory medications are prescribed.
- Physiotherapy and breathing exercises – aimed at strengthening respiratory muscles and improving lung ventilation.
- Inhalation therapy – used to humidify the airways and facilitate breathing.
- Surgical treatment (in severe cases) – tracheobronchial stenting or airway reconstructive procedures may be considered.
Main treatment approaches
- Bronchodilators and mucolytics – reduce airway resistance and facilitate mucus clearance.
- Inhalation therapy – maintains airway hydration and reduces inflammatory response.
- Respiratory physiotherapy and breathing techniques – improve airway stability and prevent dynamic collapse.
- Tracheal or bronchial stenting – a surgical method used to keep the airways patent in severe disease.
- Management of comorbid conditions – particularly chronic bronchitis, asthma, and chronic obstructive pulmonary disease (COPD).
Advantages of treating tracheobronchial dyskinesia in Belarus
- Stabilization of respiratory function and prevention of complications.
- Reduction in the frequency of respiratory infections.
- Improved quality of life and exercise tolerance.
- Individualized treatment strategies based on disease severity.
Treatment is provided in leading pulmonology centers using modern diagnostic tools and a combination of medical and surgical approaches, allowing effective disease control and prevention of progression.