I was diagnosis by bronchoscopy with trachobronchomalacia and distal bronchomalacia. what if any are my best tx options. i'm 35...?

Tracheobronchomalaci: Tracheobronchomalacia: airway walls are weak and collapses during breathing or coughing. It can develop as a result of an underlying medical condition such as chronic obstructive pulmonary disease (COPD) or pulmonary fibrosis, lupus etc, treatment depends on exact location and the extent of the disease. Options are tracheobronchial airway stent, tracheobronchoplasty, tracheal resection etc.

Shoot: You are very young. You must be evaluated by a lung expert! asap tobra inhaled? Cpap? Inhaled steroids? Surgical intervention? Stent? Inhalers only?

See below: There aren't a lot of options. If you smoke, stop smoking. Then, I would look at a tertiary care center than has interventional pulmonology. You might be a candidate for a dynamic Y stent. Then, if this helps, you can be evaluated by a cardiothoracic surgeon for possible a surgical fix. If these aren't options, you may need a tracheostomy depending on the degree of symptoms you have.