Time division multiple access (TDMA) based medium access control (MAC) schemes are widely used for communication among directional nodes since they can provide a conflict-free transmission schedule. However, the existing directional TDMA schemes introduce significant overhead and delay, and cannot adapt in real-time to topology changes in a directional multi-hop network. These schemes also incur considerable overhead and delay in order to support the QoS (quality of service) traffic. In this paper, a novel, real-time, distributed, directional TDMA scheme is presented for directional multi-hop wireless networks. This scheme adapts to the topology changes and/or flow requirements in real-time, and facilitates QoSaware communication with no notification overhead. In the proposed scheme, the 1-hop neighborhood of every node is divided into fully connected 1-hop neighborhoods, which allows the node to intelligently serve multiple routes without requiring a globally converged scheduling solution. This feature allows the use of a low-complexity rank-based mechanism to obtain a distributed, real-time transmission schedule for a directional multi-hop network. The following new features are also added in the proposed scheme: (i) REQ period which reduces slot wastage, (ii) throughput scaling which ensures fairness and helps in congestion management, and (iii) piggyback reservation period which increases the spatial reuse and adapts to the dynamic requirements of multiple flows in real-time. The control-period overhead in our scheme is low and linearly changes with the number of nodes in a fully connected 1-hop neighborhood, instead of the total number of nodes in the entire network. Simulation results and comparisons with other recent, distributed TDMA-based schemes show that our scheme provides a higher throughput with very low control overhead for both static and mobile network topologies. INDEX TERMS Directional communication, distributed medium access control (MAC), multi-hop network, mobile network, quality of service (QoS), time-division multiple access (TDMA).