Evolution of diagnostic methods for cicatrical tracheal stenosis and tracheomalacia

Vd, Parshin; Im, Koroleva; Ma, Mishchenko

doi:10.17116/hirurgia2016517-25

Cited by 8 publications

(2 citation statements)

References 3 publications

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“…Diagnosis is confirmed by imaging (CT, magnetic resonance imaging) and endoscopic examination. Although these methods are complementary, the latter could be performed when imaging methods are unavailable 9. Endoscopy should be avoided because the procedure, by itself, may worsen the original injury.…”

Section: Discussionmentioning

confidence: 99%

Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication

Gaspar

Maximiano²,

Minamoto³

et al. 2019

Autops. Case Rep.

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Endotracheal intubation injuries are rare, but may be devastating—mostly among the pediatric patients or when these occur in the distal trachea. Such complications typify a therapeutic challenge, which, besides requiring intellectual and technical resources, takes a long time to reach a resolution. The authors present the case of a 15-year-old girl admitted with an abnormal state of consciousness due to diabetic ketoacidosis. She was submitted to endotracheal intubation with hyperinflation of the tube cuff, which rendered tracheal necrosis and detachment of the tracheal mucosa, and consequent obstruction. Later, she developed scarring retraction and stenosis. The patient was successfully treated with an endotracheal prosthesis insertion. The aim of this report is to illustrate a preventable complication.

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Section: Discussionmentioning

confidence: 99%

Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication

Gaspar

Maximiano²,

Minamoto³

et al. 2019

Autops. Case Rep.

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show abstract

“…In addition, because granulation tissue hyperplasia can lead to stenosis which provides blurred vision under bronchoscopy, so the tracheography has more diagnostic advantage (13). However, it is higher for the requirement of coordination degree in tracheography, so it is not suitable for patients with acute injury accompanied with hemoptysis, pulmonary atelectasis and bad general conditions.…”

Section: Diagnosis Of Tracheal Injurymentioning

confidence: 99%

Update on the diagnosis and treatment of tracheal and bronchial injury

et al. 2017

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Tracheal and bronchial injury, including iatrogenic injury and traumatic injury, the former usually occurred in the operation, intubation or bronchoscopy. The latter was occurred in a variety of blunt trauma, often combined with a variety of complex injuries. The therapeutic approach can be differentiated, surgical or conservative, no criteria has been universally accepted. Successful treatment of tracheobronchial injuries requires early diagnostic evaluation. This article aims to review the indications and therapeutic options for tracheal and bronchial injuries. J Thorac Dis 2017;9(1):E50-E56 jtd.amegroups.com the right main bronchus is more fixed. Main tracheal rupture accounts for 19% (1) (Figure 1). But Siegel et al. found that there was no significant difference in the incidence of injury between the left and right sides (2) ( Table 1).Dyspnea: there are many reasons that can cause dyspnea in tracheal rupture, such as pneumothorax, obstruction of blood or secretions in respiratory tract, pulmonary contusion that leads to oxygen exchange barriers, bronchial mucosal edema, hematoma compression to airway or lung tissue. The first symptom of main bronchial injury is pneumothorax, which often cause serious lung compression and even tension pneumothorax. As a result it blocks venous blood flow and results in heart failure, etc. (3). What's more, even after placing pleural closed drainage, large amount of gas can be drained out with the movement of respiratory. Refractory pneumothorax and long-term pulmonary rehabilitation difficulty can also exist. The old tracheal injury can cause lobar or segmental atelectasis because of the granuloma in the lesion, so that it can present with symptoms like breathing difficulty and so on. However, the patients above always perform as recurrent pulmonary infection which is the main reason to hospital.Subcutaneous or mediastinal emphysema: subcutaneous or mediastinal emphysema are the main symptoms of airway perforation with hemoptysis and dyspnea or not. Severe pneumomediastinum always appears in intrathoracic trachea injury, and the air can spread to the neck, head and chest, bilateral chest wall through suprasternal fossa that results in subcutaneous emphysema last. There are reports that the serious subcutaneous emphysema after trachea injury could even spread to the abdomen, perineum and lower extremity skin (4). In some cases the subcutaneous emphysema could also induce air embolism, but these patients were always associated with complex trauma and large vessel rupture etc. The severe pneumomediastinum might also compress the vena cava that led to reflux disorder and even heart failure.Most of the hemoptysis caused by tracheal injury is slight, but it can also present with massive hemoptysis if there is bronchial artery injury or tracheal fistula with high mortality (5). Always there is fatal injury in these patients that will die from hemorrhagic shock and suffocation in short time, so that these patients have not enough time to be sent to the emergency room.Ther...

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Immediate and long-term results of endoscopic treatment of cicatrical tracheal stenosis

Drobyazgin¹,

Судовых²,

Chikinev³

2017

Endosk. khir.

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Evolution of diagnostic methods for cicatrical tracheal stenosis and tracheomalacia

Cited by 8 publications

References 3 publications

Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication

Tracheal stenosis due to endotracheal tube cuff hyperinflation: a preventable complication

Update on the diagnosis and treatment of tracheal and bronchial injury

Immediate and long-term results of endoscopic treatment of cicatrical tracheal stenosis

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