Is Primary Repair of Tracheobronchial Rupture Curative?

Salem, Abdel-Maged; Brik, Alaa; Refat, Ali M.; Elfagharany, Karem; Badr, Abdalla

doi:10.4236/ojts.2013.32010

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Such injuries are present in over half the patients after multifocal trauma. Statistically, airway trauma is most commonly observed among men under 40 years of age, and the male-female ratio is 3 : 1 [ 1 , 2 ]. Respiratory tract injuries constitute only 0.8% of blunt thoracic traumas [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

Left main bronchus separation after blunt trauma

Lisowska

Marciniak

Pawełczyk

2017

kitp

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Tracheobronchial damage is very rare in clinical practice and represents no more than 1% of all injuries caused by blunt trauma. Nearly 80% of patients die before reaching the hospital. Most ruptures are observed in the right main bronchus and are located within 2 cm of the carina trachea. The highest mortality rate applies to patients with bilateral bronchial injuries. Nonspecific symptoms, additionally masked by complaints regarding other damaged organs, delay the diagnosis and surgical treatment. The aim of this article is to present one particular clinical case and to discuss it in conjunction with a literature review.

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Section: Introductionmentioning

confidence: 99%

Left main bronchus separation after blunt trauma

Lisowska

Marciniak

Pawełczyk

2017

kitp

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Tracheobronchial injuries: tertiary center experience

Saleh

Beshir

Mohammed

et al. 2019

Asian Cardiovasc Thorac Ann

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Background Tracheobronchial injury is a rare and serious outcome of thoracic trauma. The aim of this study was to describe our experience in the management of tracheobronchial injuries. Methods We reviewed the presentation, line of management, and results of all 23 patients (17 males and 6 females) with a mean age of 27.87 years, who presented with traumatic tracheobronchial injuries and were admitted to the level 3 trauma center of our university emergency hospital over an eight-year period. Results Blunt trauma was the leading cause (73.9%) of injury. Bronchoscopy was routinely performed. A right thoracotomy was carried out in 73.9% of patients. The right main bronchus was the most common site of injury (30.4%), followed by the trachea in 26.1%. Pulmonary resection was undertaken in 5 cases. Three operative mortalities were recorded. Conclusion Tracheobronchial injuries can be treated conservatively or ideally by surgical repair which is the core line of treatment. Surgery has excellent outcomes depending on skillful use of bronchoscopy and the surgeon’s experience of the surgical approach and technique.

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Traumatic tracheal rupture in closed chest trauma (a clinical case)

Getman,

Kravchenko,

Safonov

et al. 2024

ЕМ

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The purpose was to present a clinical case of a soldier with a rupture of the cervical and thoracic parts of the trachea due to closed chest trauma. Early and complete diagnosis of chest injuries, which includes mandatory X-ray and fibrobronchoscopy, can save the life of an injured person, helps choose the optimal method of treatment and improve its outcomes. When choosing the therapeutic approach in patients with traumatic tracheal injuries, it is extremely important to take into account the mechanism of injury, the nature of tracheal damage, the presence and severity of post-traumatic complications, the general condition of the patient, and capacities of a healthcare institution. Given the frequent occurrence in the acute period of life-threatening complications due to traumatic tracheal injury, the formation of gross scarring with the development of tracheal stenosis is possible in the long term, preference is given to active surgical correction of traumatic changes in the tracheal wall. Traumatic injury to the tracheobronchial tree should be suspected in all injured patients with subcutaneous emphysema, hemoptysis, and dyspnea. Adequate examination and treatment of patients with traumatic tracheal rupture requires highly specialized medical care that is based on knowledge, experience, and skills for managing such trauma. X-ray and fibrobronchoscopy must be included in the examination algorithm of such patients. When choosing the treatment approach in patients with traumatic tracheal injuries, it is extremely important to take into account the mechanism of injury, the general condition of the patient, the presence of post-traumatic complications, and capacities of a healthcare institution. Conservative treatment for traumatic tracheal rupture with timely use of minimal surgical interventions can be successful in complete ruptures of the membranous wall of the medium length without development of life-threatening complications.

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Is Primary Repair of Tracheobronchial Rupture Curative?

Cited by 3 publications

References 9 publications

Left main bronchus separation after blunt trauma

Left main bronchus separation after blunt trauma

Tracheobronchial injuries: tertiary center experience

Traumatic tracheal rupture in closed chest trauma (a clinical case)

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