The Management of Traumatic Tracheo-esophageal Fistula Caused by Blunt Chest Trauma

Chapman, Niles D.; Braun, Richard A.

doi:10.1001/archsurg.1970.01340240049010

Cited by 23 publications

(14 citation statements)

References 11 publications

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“…Such tracheobronchial lacerations usually occur within 2 cm of the carina [10]. The subsequent necrosis of the wall of the esophagus results in TTEF [11]. Rarely, the onset can be immediately after the trauma because of direct communication of the ruptured trachea and esophagus [12].…”

Section: Discussionmentioning

confidence: 99%

Tracheoesophageal fistula in a child after blunt chest trauma

John

Mathai

Chacko

et al. 2006

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Tracheoesophageal fistula in a child after blunt chest trauma

John

Mathai

Chacko

et al. 2006

Journal of Pediatric Surgery

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“…As seen in the findings of the bronchoscopy on admission in the present case, a tracheal laceration that apparently is sealed rapidly occurs immediately after injury in the posterior membranous trachea. Later, the mucosal blood supply has been disrupted by the tracheal blowout, and ischemia of the bruised esophageal mucosa results in TEF formation [4]. Adhesions between the injured trachea and esophagus are formed by localized inflammation, permitting the esophageal defect to form a fistulous tract with the trachea rather than to communicate freely with the mediastinum [5].…”

Section: Discussionmentioning

confidence: 99%

Tracheoesophageal Fistula with Severe Mediastinitis Following Blunt Chest Trauma

et al. 2005

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European Journal of Trauma Ab stractTracheoesophageal fistula (TEF) following nonpenetrating injury is a very rare traumatic condition but serious complication that needs an immediate surgical intervention after making an accurate diagnosis. A case of TEF with severe mediastinitis that is rarely accompanied with TEF is reported. An 18-year-old man who had a traffic accident was admitted to the intensive care unit. After 2 days following admission and intubation, bile juice was suctioned from the trachea. TEF was suspected and promptly confirmed by contrast esophagogram. The patient was taken to surgery and underwent a right posterolateral thoracotomy. The tracheal defect was repaired by primary suture with reinforcement of the pedicled intercostal muscle flap and esophageal exclusion and diversion with drainage was performed because of severe mediastinitis. A second-stage esophageal reconstruction with a right colon conduit was performed when he was completely stabilized in the aspects of infection, nutrition and respiration. His postoperative course was uneventful.

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“…[4][5] Anesthetic management is discussed by Boutros and Crosby.3 They found it useful to use a double-lumen endo¬ bronchial tube in managing one such patient. Satisfactory endotracheal anesthesia was maintained in both cases re¬ ported here using single-lumen endotracheal tubes.…”

Section: Commentmentioning

confidence: 99%

Tracheoesophageal Fistula Following Blunt Trauma

Antkowiak¹

1974

Arch Surg

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The Management of Traumatic Tracheo-esophageal Fistula Caused by Blunt Chest Trauma

Cited by 23 publications

References 11 publications

Tracheoesophageal fistula in a child after blunt chest trauma

Tracheoesophageal fistula in a child after blunt chest trauma

Tracheoesophageal Fistula with Severe Mediastinitis Following Blunt Chest Trauma

Tracheoesophageal Fistula Following Blunt Trauma

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