Tracheobronchial rupture: a considerable risk for young teenagers

Kaptanoğlu, Melih; Dogan, Kasim; Nadir, Aydın; Gönlügür, Uğur; Akkurt, İbrahim; Seyfıklı, Zehra; Günay, İlhan

doi:10.1016/s0165-5876(01)00600-0

Cited by 28 publications

(28 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Most of the time, after rupture of a main stem bronchus, pneumothorax develops, and the patient undergoes tube thoracostomy. Surprisingly, the lung may completely be re-expanded 7,24) as it was in two of our 4 patients. It seems that after complete transection of a main bronchus, its surrounding pleura and connective tissues may preserve a conduit for air to be passed to the lungs.…”

Section: Discussionmentioning

confidence: 54%

Major Airways Trauma, Management and Long Term Results

Farzanegan

Alijanipour

Akbarshahi

et al. 2011

ATCS

View full text Add to dashboard Cite

Purpose: The number of patients with traumatic and iatrogenic tracheobronchial injuries is increasing. Early diagnosis, prompt establishment of a secure airway, and appropriate management could prevent sequelae and lead to a good outcome. Methods: Between "1994-2007", 35 patients with major airways trauma were managed. This descriptive and retrospective study evaluates clinical findings, diagnostic approaches, initial managements, definitive surgical or nonsurgical treatments and follow-up results. SPSS was used for descriptive outcomes. Results: There were 27 males (77%) and 8 females, with a mean age of 28.2. There were 16 blunt, 11 penetrating and 8 iatrogenic traumas, at the level of the larynx in 1, larynx and hypopharynx in 3, laryngotracheal in 12, tracheal in 13, tracheobronchial in 1, and main bronchi in 5 patients. Fourteen patients (40%) were initially managed, and 21 patients were referred to us after their initial managements at outside hospitals. There were 7 complications (20%); one resulted in mortality (2.9%). The overall final results were good in 57.1%, acceptable in 31.4% and poor in 5.7% of patients, (mean follow-up time, 58.2 months). The respiratory status and the phonation looked better in the initially managed than the delayed managed group. Conclusion: We recommend that, patients only become respiratory stable with minimum intervention and then be referred to centers with sufficient experience in airway surgery.

show abstract

Section: Discussionmentioning

confidence: 54%

Major Airways Trauma, Management and Long Term Results

Farzanegan

Alijanipour

Akbarshahi

et al. 2011

ATCS

View full text Add to dashboard Cite

show abstract

“…Just placing a chest tube can fully re-expand the lungs (8). Also anterior tracheal lacerations can be managed conservatively, as intubation through the lesion as a stent, or with tracheotomy through the laceration (13). Total ruptures of the trachea and main bronchus should be managed by primary anastomosis.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Case for Thoracic Surgeons: Bronchial Rupture in a Child due to Blunt Chest Trauma

Kanbur¹,

Evman²,

Varlıklı³

2015

Respir Case Rep

View full text Add to dashboard Cite

Tracheobronchial rupture is a rare but life-threatening injury encountered after blunt chest traumas. It is especially seen in pediatric patients because of the complete conduction of traumatic kinetic energy and the direct exposure to the airway, due to the increased elasticity of the chest wall and other anatomical structures. We report the case of an eight-yearold boy, who presented with right-sided pneumothorax, following blunt chest trauma. He deteriorated despite a thoracic drain and, during the emergency thoracotomy was finally diagnosed with a main bronchial rupture, and was treated with isolated end-toend bronchial anastomosis. The repair of right main bronchial rupture was performed with complete preservation of the right lung; the boy was discharged from the hospital on postoperative day 10, and was followed up asymptomatically for the following 32 months. This rare thoracic surgery case of pediatric patients is discussed in light of recent literature for diagnosis and surgical management.

show abstract

“…[13] The best diagnostic investigation is bronchoscopy; flexible bronchoscopy should be carried out first to determine the location and extent of the injury. [5,[14][15][16] However, the bronchoscopic procedure is precarious and characterized by abundant bleeding in the respiratory tract and a rapid drop in arterial oxygen saturation, which are all factors precluding diagnostic confirmation. [6] A CT scan can be performed if diagnosis is uncertain on plain films.…”

Section: Discussionmentioning

confidence: 99%

Complete cervical tracheal transection caused by blunt neck trauma: Case report

Paik¹,

Choi²,

Han³

et al. 2014

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

This study aimed to report the survival of a rare case of complete tracheal transection followed by blunt neck trauma. A 66-year-old man was presented in the emergency room after a motorcycle accident in which a rope was wrapped around his neck. Although alert, he was in respiratory distress. A computed tomographic scan showed transection of the cervical trachea. Emergency neck exploration revealed that the tracheal laceration had been cut from the tracheal anterior third ring to the posterior first ring and the anterior esophageal wall had ruptured. Laryngectomy, tracheostomy, and esophagopharyngeal anastomosis were performed. Prompt airway management and immediate neck exploration is important for survival in these cases.

show abstract

Tracheobronchial rupture: a considerable risk for young teenagers

Cited by 28 publications

References 9 publications

Major Airways Trauma, Management and Long Term Results

Major Airways Trauma, Management and Long Term Results

An Unusual Case for Thoracic Surgeons: Bronchial Rupture in a Child due to Blunt Chest Trauma

Complete cervical tracheal transection caused by blunt neck trauma: Case report

Contact Info

Product

Resources

About