126 results match your criteria Tracheobronchial Tear


Tracheobronchial Laceration After Blunt Chest Trauma.

Arch Bronconeumol 2021 07 18;57(7):490. Epub 2021 May 18.

Servicio de Radiología, Área Clínica de Imagen Médica, Hospital Universitari i Politècnic La Fe, Valencia, Spain.

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Bronchial tear consecutive to blunt chest trauma.

Clin Case Rep 2022 Apr 20;10(4):e05767. Epub 2022 Apr 20.

Radiology Department Mohammed V Military Instruction Hospital Rabat Morocco.

Tracheobronchial injuries following blunt chest trauma are rare and can be lethal. CT scan can help to diagnose it when a defect to the tracheobronchial wall is visible or to suspect it in front of indirect signs. Read More

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Thoracoscopic treatment of iatrogenic injuries of the tracheobronchial tree: a retrospective analysis of 5 cases and review of the literature.

Wideochir Inne Tech Maloinwazyjne 2022 Mar 30;17(1):240-244. Epub 2021 Jun 30.

Department of Thoracic Surgery, Brest Regional Hospital, Brest, Belarus.

Introduction: Iatrogenic injuries to the trachea and main bronchi present one of the most dramatic complications traditionally treated by thoracotomy and transcervical-transtracheal approaches but almost never by video-assisted thoracic surgery.

Aim: To evaluate our experience in a video-assisted thoracic surgery repair of iatrogenic tracheal lacerations.

Material And Methods: The group under analysis consisted of 5 consecutive patients (1 male, mean age: 52 years, range: 32-56 years) who were treated for postintubation and intraoperative damage to the tracheobronchial tree using video-assisted thoracic surgery within the period 2015-2018. Read More

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Veno-venous extracorporeal membrane oxygenation used as an adjunct in the surgical management of acquired and iatrogenic tracheobronchial pathology.

Minerva Surg 2022 Mar 1. Epub 2022 Mar 1.

Department of Cardiothoracic Anaesthesia, Wythenshawe Hospital, Manchester University NHS Foundation Trust, Manchester, UK.

Background: Surgical repair of tracheobronchial tree injuries is challenging due to the difficulties associated with providing perioperative ventilatory support. Veno-venous extracorporeal membrane oxygenation (V-V ECMO) is a recognised treatment modality for managing respiratory failure. Its use has expanded to include offering respiratory support for patients requiring surgery on the tracheobronchial tree. Read More

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Evaluation of the efficacy of polymeric antigen BLSOmp31 formulated in a new cage-like particle adjuvant (ISPA) administered by parenteral or mucosal routes against Brucella ovis in BALB/c mice.

Res Vet Sci 2022 Jul 6;145:29-39. Epub 2022 Feb 6.

Laboratorio de Inmunología, Departamento de Sanidad Animal y Medicina Preventiva (SAMP), Centro de Investigación Veterinaria Tandil (CIVETAN-CONICET-CICPBA), Facultad de Ciencias Veterinarias (FCV), Universidad Nacional del Centro de la Provincia de Buenos Aires (UNCPBA), Tandil, Buenos Aires, Argentina. Electronic address:

Brucella ovis is an economically important cause of epididymitis in rams worldwide. Polymeric BLSOmp31 was previously identified as a protective immunogen against this pathogen. In this study, BLSOmp31 was formulated with a modified version of ISCOMATRIX adjuvant called ISPA (BLSOmp31/ISPA) and was administered in BALB/C by the subcutaneous and ocular route. Read More

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Multidisciplinary management of tracheobronchial injury.

Eur Respir Rev 2022 Mar 25;31(163). Epub 2022 Jan 25.

Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Dept of Pulmonary Medicine and Oncology, Nice, France.

Tracheobronchial injury is a heterogeneous entity comprising multiple rare and potentially life-threatening scenarios. We performed a systematic literature review focusing on post-intubation tracheal injuries (PiTIs) and post-traumatic tracheobronchial injuries (PTTBIs).PiTIs are often longitudinal lacerations of the middle third of the membranous trachea. Read More

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Asymptomatic Spontaneous Pneumopericardium, Pneumomediastinum, and Subcutaneous Emphysema: A Case Report of an Incidental Rare Presentation.

Cureus 2021 Dec 16;13(12):e20464. Epub 2021 Dec 16.

Internal Medicine, Ocala Regional Medical Center (ORMC), Ocala, USA.

Pneumopericardium (PP), pneumomediastinum (PM), epidural pneumatosis, and subcutaneous emphysema (SE) are identified by the existence of free air or gas in the associated spaces. They are normally self-limited unless tension pneumothorax, tension PM, cardiac herniation, air tamponade, and esophageal rupture accompany these disorders. PM and PP can be divided into "spontaneous" or "secondary" based on the preceding etiologies. Read More

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December 2021

Emergency repair of blunt traumatic bronchus injury presenting with massive air leak.

Chin J Traumatol 2021 Dec 22. Epub 2021 Dec 22.

Trauma Surgery Unit, Department of General Surgery, Hospital Sultanah Aminah, Ministry of Health Malaysia, Johor Bahru, Malaysia.

Blunt traumatic tracheobronchial injury is rare, but can be potentially life-threatening. It accounts for only 0.5%-2% of all trauma cases. Read More

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December 2021

Paediatric Longitudinal Tracheal Laceration From Blunt Force Trauma: A Case Report.

Cureus 2021 Nov 24;13(11):e19867. Epub 2021 Nov 24.

Paediatric Otolaryngology, Royal Hospital for Sick Children, Glasgow, GBR.

Tracheal lacerations in the paediatric population are not common; however, they can be life-threatening. Prompt diagnosis and management are essential for a good prognosis. Here, we present the case of a nine-year-old boy who presented to the hospital following a bicycle handlebar injury with neck pain and subcutaneous emphysema of the anterior thorax and neck. Read More

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November 2021

[Pneumomediastinum in Severe COVID-19-disease: a Case Series of Eight Patients].

Zentralbl Chir 2021 Dec 6;146(6):612-616. Epub 2021 Dec 6.

Klinik für Herz- und Thoraxchirurgie, Universitätsklinikum Augsburg, Augsburg, Deutschland.

The most common cause of pneumomediastinum is trauma. However, in the context of COVID-19 pneumonia, this clinical picture is more often found in patients without underlying exogenous injury. Pathophysiologically, a cause analogous to the Macklin effect is suspected here, in which tears at the alveolar level lead to emphysema along the tracheobronchial tree with concentrating in the mediastinum. Read More

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December 2021

Tear Lipocalin and Lipocalin-Interacting Membrane Receptor.

Authors:
Ben J Glasgow

Front Physiol 2021 19;12:684211. Epub 2021 Aug 19.

Departments of Ophthalmology, Pathology and Laboratory Medicine, Jules Stein Eye Institute, University of California, Los Angeles, Los Angeles, CA, United States.

Tear lipocalin is a primate protein that was recognized as a lipocalin from the homology of the primary sequence. The protein is most concentrated in tears and produced by lacrimal glands. Tear lipocalin is also produced in the tongue, pituitary, prostate, and the tracheobronchial tree. Read More

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Use of an Insulation-Tipped Knife during Rigid Bronchoscopic Treatment of Benign Tracheobronchial Stenosis.

Medicina (Kaunas) 2021 Mar 8;57(3). Epub 2021 Mar 8.

Department of Internal Medicine, Jeju National University Hospital, Jeju National University School of Medicine, Jeju 63241, Korea.

Tracheal or bronchial tears are potential complications of rigid bronchoscopy. This study aimed to investigate the acute complications and outcomes of using an insulation-tipped (IT) knife in combination with rigid bronchoscopic dilatation for treating benign tracheobronchial stenosis. We conducted a chart review of patients with benign tracheobronchial stenosis who were treated with rigid bronchoscopy and an IT knife at two referral centers. Read More

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Natural closing of a tracheal tear caused by intubation in a patient with relapsing polychondritis.

Respirol Case Rep 2021 Apr 22;9(4):e00721. Epub 2021 Feb 22.

Division of Respiratory Diseases, Department of Internal Medicine St. Marianna University School of Medicine Kawasaki Japan.

Relapsing polychondritis (RP) often develops into severe tracheobronchial stenosis with malacia. Although tracheal tears rarely occur by intubation, treatment decisions for tears can be difficult due to airway inflammation in RP patients. In this case, due to advanced age and immunosuppressive treatment, we decided against invasive surgery. Read More

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Factors Associated with Fracture and Migration of Tracheostomy Tube into Trachea in Children: A Case Series.

Iran J Otorhinolaryngol 2020 Nov;32(113):379-383

Department of ENT,JIPMER,Pondicherry- 06.

Introduction: Tracheostomy is done to bypass the obstructed upper airway. Rare complication of this procedure is the fracture of the tube. Early identification and management of this condition is a great challenge to an otolaryngologist. Read More

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November 2020

Traumatic tracheobronchial injuries: incidence and outcome of 136.389 patients derived from the DGU traumaregister.

Sci Rep 2020 11 25;10(1):20555. Epub 2020 Nov 25.

Klinik für Orthopädie, Unfallchirurgie & Sporttraumatologie, Krankenhaus Köln Merheim, Universität Witten/Herdecke, Ostmerheimerstrasse 200, 51109, Köln, Germany.

To describe the incidence, therapy and outcome of traumatic tracheobronchial injuries (TTBI) in trauma patients with multiple injuries derived from the DGU TraumaRegister. We analyzed the data on all patients listed on the TraumaRegister DGU (TR-DGU) in Germany between 2002 and 2015 aged 16 years or older and with an Injury Severity Score (ISS) of ≥ 9. We analyzed the data on 136,389 trauma patients, 561 of whom had suffered tracheobronchial injuries (0. Read More

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November 2020

Conservative management of airway tear as a complication of silicone endobronchial stenting in bronchomalacia secondary to endobronchial tuberculosis.

Respirol Case Rep 2020 Dec 5;8(9):e00684. Epub 2020 Nov 5.

Department of Pulmonology Serdang Hospital Kajang Malaysia.

Tracheobronchial stenosis due to tuberculosis (TSTB) is a potentially debilitating complication of endobronchial tuberculosis (EBTB). Endobronchial interventions including silicone stent insertion is an acceptable approach to improve quality of life among patients with TSTB. However, little is known about the optimal management strategy for patients with bronchomalacia secondary to EBTB (B-EBTB) and whether stent-related complication rates are higher among this group of patients. Read More

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December 2020

Robotic Intraoperative Tracheobronchial Repair during Minimally Invasive 3-Stage Esophagectomy.

J Chest Surg 2021 Apr;54(2):154-157

Department of Surgery, General and Oncologic Surgery Unit, Santa Croce e Carle Hospital, Cuneo, Italy.

Tracheobronchial injury (TBI) is an uncommon but potentially fatal event. Iatrogenic lesions during bronchoscopy, endotracheal intubation, or thoracic surgery are considered the most common causes of TBI. When TBI is detected during surgery, concomitant surgical treatment is recommended. Read More

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Lipocalin-1 Expression as a Prognosticator Marker of Survival in Breast Cancer Patients.

Breast Care (Basel) 2020 Jun 8;15(3):272-280. Epub 2019 Oct 8.

Department of Breast Surgery, China-Japan Union Hospital of Jilin University, Changchun, China.

Purpose: LCN1 (lipocalin-1), a gene that encodes tear lipocalin (or von Ebner's gland protein), is mainly expressed in secretory glands and tissues, such as the lachrymal and lingual gland, and nasal, mammary, and tracheobronchial mucosae. Analysis of the Cancer Genome Atlas (TCGA) Breast Carcinoma (BRCA) level 3 data revealed a relationship between LCN1 expression and survival in breast cancer patients.

Methods: The χ test and Fisher exact test were applied to analyze the clinical data and RNA sequencing expression data, and the association between LCN1 expression and clinicopathologic features was determined. Read More

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Contemporary management strategies of blunt tracheobronchial injuries.

Injury 2021 Mar 10;52 Suppl 1:S7-S14. Epub 2020 Jul 10.

Division of Thoracic Surgery, Department of Surgery, University of Szeged, Szeged, Hungary. Electronic address:

Background: Tracheobronchial injuries are rare but feasibly life-threatening conditions. A prompt diagnosis and early management can be lifesaving. Due to the unspecific symptoms and indirect radiological signs the diagnosis often delays. Read More

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Pediatric tracheal injuries: Report on 5 cases with special view on the role of bronchoscopy and management.

Injury 2021 Mar 11;52 Suppl 1:S63-S66. Epub 2020 Feb 11.

Department of Orthopedics Semmelweis University, Budapest, Hungary.

Introduction: The purpose of these case reports is to draw the attention to the difficulties of diagnosing trachea injuries in children, who are often part of a polytrauma scenario.

Materials: A retrospective multicenter analysis of 5 cases were analysed. The age of the children was between 1 and 16 years old. Read More

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Does less surgical trauma result in better outcome in management of iatrogenic tracheobronchial laceration?

J Thorac Dis 2019 Nov;11(11):4772-4781

Thoraxzentrum Ruhrgebiet, Department of Thoracic Surgery, Evangelisches Krankenhaus, Herne, Germany.

Background: Iatrogenic tracheobronchial injury is a rare, but severe complication of endotracheal intubation. Risk factors are emergency intubation, percutaneous dilatational tracheostomy and intubation with double lumen tube. Regarding these procedures, underlying patients often suffer from severe comorbidities. Read More

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November 2019

Anaesthetic management of intraoperative tracheo-bronchial injury.

Respir Med Case Rep 2020 18;29:100970. Epub 2019 Nov 18.

Department of Anesthesia & Intensive Care, Command Hospital, Chandimandir, 134107, India.

Intraoperative tracheobronchial injury (TBI) may manifest clinically as pneumothorax, pneumomediastinum, subcutaneous emphysema, cyanosis, and respiratory insufficiency and has serious implications if it remains undetected or is managed improperly. The outcome of such injuries is affected by the extent of the lesion, pulmonary status & the surgical reconstruction undertaken. The recommended airway management of an intraoperative tracheal tear is to bypass the injured side by intubating the healthy bronchus with a single lumen endotracheal tube (ETT) and the use of a bronchial blocker or double lumen endotracheal tube (DLT) and becomes a very challenging situation. Read More

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November 2019

Bronchoscopical Repair of Tracheal Laceration Using Conventional Instrumentation: A Novel Technique.

Ann Thorac Surg 2020 02 3;109(2):e141-e143. Epub 2019 Oct 3.

Thoracic Surgery Department, Hygeia Hospital, Athens, Greece.

Postintubation tracheobronchial laceration is a rare complication of endotracheal intubation. It requires early serial treatment in cases of pneumomediastinum with difficulty in ventilation to prevent mediastinitis and stricture. The surgical access to the posterior tracheal wall depends on the site of the laceration. Read More

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February 2020

Anesthetic management of tracheal laceration from traumatic dislocation of the first rib: a case report and literature of the review.

BMC Anesthesiol 2019 08 9;19(1):149. Epub 2019 Aug 9.

Department of Anesthesiology, Qilu Hospital of Shandong University (Qingdao), No.758 Hefei Road, Qingdao, People's Republic of China.

Background: Tracheobronchial lacerations from trauma can be life-threatening and present significant challenges for safe anesthetic management. Early recognition of tracheal injuries and prompt airway control can be lifesaving.

Case Presentation: A 56-year-old man with no significant medical history presented with difficulty breathing after a blunt trauma to his chest to the emergency room and was diagnosed with dislocation of the first rib and tracheal laceration after a chest tomography (CT) study. Read More

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Iatrogenic tracheobronchial tear during paediatric thoracoscopic oesophageal repair: an anaesthetic challenge.

BMJ Case Rep 2019 May 6;12(5). Epub 2019 May 6.

Department of Anaesthesiology, Kasturba Medical College , Manipal Academy of Higher Education, Manipal, Karnataka, India.

Iatrogenic tracheobronchial injury is rare. Limited data is available on such injuries in infants and management of these is challenging. We present a 7-month-old male infant who was diagnosed with oesophageal stricture, and was planned for thoracoscopic repair of the same. Read More

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A paediatric case of severe tracheobronchial injury successfully treated surgically after early CT diagnosis and ECMO safely performed in the hybrid emergency room.

Scand J Trauma Resusc Emerg Med 2019 Apr 23;27(1):49. Epub 2019 Apr 23.

Department of Emergency and Critical Care Medicine, Kansai Medical University Hospital, 2-3-1 Shinmachi, Hirakata, Osaka, 573-1191, Japan.

Background: In paediatric trauma patients, tracheobronchial injury can be a rare, life-threatening trauma. In 2011, we instituted a new trauma workflow concept called the hybrid emergency room (Hybrid ER) that combines a sliding CT scanning system with interventional radiology features to permit CT examination and emergency therapeutic intervention without moving the patient. Extracorporeal membrane oxygenation (ECMO) can lead to cannula-related complications. Read More

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Characterization of all-terrain vehicle-related chest injury patterns in children.

Emerg Radiol 2019 Aug 21;26(4):373-379. Epub 2019 Feb 21.

McGovern Medical School, Department of Diagnostic and Interventional Imaging, University of Texas Health Science Center at Houston, 6431 Fannin Street, 2.130B, Houston, TX, 77030, USA.

Purpose: To evaluate chest injury patterns in pediatric patients involved in all-terrain vehicle (ATV) accidents.

Methods: Retrospective review of patients 0-18 years old admitted to a level I trauma institute following an ATV-related incident from 2004 to 2013 was performed. Chest injury type, accident mechanism, driver/passenger status, and demographic and clinical data were compared between patients with and without chest injury. Read More

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Bullet in tracheobronchial tree without lung contusion removed by fibreoptic bronchoscopy in two parts.

Respir Med Case Rep 2019 5;26:255-259. Epub 2019 Feb 5.

Department of Critical Care & Anaesthesia, Medanta -The Medicity Gurgaon, India.

A person presented with multiple gunshot injury. Chest x-ray & CT whole body trauma protocol was done which showed multiples pellets of bullet in abdomen and one bullet in elbow according to entry wound. There was an entry wound without any bullet in left maxillofacial region however there was no exit wound. Read More

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February 2019

Management of post laryngectomy tracheobronchial tear with the aid of cardiopulmonary bypass.

J Clin Anesth 2019 08 15;55:128-129. Epub 2019 Jan 15.

Kasr Al Ainy School of Medicine, Faculty of Medicine, Cairo University, Cairo, Egypt.

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