115 results match your criteria Tracheobronchial Tear


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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Penetrating shrapnel injury to the chest presenting as a delayed tracheoesophageal fistula (TEF). A case report.

Trauma Case Rep 2018 Oct 26;17:5-8. Epub 2018 Sep 26.

American University of Beirut Medical Center, Department of Surgery, Lebanon.

Tracheo-esophageal fistulae (TEF) due to trauma are rare. We report a case of a delayed TEF caused by a shrapnel from a blast. A 25-year-old male was admitted to the hospital after sustaining a blast injury. Read More

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October 2018

Major tracheobronchial injuries: Management of two rare cases.

Med J Malaysia 2018 06;73(3):177-179

Hospital Sultan Ismail, Department of Surgery, Johor Bahru, Malaysia.

Tracheobronchial injuries are uncommon and a high level of suspicion is needed for immediate diagnosis and prompt treatment. In this case series, two rare cases of tracheobronchial injuries is described showing variable clinical presentations with different levels of injury. Our first case was seen in a 20 years old male whom had a direct impact on the neck and presented with upper tracheal injury. Read More

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Tracheobronchial tear in chest trauma-a diagnostic perplexity.

Indian J Thorac Cardiovasc Surg 2018 Jul 13;34(3):409-412. Epub 2017 Nov 13.

Department of CardioThoracic Surgery, Kasturba Medical College, Manipal University, Manipal, Udupi, Karnataka India.

Tracheobronchial injuries following blunt chest trauma are uncommon and diagnosed late. Tracheal rupture due to a fall from a height is rare. Early diagnosis and prompt treatment give gratifying results. Read More

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Traumatic Tracheobronchial Laceration Causing Complete Tracheal Resection: Challenges of Anesthetic Management.

A A Pract 2018 Aug;11(4):109-111

From the Department of Anesthesiology, University of Texas Health Science Center at Houston, Houston, Texas.

We report the case of a 9-year-old girl who sustained blunt trauma to the chest and presented for emergent repair of a complete tracheobronchial laceration. Tracheobronchial laceration is potentially life threatening. While conservative management has been described for simple tears, more complex injuries require surgical repair. Read More

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Simulation and the diagnostic process: a pilot study of trauma and rapid response teams.

Diagnosis (Berl) 2017 11;4(4):241-249

Division of Pediatric Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.

Background: Simulation is frequently used to recreate many of the crises encountered in patient care settings. Teams learn to manage these crises in an environment that maximizes their learning experiences and eliminates the potential for patient harm. By designing simulation scenarios that include conditions associated with diagnostic errors, teams can experience how their decisions can lead to errors. Read More

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November 2017

Iatrogenic tracheal laceration in the setting of chronic steroids.

J Clin Anesth 2017 Feb 22;37:38-42. Epub 2016 Dec 22.

Department of Anesthesiology, Penn State College of Medicine, Penn State Hershey, Medical Center, Hershey, PA 17033, USA.

We report the case of a 71-year-old woman with end-stage chronic obstructive pulmonary disease who presented with a 10-cm tracheal laceration from a presumed traumatic intubation in the setting of respiratory distress and chronic obstructive pulmonary disease exacerbation and subsequently developed significant subcutaneous emphysema along her neck and mediastinum in addition to her peritoneum and mesentery. We were successfully able to treat this patient conservatively up until the time that tracheostomy was warranted. We discuss and review tracheobronchial injuries with respect to etiology, risk factors, and management and hope to benefit health care providers managing airways in patients at risk for tracheal injury. Read More

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February 2017

Iatrogenic injuries to the trachea and main bronchi.

Kardiochir Torakochirurgia Pol 2016 Jun 30;13(2):113-6. Epub 2016 Jun 30.

Department of Thoracic Surgery, Jagiellonian University Medical College, John Paul II Hospital, Krakow, Poland.

Introduction: Iatrogenic tracheobronchial injuries are rare.

Aim: To analyse the mechanism of injury, symptoms and treatment of these patients.

Material And Methods: Retrospective analysis of hospital records of all patients treated for main airway injuries between 1990 and 2012 was performed. Read More

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Right main bronchial fracture resolution by digital thoracic drainage system.

Asian Cardiovasc Thorac Ann 2016 Mar 9;24(3):283-5. Epub 2015 Dec 9.

Department of Surgery, National Institute of Respiratory Diseases, Mexico City, Mexico.

Tracheobronchial stenosis is common in the thoracic surgery service, and iatrogenic injury of the airway after manipulation is not infrequent. When a digital thoracic drainage system came onto the market, many advantages were evident. A 24-year-old woman with critical right main bronchial stenosis underwent airway dilation that was complicated by a tear with a massive air leak, resulting in a total right pneumothorax. Read More

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Tracheobronchial fistula during the perioperative period of esophagectomy for esophageal cancer.

World J Surg 2015 May;39(5):1119-26

Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan,

Background: Tracheobronchial (TB) injury and fistula formation during the perioperative period of esophagectomy is a rare but life-threatening complication.

Methods: We examined the development of intraoperative TB injury and postoperative TB fistulas in consecutive 763 patients with esophageal cancer who underwent esophagectomy, including 494 patients who underwent transthoracic subtotal esophagectomy.

Results: TB injury and fistulas developed in two (0. Read More

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Surgical management for the first 48 h following blunt chest trauma: state of the art (excluding vascular injuries).

Interact Cardiovasc Thorac Surg 2015 Mar 4;20(3):399-408. Epub 2014 Dec 4.

Department of Thoracic Surgery and Diseases of the Esophagus, Aix-Marseille University, Assistance Publique-Hôpitaux de Marseille, Hôpital Nord, Marseille, France.

This review aims to answer the most common questions in routine surgical practice during the first 48 h of blunt chest trauma (BCT) management. Two authors identified relevant manuscripts published since January 1994 to January 2014. Using preferred reporting items for systematic reviews and meta-analyses statement, they focused on the surgical management of BCT, excluded both child and vascular injuries and selected 80 studies. Read More

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Tracheal laceration as a complication of out-of-hospital emergency tracheal intubation in a patient with COPD.

Am J Emerg Med 2015 Jan 26;33(1):128.e1-3. Epub 2014 Jun 26.

Hacettepe University School of Medicine, Department of Anesthesiology and Reanimation.

Tracheobronchial injuries related to emergency endotracheal intubations are reported to be associated with an increased risk of mortality. Many mechanical risk factors may become more frequent in an emergency setting leading to such injuries. Aside from these factors that may complicate endotracheal intubation, this procedure is not recommended a priori for ventilation due to the resulting interruptions in external chest compressions, by 2010 cardiopulmonary resuscitation (CPR) and external chest compression guidelines. Read More

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January 2015