Citation

Saleh ME, Beshir H, Mohammed WH, Sanad M. Asian Cardiovasc. Thorac Ann. 2019; ePub(ePub): ePub.

Affiliation

Department of Cardiothoracic Surgery, Faculty of Medicine, Mansoura University, Egypt.

Copyright

(Copyright © 2019, Asian-Pacific Society of Cardiology, Publisher SAGE Publishing)

DOI

10.1177/0218492319893822

PMID

31779465

Abstract

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.

Keywords Accidents, traffic, bronchi, thoracic injuries, trachea, wounds, nonpenetrating, wounds, stab

Language: en

Keywords

Accidents; bronchi; nonpenetrating; stab; thoracic injuries; trachea; traffic; wounds