Conservative Treatment in Tracheobronchial Injuries—An Institutional Report
Tracheobronchial injuries are rare but potentially high-impact events with significant morbidity and mortality. Common etiologies include blunt or penetrating trauma, often combined with various complex injuries, while iatrogenic injury usually occurs during operation, intubation, or bronchoscopy. A...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
MDPI AG
2021-07-01
|
Series: | Surgeries |
Subjects: | |
Online Access: | https://www.mdpi.com/2673-4095/2/3/24 |
_version_ | 1797517143373250560 |
---|---|
author | Roberto Cherchi Sabrina Sarais Matteo Pinna-Susnik Paolo Albino Ferrari |
author_facet | Roberto Cherchi Sabrina Sarais Matteo Pinna-Susnik Paolo Albino Ferrari |
author_sort | Roberto Cherchi |
collection | DOAJ |
description | Tracheobronchial injuries are rare but potentially high-impact events with significant morbidity and mortality. Common etiologies include blunt or penetrating trauma, often combined with various complex injuries, while iatrogenic injury usually occurs during operation, intubation, or bronchoscopy. An early and accurate diagnosis and a multidisciplinary approach in a center experienced in treating airway lesions are essential to obtain favorable results. For a long time, surgery has been considered the treatment of choice for post-traumatic airway lesions. However, recent reports have shown a paradigm shift in the management of tracheal injury towards a conservative approach, especially in treating iatrogenic lesions. In our experience of 11 consecutive patients, although there are still definitive indications for surgery, we demonstrated the effectiveness of conservative treatment in patients with mixed varieties of tracheal injury by etiology, extension, and complications. |
first_indexed | 2024-03-10T07:12:38Z |
format | Article |
id | doaj.art-82a5376aa07d450183e4034ac908bd6c |
institution | Directory Open Access Journal |
issn | 2673-4095 |
language | English |
last_indexed | 2024-03-10T07:12:38Z |
publishDate | 2021-07-01 |
publisher | MDPI AG |
record_format | Article |
series | Surgeries |
spelling | doaj.art-82a5376aa07d450183e4034ac908bd6c2023-11-22T15:18:31ZengMDPI AGSurgeries2673-40952021-07-012323724310.3390/surgeries2030024Conservative Treatment in Tracheobronchial Injuries—An Institutional ReportRoberto Cherchi0Sabrina Sarais1Matteo Pinna-Susnik2Paolo Albino Ferrari3Division of Thoracic Surgery, “A. Businco” Oncology Hospital, A.R.N.A.S. “G. Brotzu”, 09121 Cagliari, ItalyDivision of Thoracic Surgery, “A. Businco” Oncology Hospital, A.R.N.A.S. “G. Brotzu”, 09121 Cagliari, ItalyDivision of Thoracic Surgery, “A. Businco” Oncology Hospital, A.R.N.A.S. “G. Brotzu”, 09121 Cagliari, ItalyDivision of Thoracic Surgery, “A. Businco” Oncology Hospital, A.R.N.A.S. “G. Brotzu”, 09121 Cagliari, ItalyTracheobronchial injuries are rare but potentially high-impact events with significant morbidity and mortality. Common etiologies include blunt or penetrating trauma, often combined with various complex injuries, while iatrogenic injury usually occurs during operation, intubation, or bronchoscopy. An early and accurate diagnosis and a multidisciplinary approach in a center experienced in treating airway lesions are essential to obtain favorable results. For a long time, surgery has been considered the treatment of choice for post-traumatic airway lesions. However, recent reports have shown a paradigm shift in the management of tracheal injury towards a conservative approach, especially in treating iatrogenic lesions. In our experience of 11 consecutive patients, although there are still definitive indications for surgery, we demonstrated the effectiveness of conservative treatment in patients with mixed varieties of tracheal injury by etiology, extension, and complications.https://www.mdpi.com/2673-4095/2/3/24tracheal injuryconservative managementdiagnosistracheal tearspost-intubation tracheal lesions |
spellingShingle | Roberto Cherchi Sabrina Sarais Matteo Pinna-Susnik Paolo Albino Ferrari Conservative Treatment in Tracheobronchial Injuries—An Institutional Report Surgeries tracheal injury conservative management diagnosis tracheal tears post-intubation tracheal lesions |
title | Conservative Treatment in Tracheobronchial Injuries—An Institutional Report |
title_full | Conservative Treatment in Tracheobronchial Injuries—An Institutional Report |
title_fullStr | Conservative Treatment in Tracheobronchial Injuries—An Institutional Report |
title_full_unstemmed | Conservative Treatment in Tracheobronchial Injuries—An Institutional Report |
title_short | Conservative Treatment in Tracheobronchial Injuries—An Institutional Report |
title_sort | conservative treatment in tracheobronchial injuries an institutional report |
topic | tracheal injury conservative management diagnosis tracheal tears post-intubation tracheal lesions |
url | https://www.mdpi.com/2673-4095/2/3/24 |
work_keys_str_mv | AT robertocherchi conservativetreatmentintracheobronchialinjuriesaninstitutionalreport AT sabrinasarais conservativetreatmentintracheobronchialinjuriesaninstitutionalreport AT matteopinnasusnik conservativetreatmentintracheobronchialinjuriesaninstitutionalreport AT paoloalbinoferrari conservativetreatmentintracheobronchialinjuriesaninstitutionalreport |