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...

Full description

Bibliographic Details
Main Authors: Roberto Cherchi, Sabrina Sarais, Matteo Pinna-Susnik, Paolo Albino Ferrari
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