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Keywords = post-intubation tracheal lesions

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7 pages, 539 KB  
Brief Report
Conservative Treatment in Tracheobronchial Injuries—An Institutional Report
by Roberto Cherchi, Sabrina Sarais, Matteo Pinna-Susnik and Paolo Albino Ferrari
Surgeries 2021, 2(3), 237-243; https://doi.org/10.3390/surgeries2030024 - 1 Jul 2021
Cited by 3 | Viewed by 7596
Abstract
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 [...] Read more.
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. Full article
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