| Major Airways Trauma, Management and Long Term Results. | |
| | |
MedLine Citation:
|
PMID: 21881347 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Purpose: The number of patients with traumatic and iatrogenic tracheobronchial injuries is increasing. Early diagnosis, prompt establishment of a secure airway, and appropriate management could prevent sequelae and lead to a good outcome.Methods: Between "1994-2007", 35 patients with major airways trauma were managed. This descriptive and retrospective study evaluates clinical findings, diagnostic approaches, initial managements, definitive surgical or nonsurgical treatments and follow-up results. SPSS was used for descriptive outcomes.Results: There were 27 males (77%) and 8 females, with a mean age of 28.2. There were 16 blunt, 11 penetrating and 8 iatrogenic traumas, at the level of the larynx in 1, larynx and hypopharynx in 3, laryngotracheal in 12, tracheal in 13, tracheobronchial in 1, and main bronchi in 5 patients. Fourteen patients (40%) were initially managed, and 21 patients were referred to us after their initial managements at outside hospitals. There were 7 complications (20%); one resulted in mortality (2.9%). The overall final results were good in 57.1%, acceptable in 31.4% and poor in 5.7% of patients, (mean follow-up time, 58.2 months). The respiratory status and the phonation looked better in the initially managed than the delayed managed group.Conclusion: We recommend that, patients only become respiratory stable with minimum intervention and then be referred to centers with sufficient experience in airway surgery. |
| | |
Authors:
|
Roya Farzanegan; Pouya Alijanipour; Hamid Akbarshahi; Azizollah Abbasidezfouli; Saviz Pejhan; Aboulghasem Daneshvar; Mohammad Behgam Shadmehr |
Related Documents
:
|
7243317 - A lesson on negativism in the toddler. preceded by some considerations on the teaching ... 8505527 - Objectives to direct the training of emergency medicine residents in pediatric emergenc... 2151957 - Evaluation of behavior management technology dissemination in pediatric dentistry. 8519627 - Pediatric hematology and oncology in italy: half a century of progress, an ongoing sear... 9361237 - Manure management. a systems approach. 12388887 - Evidence-based medicine, opinion-based medicine, and real-world medicine. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-8-17 |
Journal Detail:
|
Title: Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia Volume: - ISSN: 1341-1098 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-9-1 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9703158 Medline TA: Ann Thorac Cardiovasc Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Tracheal Diseases Research Center, NRITLD (National Research Institute of Tuberculosis & Lung Diseases), Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Surgical Ventricular Restoration Improves the Left Ventricle Basal Wall Function Using Quantitative ...
Next Document: Intrapericardial Diaphragmatic Hernia after Coronary Artery Bypass Grafting Using the Right Gastroep...