Diagnosis and management of major tracheobronchial injuries

F. L. Grover, C. Ellestad, K. V. Arom, Harlan D Root, A. B. Cruz, J. K. Trinkle

Research output: Contribution to journalArticle

88 Citations (Scopus)

Abstract

From 1968 to 1978, 14 patients were treated for major tracheal or bronchial injury. Five injuries resulted from blunt trauma and nine from penetrating injury. Of the 5 patients with injury due to blunt trauma, three had avulsions of the right main bronchus from the trachea. In 2 of them, the injury was associated with stellate tears of the distal trachea and bronchus. The simple avulsion was repaired by a primary anastomosis of the right main bronchus to the distal trachea. For the other 2 patients, treatment consisted or right pneumonectomy. The remaining 2 patients in this group had complete transection of the trachea and underwent primary repair. Of the 9 patients with a penetrating injury, 4 had lacerations of the cervical trachea which were treated with neck exploration and tracheostomy. Three patients with partial transections of the cervical or upper mediastinal trachea were treated by primary closure. The other 2 patients had gunshot wounds to the distal right lateral trachea, which were treated by right thoracotomy and primary closure. There were no deaths, and the subsequent course was generally good in all patients.

Original languageEnglish (US)
Pages (from-to)384-391
Number of pages8
JournalAnnals of Thoracic Surgery
Volume28
Issue number4
DOIs
StatePublished - 1979

Fingerprint

Trachea
Wounds and Injuries
Bronchi
Gunshot Wounds
Nonpenetrating Wounds
Pneumonectomy
Lacerations
Tracheostomy
Thoracotomy
Tears
Neck

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Grover, F. L., Ellestad, C., Arom, K. V., Root, H. D., Cruz, A. B., & Trinkle, J. K. (1979). Diagnosis and management of major tracheobronchial injuries. Annals of Thoracic Surgery, 28(4), 384-391. https://doi.org/10.1016/S0003-4975(10)63139-6

Diagnosis and management of major tracheobronchial injuries. / Grover, F. L.; Ellestad, C.; Arom, K. V.; Root, Harlan D; Cruz, A. B.; Trinkle, J. K.

In: Annals of Thoracic Surgery, Vol. 28, No. 4, 1979, p. 384-391.

Research output: Contribution to journalArticle

Grover, FL, Ellestad, C, Arom, KV, Root, HD, Cruz, AB & Trinkle, JK 1979, 'Diagnosis and management of major tracheobronchial injuries', Annals of Thoracic Surgery, vol. 28, no. 4, pp. 384-391. https://doi.org/10.1016/S0003-4975(10)63139-6
Grover, F. L. ; Ellestad, C. ; Arom, K. V. ; Root, Harlan D ; Cruz, A. B. ; Trinkle, J. K. / Diagnosis and management of major tracheobronchial injuries. In: Annals of Thoracic Surgery. 1979 ; Vol. 28, No. 4. pp. 384-391.
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