TRACHEOBRONCHIAL INJURIES [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2003; 9(4): 281-284

TRACHEOBRONCHIAL INJURIES

Refik Ulku1, Mehmet Nesimi Eren2, Sevval Eren1, Serdar Onat1, Celal Yavuz2
1Dicle University, Medical Faculty, Department of Thoracic Surgery, Diyarbakır, Turkey
2Dicle University, Medical Faculty, Department of Cardiovascular Surgery, Diyarbakır, Turkey
3Dicle University, Medical Faculty, Department of Thoracic Surgery, Diyarbakır, Turkey
4Dicle University, Medical Faculty, Department of Thoracic Surgery, Diyarbakır, Turkey
5Dicle University, Medical Faculty, Department of Cardiovascular Surgery, Diyarbakır, Turkey

Bacground: Tracheobronchial injuries are among the least common sort of thoracic traumas. This injury can be life threatening. However, successful diagnosis and treatment can prevent devastating acute or delayed complications. The aim of this study was to rewiew the authors’ surgical experience in tracheobronchial injuries.
Methods: We reviewed our records of 29 patients with tracheobronchial injuries from January 1979 to December 2000. The median age was 22.7. Twenty-seven patients were male and two were females.
Results: The causes of traumas were penetrating injury in seventeen, blunt injury in eleven patients and animal bite in one. In sixteen patients cervical trachea, in nine main stem bronchus, in 3 lobar bronchus and in one patient mediastinal trachea were found to be injured. In seven of twenty-nine patients there were combined tracheal and esophageal injuries. Surgical approach was made by oblique incision, collar incisions and thoracotomy. In general we prefered primary repair. The overall mortality rate was 24%.
Conclusion: In our opinion, the number of complications and mortality can be diminished by early recognition of the injuries and treatment.

Keywords: Trauma, trachea, bronchus, tracheobronchial injury


TRAKEOBRONŞİYAL YARALANMALAR

Refik Ulku1, Mehmet Nesimi Eren2, Sevval Eren1, Serdar Onat1, Celal Yavuz2
1Dicle University, Medical Faculty, Department Of Thoracic Surgery, Diyarbakır, Turkey
2Dicle University, Medical Faculty, Department Of Cardiovascular Surgery, Diyarbakır, Turkey
3Dicle University, Medical Faculty, Department Of Thoracic Surgery, Diyarbakır, Turkey
4Dicle University, Medical Faculty, Department Of Thoracic Surgery, Diyarbakır, Turkey
5Dicle University, Medical Faculty, Department Of Cardiovascular Surgery, Diyarbakır, Turkey



Refik Ulku, Mehmet Nesimi Eren, Sevval Eren, Serdar Onat, Celal Yavuz. TRACHEOBRONCHIAL INJURIES. Ulus Travma Acil Cerrahi Derg. 2003; 9(4): 281-284


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