Objective: To present our experience of the management of bronchial injuries in children.
Methods: Between 2001 and 2012, we diagnosed 11 cases of bronchial injuries in children and reviewed their records.
Results: The age range was 3-12 years. Etiologies were passenger traffic accidents in 55%, pedestrian traffic accidents in 27%, and a fall from a height in 18%. Clinical manifestations were pneumothorax with continuous air leak in 81%, subcutaneous emphysema in 55%, and failure of lung expansion in 64%. Three (27%) cases were diagnosed late. All patients were operated on through a posterolateral thoracotomy. Main stem bronchial rupture was identified in the right side in 72% and in the left side in 28%. Bronchial repair was feasible in 7 (64%) cases, but resection was inevitable in 4 cases (3 pneumonectomies and one lobectomy). Two of the patients who required resection died; they had associated intraabdominal injuries. All survivors were discharged in stable condition without complications.
Conclusion: Bronchial injuries in children are rare and challenging. Clinical, radiological, and bronchoscopic examinations facilitate the diagnosis. Early diagnosis and bronchial repair offers favorable results. Delayed diagnosis, lung resection, and associated injuries adversely affect the outcome.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/0218492314532642 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Pulmonary Aspiration Syndromes: An Imaging-based Review.
J Thorac Imaging
January 2025
Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, India.
The term "aspiration" describes lung injury that results from unintentional passage of contents other than air into the lungs and bronchial tree, commonly from the gastrointestinal and upper respiratory tracts. Only a small proportion of aspiration-related events are symptomatic, especially in predisposed individuals such as patients with diminished consciousness, impaired swallowing, oesophageal motility disorders, and reflux disease. Aspiration-related syndromes can be classified based on the onset of presentation, composition of the aspirated substance, and anatomic site of injury.
View Article and Find Full Text PDFRobotic Bronchoplasty for Iatrogenic Bronchial Rupture After Endotracheal Tube Placement.
Ann Thorac Surg Short Rep
December 2024
Division of Thoracic and Cardiovascular Surgery, Lahey Hospital, Burlington, Massachusetts.
The double-lumen endotracheal tube (DLT) was introduced by Carlens in 1949 and became widely used for single-lung ventilation. DLTs have since become standard for most pulmonary resections. Although the use of DLTs is routine and safe in experienced hands, it is not without risk.
View Article and Find Full Text PDFExposure to ambient particulate matter (PM) with an aerodynamic diameter of <10 μm (PM) is a well-established health hazard. There is increasing evidence that geogenic (Earth-derived) particles can induce adverse biological effects upon inhalation, though there is high variability in particle bioreactivity that is associated with particle source and physicochemical properties. In this study, we investigated physicochemical properties and biological reactivity of volcanic ash from the April 2021 eruption of La Soufrière volcano, St.
View Article and Find Full Text PDFAcute exposure to nitrogen mustard induces rapid nuclear component regulation and delayed stress to exogenous stimuli.
Int Immunopharmacol
January 2025
Clinical and Public Health Research Center, Women and Children's Hospital of Chongqing Medical University, Chongqing, China; Chongqing Health Center for Women and Children, Chongqing, China; Chongqing Research Center for Prevention & Control of Matermal and Child Disease and Public Health, Chongqing, China. Electronic address:
Nitrogen mustard (NM) is a vesicant agent with potent toxic effects on various tissues. Numerous theories have been proposed to explain its toxic mechanisms, yet research on the interconnections among these theories is lacking. This study focuses on analyzing the characteristics of genes involved in NM-induced bronchial injury within the Comparative Toxicogenomics Database (CTD).
View Article and Find Full Text PDFEndovascular interventions in cancer patients with compromise of the mediastinal vasculature: a review.
Mediastinum
May 2024
Department of Interventional Radiology, Division of Diagnostic Imaging, University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The mediastinal vasculature can be affected by various etiologies in cancer patients. Both direct and indirect sequela of cancer may result in life-threatening clinical presentations. Tumor growth may cause vessel narrowing and decreased blood flow from either extrinsic mass effect, invasion into the vascular wall, or tumor thrombus within the lumen.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!