Abstract
Purpose:To describe our experience in the Management of tracheobronchial injuriesIntroduction:Tracheobronchial injuries may be iatrogenic, low impact, longitudinal tears (laceration) or high impact, horizontal sections (rupture) caused by penetrating or blunt chest trauma.Methods and ResultsBetween 2001 and 2012, we have treated 19 tracheobronchial injuries. Six patients presented with tracheobronchial ruptures: two penetrating/stab wounds, two gunshot wounds and two complete sections of the main bronchus; and 13 iatrogenic lacerations: ten post-intubation and three lacerations related to bronchoscopic procedures. The extension of the lesions was 2-12 cm. The iatrogenic bronchial lacerations were all secondary to bronchoscope procedures. All tracheal iatrogenic lacerations and the four cases related to stab or gunshot wounds ruptures underwent conservative treatment. Only two patients underwent surgery (the two traumatic complete sections of the main bronchus).In the conservative treatment group, a silicon stent was inserted in four patients, in order to allow efficient mechanical ventilation and early weaning.ConclusionIn our series, conservative treatment was a safe and effective approach regardless of type of injury, location and size with no mortality related.