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Revista Cubana de Cirugía

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2019, Number 1

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Revista Cubana de Cirugía 2019; 58 (1)

Tracheal injury with muscle flap repair

Flores SLO, González TJ, Hernández GMA, Muñoz-Maldonado GE
Full text How to cite this article

Language: Spanish
References: 7
Page: 121-127
PDF size: 260.78 Kb.


Key words:

trachea, flap.

ABSTRACT

Neck injuries can be classified as blunt or penetrating injuries. Penetrating injuries caused by a puncturing gun are the most frequent. The clinical manifestations depend on trauma mechanism, and on lesion size and degree. We present the case of a 26-year-old male patient with puncture injuries to the neck and wrists. After he was admitted to the emergency room, a vascular exploration of the neck was performed, finding a complete avulsion of the cricothyroid ligament. The defect was repaired with a flap of the cricothyroid muscles. The patient had a good evolution and was discharged on the twelfth day. The diagnosis of tracheal lesions is challenging and must be carried out quickly. A definitive airway should be installed efficiently, as well as the planning of the surgical reconstruction. The postoperative follow-up performed in an interdisciplinary way is essential for the prognosis.


REFERENCES

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  2. Farzanegan R, Alijanipour P, Akbarshahi H, et al. Major Airways Trauma, Management and Long Term Results. Ann Thorac Cardiovasc Surg. 2011;17:544-51.

  3. Mattox LK, Moore EE, Feliciano DV. Trauma. 7ma edición. China: The McGraw-Hill Companies, Inc; 2013:27-55.

  4. Cicala RS, Kudsk KA, Butts A, Nguyen H, Fabian TC. Initial Evaluation and Managemente of Upper Airway Injuries in Trauma Patients. J Clin Anesth. 1991;3:91-8.

  5. Togashi K, Sugawara M, Sato Y, Miyamura H. Succesful Surgical Management of Complete Tracheal Disruption due to Penetrating Injury. Jpn J Thorac Cardiovasc Surg. 2002;50:213-5.

  6. Abouarab AA, Elsayed HH, Elkhayat H, et al. Current Solutions for Long-Segment Tracheal Reconstruction. Ann Thorac Carciovasc Surg. 2017;1-10.

  7. Shama DM et Odell J. Penetrating neck trauma with tracheal and esophageal injuries. Br J Surg. 1984;71:534-5.




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Revista Cubana de Cirugía. 2019;58