scholarly journals Conservative Treatment in Tracheobronchial Injuries—An Institutional Report

Surgeries ◽  
2021 ◽  
Vol 2 (3) ◽  
pp. 237-243
Author(s):  
Roberto Cherchi ◽  
Sabrina Sarais ◽  
Matteo Pinna-Susnik ◽  
Paolo Albino Ferrari
Keyword(s):  
Conservative Treatment ◽  
Paradigm Shift ◽  
Multidisciplinary Approach ◽  
Penetrating Trauma ◽  
Conservative Approach ◽  
Tracheal Injury ◽  
Tracheobronchial Injuries ◽  
Long Time ◽  
Post Traumatic ◽  
Impact Events

Tracheobronchial injuries are rare but potentially high-impact events with significant morbidity and mortality. Common etiologies include blunt or penetrating trauma, often combined with various complex injuries, while iatrogenic injury usually occurs during operation, intubation, or bronchoscopy. An early and accurate diagnosis and a multidisciplinary approach in a center experienced in treating airway lesions are essential to obtain favorable results. For a long time, surgery has been considered the treatment of choice for post-traumatic airway lesions. However, recent reports have shown a paradigm shift in the management of tracheal injury towards a conservative approach, especially in treating iatrogenic lesions. In our experience of 11 consecutive patients, although there are still definitive indications for surgery, we demonstrated the effectiveness of conservative treatment in patients with mixed varieties of tracheal injury by etiology, extension, and complications.

scholarly journals Diagnostic and therapeutic approach to post-traumatic tracheobronchial injuries

2021 ◽  
Keyword(s):  
Surgical Treatment ◽  
Therapeutic Approach ◽  
Penetrating Trauma ◽  
Standard Technique ◽  
Emergency Setting ◽  
Results Of Treatment ◽  
Airway Trauma ◽  
Tracheobronchial Injuries ◽  
Post Traumatic ◽  
Endoscopic Assessment

Post-traumatic tracheobronchial lesions are associated with high mortality unless adequately diagnosed and treated. They may be caused by blunt and penetrating trauma, although iatrogenic lesions are also increasingly observed. An early and accurate diagnosis significantly impacts the results of treatment. Radiological assessment with computed tomography is highly accurate, but bronchoscopy remains the gold standard technique in the diagnosis of airway trauma and plays an important role in determining the therapeutic approach. For a long time, surgery has been considered the treatment of choice for post-traumatic airway lesions, but recent reports have shown that favourable results may also be obtained with a conservative approach, especially in the treatment of iatrogenic lesions. The indication for a conservative or surgical treatment has to be defined on the basis of a thorough clinical, radiological, and endoscopic assessment. Specific issues concerning airway management in the emergency setting and during surgical treatment must also be addressed. A multidisciplinary approach in a center with specific experience in the treatment of airway lesions is of utmost importance to obtain favourable results.

scholarly journals ENT trauma in children: causes, frequency and characteristics in different periods of childhood

2020 ◽  
Vol 19 (6) ◽  
pp. 94-101
Author(s):  
E. Yu. Radtsig ◽  
◽  
M. M. Evsikova ◽  
M. A. Varavina ◽  
◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Soft Tissues ◽  
Traumatic Events ◽  
Frequency Of Occurrence ◽  
External Nose ◽  
Post Traumatic

Numerous injuries (and their treatment) have been encountered since the very beginning of the development of human civilization and remain one of the most significant problems in our time, since the frequency of injuries in general (and of ENT organs in particular) does not tend to decrease either in children or adults. ENT injuries are in fourth place in terms of emergency appeal rates. The most common injury to the maxillofacial area is a fracture of the skeleton of the nose. The article presents data on the frequency of occurrence of this pathology and describes the features of the causes that caused it in different periods of childhood, presents an algorithm for managing patients. The role of homeopathic arnica-containing remedies (Arnigel®) in the conservative treatment of reactive post-traumatic events from the soft tissues of the external nose is shown.

scholarly journals Surgical excision of post-traumatic myositis ossificans of the adductor longus in a football player

2020 ◽  
Vol 13 (3) ◽  
pp. e233504
Author(s):  
Gijs Herman Joseph de Smet ◽  
Steven E Buijk ◽  
Adam Weir
Keyword(s):  
Conservative Treatment ◽  
Myositis Ossificans ◽  
Surgical Excision ◽  
Football Player ◽  
Acute Injury ◽  
Background Information ◽  
Activity Levels ◽  
Longus Muscle ◽  
Post Traumatic ◽  
Adductor Longus

A football player was diagnosed with myositis ossificans of his right adductor longus muscle after an acute injury. Conservative treatment failed and 1 year after the initial trauma the patient underwent surgical excision of a large ossification. Seven months postoperatively, the patient was fully recovered and returned to his preinjury activity levels. We present our approach to this case and discuss our considerations, referring to background information about this rare disease.

Parotid gland atrophy after conservative treatment of a post-traumatic parotid fistula in a two-year-old boy

2020 ◽  
Vol 138 ◽  
pp. 110326
Author(s):  
Hiroshi Fukumasa ◽  
Masayoshi Tsuda ◽  
Ryo Ninomiya ◽  
Masashi Kobayashi ◽  
Kazutaka Nishiyama ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Parotid Gland ◽  
Post Traumatic ◽  
Gland Atrophy

The Cephalic Post-Traumatic Syndrome. Pathological Observations

1956 ◽  
Vol 102 (427) ◽  
pp. 330-335 ◽  
Author(s):  
Adams A. McConnell
Keyword(s):  
Head Injuries ◽  
Predominant Role ◽  
Closed Head Injuries ◽  
Organic Lesion ◽  
Mental Disturbance ◽  
Closed Head ◽  
Long Time ◽  
Post Traumatic ◽  
Postconcussional Syndrome ◽  
Organic Change

I want to thank you, Mr. President, and the members of this Society for the privilege of appearing before you.You are all familiar with the fact that headache, dizziness and mental disturbance occasionally persist for a long time after closed head injuries. These symptoms are usually grouped together under the title, “Postconcussional Syndrome“. The question whether or not there is an organic lesion at the root of this syndrome has engaged many minds for many moons. I think the majority of observers would agree with the text which I have taken for this discourse. You will find it in the tenth chapter of the last book of Mayer-Gross, Slater and Roth, page 408. There it is written, “Although predisposition and psychological factors would appear to play a predominant role in its causation, the probability is that some degree of organic change plays its part in most cases.”

Salvage and Reinfusion of Chyle in Closed Chest Injury

1998 ◽  
Vol 21 (4) ◽  
pp. 235-239 ◽  
Author(s):  
M. Montebugnoli ◽  
B. Borghi ◽  
B. Bugamelli ◽  
U. Righi ◽  
D.M. Boaron ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Parenteral Nutrition ◽  
Pleural Cavity ◽  
Chest Injury ◽  
Closed Chest ◽  
Long Period ◽  
Metabolic Imbalance ◽  
Post Traumatic ◽  
The Right ◽  
Closed Chest Injury

The aim of this study was to describe a system of salvaging and reinfusing chyle which accumulated in the right pleural cavity of a patient after a thoracic duct lesion caused by a closed chest injury associated with amyelic fracture of the dorsal spine D10-D11. The chyle was collected in a reservoir (BT 844 Dideco), transfered by an electronic pump (BT 797 recovery Dideco) to a storage bag, microfiltered and then reinfused to the patient. A solution was needed to prevent the patient with severe chylothorax, from having immunological and metabolic imbalance. The long period of conservative treatment with our system was imposed by the onset of acute post-traumatic myocardic infarction which delayed surgery. From experience gained, we can say that using total parenteral nutrition, chyle can not only be salvaged but also reinfused, respecting the strict rules of hygiene.

Chronic rhinosinusitis in children

2017 ◽  
Vol 6 (1) ◽  
pp. 26-34
Author(s):  
Beata Zielnik-Jurkiewicz
Keyword(s):  
Conservative Treatment ◽  
Chronic Rhinosinusitis ◽  
Endoscopic Surgery ◽  
Paranasal Sinuses ◽  
Multidisciplinary Approach ◽  
Treatment Methods

CRS symptoms in children can be mild and uncharacteristic. The disease is multifactorial, and therefore requires a multifaceted, multidisciplinary approach. Treatment of CRS in children is difficult, infections often recur, and treatment methods are often ineffective. In children, surgery is performed infrequently, only when other therapies have failed. The first stage of surgery is adenoidectomy. Functional endoscopic surgery of the paranasal sinuses may be considered if no improvement of the patient after exhausting all possibilities of conservative treatment.

Endoscopic management of duodenal fistula in a patient operated after abdominal injury

2019 ◽  
Vol 91 (3) ◽  
pp. 1-4
Author(s):  
Bartłomiej Jędrzejczak ◽  
Piotr Bednarski ◽  
Michał Spychalski ◽  
Przemysław Lipiński ◽  
Adam Dziki ◽  
...  
Keyword(s):  
High Risk ◽  
Conservative Treatment ◽  
Endoscopic Management ◽  
Duodenal Fistula ◽  
Duodenal Injury ◽  
Endoscopic Techniques ◽  
Life Threatening ◽  
Post Traumatic ◽  
Duodenal Injuries ◽  
Rare Group

Post-traumatic duodenal injuries constitute a relatively rare group among this type of lesions reported in the abdominal structures. In the vast majority of cases, a post-traumatic duodenal injury is accompanied by damage to other important organs. The surgical management of duodenum injuries poses a high risk of life-threatening complications with duodenal fistula among the most common. In some cases, the combination of basic and advanced surgical procedures and intensive conservative treatment is insufficient to treat the complication. The progress in endoscopic techniques and the application of modern instruments have allowed for the use of these procedures to manage gastrointestinal injuries of various aetiology. The aim of the study is to present an effective endoscopic occlusion of post-traumatic duodenal fistula.

scholarly journals Therapeutic tactics in cholelithiasis in children

2020 ◽  
Vol 10 (6) ◽  
pp. 53-57
Author(s):  
Vyacheslav G. Svarich ◽  
Ilya M. Kagantsov ◽  
Violetta A. Svarich
Keyword(s):  
Surgical Treatment ◽  
Conservative Treatment ◽  
Gall Bladder ◽  
Research Methods ◽  
Hemolytic Anemia ◽  
Gallstone Disease ◽  
Research Result ◽  
Diagnosis And Treatment ◽  
Subsequent Formation ◽  
Long Time

There are still many questions concerning the choice of tactics for the treatment of cholelithiasis in childhood. For a long time, cholelithiasis traditionally considered a pathology of adults. Accordingly, virtually all research was devoted to the diagnosis and treatment of this pathology in the above group of patients. Purpose of research. Justification of tactics in surgical treatment of cholelithiasis in children. Patients and research methods. The work formed observations on 135 children aged from 2 to 17 years with cholelithiasis. In 70.4% of cases the disease is observed in girls and boys, respectively at 29.6%. 7.8% of patients have children disease arose against the backdrop of hemolytic anemia. One patient, who received urgent indications, had manifestations of mechanical jaundice: an increase in the level of common bilirubin and its direct fraction, pronounced jaundice of the skin. In the second group, 140 children with chronic stoneless cholecystitis were compared. Research result. All patients with cholelithiasis identified different ways deformation in the area of gallbladder duct. One of the major causes of cholelithiasis in children are changes in the gallbladder duct. No patient has ever been found in concretions extrahepatic biliary passages. In patients with chronic stone-free cholecystitis pathology in the area of bladder flow was not found. Conclusion. One of the major causes of gallstone disease in children are changes in the gallbladder duct, that most likely leads to obstruction of outflow of bile from the gall bladder, with the subsequent formation of concrements. Therefore, the conduct of conservative treatment of cholelithiasis in children appear to be ineffective and the method of choice in the treatment of this pathology can be a cholecystectomy.

scholarly journals Tracheal Injury After Endotracheal Intubation: Experience with Conservative Treatment in Two Infants

2019 ◽  
Vol 17 (2) ◽  
pp. 64-68
Author(s):  
Levent DUMAN ◽  
Özkan CESUR ◽  
Ebru YILMAZ KESKİN ◽  
Mustafa Çağrı SAVAŞ
Keyword(s):  
Conservative Treatment ◽  
Endotracheal Intubation ◽  
Tracheal Injury
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