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Titolo:
DETECTION AND EVALUATION OF AERODIGESTIVE TRACT INJURIES CAUSED BY CERVICAL AND TRANSMEDIASTINAL GUNSHOT WOUNDS
Autore:
BACK MR; BAUMGARTNER FJ; KLEIN SR;
Indirizzi:
UNIV FLORIDA,COLL MED,DEPT SURG,VASC SURG SECT,POB 100286 GAINESVILLEFL 32610 HARBOR UCLA MED CTR,DEPT SURG TORRANCE CA 90509
Titolo Testata:
The journal of trauma, injury, infection, and critical care
fascicolo: 4, volume: 42, anno: 1997,
pagine: 680 - 686
Fonte:
ISI
Lingua:
ENG
Soggetto:
PENETRATING NECK INJURIES; SELECTIVE MANAGEMENT; AIRWAY TRAUMA; ESOPHAGUS; PERFORATION; EXPLORATION;
Keywords:
AERODIGESTIVE TRACT; CERVICAL OR TRANSMEDIASTINAL GUNSHOT WOUNDS; TRIPLE ENDOSCOPY; CONTRAST ESOPHAGOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
M.R. Back et al., "DETECTION AND EVALUATION OF AERODIGESTIVE TRACT INJURIES CAUSED BY CERVICAL AND TRANSMEDIASTINAL GUNSHOT WOUNDS", The journal of trauma, injury, infection, and critical care, 42(4), 1997, pp. 680-686

Abstract

Background: Aerodigestive tract penetrations occurring with gunshot wounds to the neck and thorax are uncommon but are frequently associated with multiple organ injury and contribute to significant morbidity. Methods: The selective management strategy used at our institution forsuspected aerodigestive tract involvement with cervical, thoracic inlet, and transmediastinal gunshot wounds is reviewed with reference to eight clinical cases from 1989 to 1995, Results: Seven pharyngoesophageal and four laryngotracheal injuries are described with three patients sustaining combined aerodigestive organ wounds, Associated injuries occurred in seven of the eight cases, Diagnosis of aerodigestive tractpenetrations were made by triple endoscopy in five patients, by contrast esophagography in one case, and at operation for associated injuries in two patients, No injuries were missed during endoscope or contrast studies, Two patients suffered complications including delayed recognition of an esophageal injury and pneumonia in one case and dehiscence of a distal esophageal repair in another. lin associated vascular injury resulted in a single death in the series, Conclusions: A high index of suspicion must he maintained for aerodigestive tract involvement with cervicothoracic gunshot wounds. We advocate operative endoscopic inspection during emergent exploration in unstable patients or arteriography with endoscopy in stable patients, Adjunctive contrast pharyngoesophagography is performed to confirm equivocal endoscopic findings, evaluate the extent of leak, or completely exclude injury.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 12:17:40