Table 1 Results of surgery in patients with traumatic airway injuries
From: Airway trauma: a review on epidemiology, mechanisms of injury, diagnosis and treatment
Study | No | Operative approach | Surgery | Mortality | Complications |
|---|---|---|---|---|---|
Barmada (23) | 7 | R Thoracotomy: 5 | L. pneumonectomy: 1 | 0% | Wound infection: 2 |
L Thoracotomy: 2 | ML. lobectomy: 1 | Sputum retention: 1 | |||
Segmentectomy: 1 | |||||
Primary suture: 4 | |||||
Rossbach (19) | 32 | Collar incision: 16 | Primary suture: 23 | 6% | Pneumonia: 3 |
Collar + sternotomy:1 | Tracheostomy: 3 | Suture granuloma:2 | |||
Sternotomy: 5 | Primary anastomosis: 2 | Wound infection:1 | |||
R Thoracotomy: 9 | R pneumonectomy: 2 | ||||
L Thoracotomy: 1 | ML Bilobectomy: 1 | ||||
Cassada (39) | 18 | Collar Incision: 3 | Primary suture: 13 | 5.6% | Sepsis: 2 |
L cervicotomy: 5 | Tracheostomy: 2 | BPF: 1 | |||
Sternotomy: 1 | Repair + tracheostomy: 1 | ||||
R thoracotomy: 8 | L. pneumonectomy: 1 | ||||
L thoracotomy: 1 | Lobectomy: 1 | ||||
Mussi (47) | 16 | R thoracotomy: 5 | Primary suture: 13 | 0% | Suture granuloma: 1 |
Primary anastomosis: 2 | |||||
Collar inciusion: 11 | Thyroid cartilage suture: 1 | ||||
Hofmann (49) | 18 | R thoracotomy: 17 | Primary suture: 18 | 44.4% | Suture dehiscence: 1 |
L thoracotomy: 1 | |||||
Balci (48) | 32 | Thoracotomy: 19 | Primary suture: 25 | 21.8% | Atelectasis/pneumonia: 2/2 |
Sternotomy: 2 | Primary anastomosis: 6 | Prolonged air leak: 1 | |||
Clamshell: 1 | RUL lobectomy: 1 | Bleeding: 1 | |||
Neck incisions: 10 | Empyema: 1 | ||||
Wound infection: 1 | |||||
Airway stenosis: 3 | |||||
Richardson (57) | 60 | Cervical incision ± sternotomy: all laryngotracheals and most tracheal | Primary suture: 8 (2 laryngotracheal) | 13.3%* | Failed repair: 1 |
Primary anastomosis: 25 | Â | Phonation problems: 1 | |||
Thoracotomy: 24 bronchial injuries and some lower tracheal | Bronchial reconstruction: 10 | Â | Airway stenosis: 5 | ||
Pneumonectomy; 14 | Â | Empyema: 3 (BPF in 2) | |||
Suture granuloma: 6 | |||||
| Â | Delayed presentation: primary repair (1), resection and anastomosis (1), pneumonectomy (1) | Â | Pulmonary hypertension/cor pulmonale: 3 | ||
Respiratory insufficiency: 1 | |||||
Gomez-Caro (70) | 11 | Cervical incision: 3 | Primary suture: 8 | 0% | Â |
Thoracotomy: 8 | Primary anastomosis: 1 | ||||
Tracheostomy: 1 | |||||
R. pneumonectomy: 1 | |||||
Koletsis (20) | 22 | Collar incision ± partial sternotomy: 11 | Primary suture: 19 | 4.6% | Airway stenosis: 1 |
Thoracotomy: 11 | Primary anastomosis: 1 | Â | Sepsis: 1 | ||
L. pneumonectomy: 1 | Phonation problems: 1 | ||||
ML bilobectomy: 1 | |||||
Carretta (63) | 30 | Transcervical-transtracheal: 13 | Primary suture: 29 | 3.3% | Pneumonia: 3 |
Thoracotomy: 16 | Primary anastomosis: 1 | Phonation problems: 2 | |||
Transcercical-transtracheal + thoracotomy:1 |  | Tracheo-esophageal fistula recurrence: 1 |