Post-intubation tracheal rupture treated surgically using a muscle graft from the Latissimus Dorsi: a rare disorder and review of literature.

Autor:	Haddad S; Aleppo University, Faculty of Medicine, Aleppo.; Stemosis for Scientific Research., Haneyah F; Al-Balqa Applied University, Salt., Jwainat MNI; Jordanian Royal Medical Services., Bayat G; Plymouth University Hospitals NHS Trust, Plymouth, UK., Zakka A; Aleppo University, Faculty of Medicine, Aleppo., Albekaai E; Beirut Arab University, Beirut, Lebanon., Al-Rashdan OAEA; Department of Oral and Maxillofacial Surgery, Jordanian Royal Medical Services, Amman., Daradkeh B; Jordan University of Science and Technology, Irbid, Hashemite Kingdom of Jordan., Abo Dakka Y; Assad University Hospital, Damascus, Syrian Arab Republic., Shbat M; Assad University Hospital, Damascus, Syrian Arab Republic., Chaban H; Assad University Hospital, Damascus, Syrian Arab Republic.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2024 May 06; Vol. 86 (11), pp. 6704-6712. Date of Electronic Publication: 2024 May 06 (Print Publication: 2024).
DOI:	10.1097/MS9.0000000000002121
Abstrakt:	Introduction: Post-intubation tracheal rupture (PiTR) is an extremely uncommon disorder. Pneumothorax, pneumomediastinum, hemorrhage, cutaneous emphysema, and sepsis are common clinical presentations that eventually result in organ failure and mediastinitis. Endoscopy and computed tomography (CT) are considered the gold standards for assessment and diagnosis. Case Presentation: Here, the authors present a 96-year-old woman with asthma and ischemic heart disease presented to the Emergency Department with dyspnea following viral pneumonia. Despite initial treatment, her condition worsened, requiring tracheal intubation. Subsequent complications led to a diagnosis of tracheal rupture, requiring surgical repair. The procedure involved using a muscle graft from the Latissimus Dorsi muscle: which is a novel Surgical Technique as the authors have conducted a literature review. Discussion: Upon scrutinizing analogous cases delineated within the medical literature, it becomes evident that our patient manifests four distinct risk factors. These factors include gender, advanced age, asthma, and prolonged steroid use.While the clinical manifestation and diagnostic methods for tracheal rupture are frequently consistent throughout cases, there is a significant variation in the surgical treatments used to treat the condition. Conclusion: More research should be conducted to investigate the use of muscle grafts as a treatment technique for tracheal rupture in the future. Competing Interests: The author declares no conflicts of interest.Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. (Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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