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Chirurgie traumatischer trachealer und tracheobronchialer Verletzungen

Surgery of traumatic tracheal and tracheobronchial injuries

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Zusammenfassung

Tracheale Verletzungen sind insgesamt seltene Ereignisse und können prinzipiell in drei große Kategorien eingeteilt werden: tracheobronchiale Verletzungen durch externe Gewalteinwirkungen, Rupturen der Trachea im Rahmen medizinischer Maßnahmen und Inhalationstraumen. Ein erfolgreiches Management tracheobronchialer Verletzungen setzt eine schnelle Diagnosestellung voraus. Bei jedem polytraumatisierten Patienten mit einer zervikothorakalen Komponente sollte aktiv eine Atemwegsverletzung ausgeschlossen werden. Wenngleich bei den posttraumatischen Verletzungen Konsens über die Notwendigkeit der operativen Versorgung besteht, findet bei den iatrogenen Verletzungen zurzeit ein Wandel des Managements zugunsten einer eher konservativen Behandlung statt.

Abstract

Tracheal injuries are altogether rare events and can be divided into three broad categories: tracheobronchial injuries caused by external violence, iatrogenic ruptures of the trachea and inhalation trauma. Successful management of tracheobronchial injuries requires a fast and straightforward diagnostic evaluation. In all severely injured patients with cervicothoracic involvement an injury of the tracheobronchial system should be actively excluded. Although it is commonly agreed that posttraumatic injuries require surgical intervention the management of iatrogenic injuries is presently shifting towards a more conservative treatment.

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  1. Abt. für Thoraxchirurgie, Universitätsklinikum Freiburg, Hugstetterstraße 55, 79106, Freiburg, Deutschland

    E. Palade &  B. Passlick

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  1. E. Palade
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  2. B. Passlick
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Correspondence to B. Passlick.

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Palade, E., Passlick, B. Chirurgie traumatischer trachealer und tracheobronchialer Verletzungen. Chirurg 82, 141–147 (2011). https://doi.org/10.1007/s00104-010-1976-5

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