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Transverse Cervicothoracic Stabbing: Multidisciplinary Management of a Surgical Emergency
Elena Molina Fernández1, Ramón Moreno-Luna1, Francisco López Navas1
1Department of Otorhinolaryngology, University Hospital Virgen Macarena, Seville, Spain.
Penetrating neck trauma can cause rare tracheobronchial injuries. Prompt surgical repair and a multidisciplinary approach are crucial for survival in these life-threatening cases.
Area of Science:
- Trauma surgery
- Thoracic surgery
- Emergency medicine
Background:
- Tracheobronchial injuries are often linked to intubation or chest trauma.
- Penetrating neck injuries, though rare, pose significant risks due to potential damage to the airway and major vessels.
Observation:
- A case of tracheobronchial transection resulting from a left laterocervical stab wound is presented.
- The injury was associated with a contralateral pneumothorax, necessitating immediate surgical intervention.
Findings:
- The patient underwent urgent pulmonary repair, tracheal suture, and tracheotomy.
- A multidisciplinary team approach was employed for management.
Implications:
- Early diagnosis and swift, comprehensive surgical management are vital for improving survival rates in penetrating tracheobronchial injuries.
- This case highlights the importance of a coordinated team effort in managing complex neck trauma.
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