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Anaesthesia Jul 2016
Review
Topics: Bronchi; Humans; Tomography, X-Ray Computed; Trachea
PubMed: 27291599
DOI: 10.1111/anae.13531 -
American Journal of Respiratory and... Mar 2022
Topics: Animals; Anthozoa; Bronchi; Humans; Trachea
PubMed: 34752722
DOI: 10.1164/rccm.202101-0193IM -
Internal Medicine (Tokyo, Japan) Apr 2023
Topics: Humans; Bronchi; Bronchoscopy; Bronchial Diseases; Trachea
PubMed: 35945016
DOI: 10.2169/internalmedicine.0308-22 -
Journal of the College of Physicians... Jun 2023Tracheal bronchus is an uncommon congenital anomaly. It is often of important significance during endotracheal intubation. In paediatrics with tracheal bronchus,...
Tracheal bronchus is an uncommon congenital anomaly. It is often of important significance during endotracheal intubation. In paediatrics with tracheal bronchus, stenosis of trachea and (or) bronchus and the management strategies remain to be further clarified. A comprehensive retrieval of literature since 2000 revealed 43 articles with 334 paediatric patients with tracheal bronchus. The delayed diagnosis rate is 4.1%. Paediatric patients with tracheal bronchus most often present with recurrent pneumonia and atelectasis. In less than one-third of the patients, there was an intrinsic or extrinsic stenosis of the trachea, which warrant a conservative or a surgical treatment. A surgical treatment was performed in 15.3% of the patients, in most of which the operations were for relieving the tracheal stenosis. The surgical outcomes were satisfactory. Paediatric patients with tracheal bronchus with tracheal stenosis and recurrent pneumonia and persistent atelectasis warrant active treatments, and surgical treatments are preferred. No treatment is needed in those with no tracheal stenosis or those with no or mild symptoms. Key Words: Abnormality, Congenital, Thoracic surgery, Tracheal stenosis.
Topics: Humans; Child; Constriction, Pathologic; Trachea; Bronchi; Tracheal Stenosis; Pulmonary Atelectasis; Pneumonia
PubMed: 37300266
DOI: 10.29271/jcpsp.2023.06.684 -
Respiratory Medicine and Research Nov 2021
Topics: Bronchi; Bronchoscopy
PubMed: 34224956
DOI: 10.1016/j.resmer.2021.100812 -
Internal Medicine (Tokyo, Japan) Dec 2022
Topics: Humans; Bronchi; Bronchoscopy; Trachea
PubMed: 35466170
DOI: 10.2169/internalmedicine.9309-21 -
The Annals of Thoracic Surgery Jun 2017Communicating bronchopulmonary foregut malformations are uncommon anomalies. This report describes a case of "esophageal bronchus" managed successfully in a newborn with...
Communicating bronchopulmonary foregut malformations are uncommon anomalies. This report describes a case of "esophageal bronchus" managed successfully in a newborn with a nearly total pneumonectomy.
Topics: Bronchi; Esophagus; Female; Humans; Infant, Newborn; Pneumonectomy
PubMed: 28528056
DOI: 10.1016/j.athoracsur.2017.01.031 -
Journal of Medical Imaging and... Oct 2018
Topics: Bronchi; Diagnosis, Differential; Humans; Incidental Findings; Tomography, X-Ray Computed
PubMed: 30309104
DOI: 10.1111/1754-9485.21_12785 -
Folia Morphologica 2023Understanding the dimensions of the lower airway is critical for performing respiratory surgery, selecting and designing appropriate airway equipment, and removing... (Review)
Review
Understanding the dimensions of the lower airway is critical for performing respiratory surgery, selecting and designing appropriate airway equipment, and removing aspirated foreign bodies via bronchoscopy, anaesthesia, and radiography. The purpose of this study was to analyse the trachea and bronchus morphologically in children and adults, as well as to standardise the data for these structures' measurements. Various databases were reviewed for studies on lower airway dimensions. The criteria for inclusion and exclusion were established. Finally, it was agreed to look into 28 studies that took place between 1984 and 2021. The length of the trachea, its anterior-posterior (AP) and transverse dimensions, the lengths and transverse diameters of the right and left major bronchus, and the subcarinal angle were also investigated in the study. In studies where measurements were performed with different methods and procedures. It was revealed that age and gender were effective in the difference in lower respiratory tract dimensions. The mean values of all parameters were greater in adults than in children, the AP diameter of the trachea in adults was greater than the transverse diameter. In children, it was observed that the transverse diameter was larger than the AP diameter on average, the left main bronchus was longer than the right main bronchus, and the transverse diameter was smaller than the right main bronchus in most of the studies. The articles reviewed for this study revealed that measurements were done using a variety of different procedures and approaches, and the resulting data were inconsistent and could not be standardized. The data collected will be beneficial both conceptually and clinically; we believe that additional comparison research involving children and adults in bigger groups are necessary.
Topics: Adult; Child; Humans; Bronchi; Bronchoscopy; Databases, Factual; Tomography, X-Ray Computed; Trachea
PubMed: 36000591
DOI: 10.5603/FM.a2022.0073 -
Chinese Journal of Traumatology =... Nov 2022Blunt traumatic tracheobronchial injury is rare, but can be potentially life-threatening. It accounts for only 0.5%-2% of all trauma cases. Patients may present with... (Review)
Review
Blunt traumatic tracheobronchial injury is rare, but can be potentially life-threatening. It accounts for only 0.5%-2% of all trauma cases. Patients may present with non-specific signs and symptoms, requiring a high index of suspicion with accurate diagnosis and prompt treatment. A 26-year-old female was brought into the emergency department after sustained a blunt trauma to the chest from a high impact motor vehicle accident. She presented with signs of respiratory distress and extensive subcutaneous emphysema from the chest up to the neck. Her airway was secured and chest drain was inserted for right sided pneumothorax. CT of the neck and thorax revealed a collapsed right middle lung lobe with a massive pneumothorax, raising the suspicion of a right middle lobe bronchus injury. Diagnosis was confirmed by bronchoscopy. In view of the difficulty in maintaining her ventilation and persistent pneumothorax with a massive air leak, immediate right thoracotomy via posterolateral approach was performed. The right middle lobar bronchus tear was repaired. There were no intra- or post-operative complications. She made an uneventful recovery. She was asymptomatic at her first month follow-up. A repeated chest X-ray showed expanded lungs. Details of the case including clinical presentation, imaging and management were discussed with an emphasis on the early uses of bronchoscopy in case of suspected blunt traumatic tracheobronchial injury. A review of the current literature of tracheobronchial injury management was presented.
Topics: Humans; Female; Adult; Pneumothorax; Bronchi; Wounds, Nonpenetrating; Bronchoscopy; Trachea
PubMed: 35031204
DOI: 10.1016/j.cjtee.2021.12.007