TRACHEAL TRAUMA DUE TO MIGRATION OF CLAVICULAR OSTEOSYNTHESIS MATERIAL

Authors

  • Roly Misael Ramos Zenteno Hospital Obrero Nro. 2
  • Cristhian J. Guzmán Salinas Hospital Obrero Nro. 2
  • Rommer Alex Ortega Martinez Universidad Privada del Valle

DOI:

https://doi.org/10.52428/20756208.v17i43.260

Keywords:

closed cervical trauma, closed tracheal perforation

Abstract

Tracheal trauma affecting the cervical portion is rare (10% of all neck injuries), with penetrating mechanism as the most frequent and mortality of 30-80% during transfer. Adequate management of the initial trauma with securing the airway is only part of the problem that the patient may present; one of the major complications is tracheal stenosis. The probability of detecting this type of complications implies an adequate follow-up of the patients to avoid their complications. We present the case of a 48-year-old man who attended on 10.22.22, with a condition characterized by pain in the left clavicular region accompanied by hemoptysis and dysphonia of approximately 5 days of evolution that progressed to difficulty swallowing. Where the patient was hospitalized and underwent surgery due to closed tracheal injury due to Kirschner wire osteosynthesis material migrated from the left clavicle. He underwent surgery upon discharge and went directly to the ICU for monitoring and management. He evolved satisfactorily and was discharged from the ICU for five days, going to surgery rooms with favorable evolution

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Author Biographies

Roly Misael Ramos Zenteno, Hospital Obrero Nro. 2

M´édico Residente de medicina crítica y terapia intensiva del Hospital Obrero Nro. 2 de la Caja Nacional de Salud, Cochabamba-Bolivia, ramitos.beykon.21@gmail.com,

Cristhian J. Guzmán Salinas, Hospital Obrero Nro. 2

Médico residente de medicina crítica y terapia intensiva del Hospital Obrero Nro. 2 de la Caja Nacional de Salud, Cochabamba-Bolivia, cristhian64gs@gmail.com

Rommer Alex Ortega Martinez, Universidad Privada del Valle

Médico internista e intensivista, magister en investigación en salud, magister en educación superior en salud, coordinador de investigación clínica en la Universidad ´Privada del Valle, Médico Intensivista de planta del Hospital Obrero Nro. 2 de la Caja Nacional de Salud, Cochabamba-Bolivia. rommeralexo@gmail.com

References

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Vázquez-Minero J.C. et al. Trauma traqueal penetrante. Recomendaciones para su manejo. A propósito de un caso. Neumol Cir Torax Vol 77. octubre de 2018;287–92. http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0028-37462018000400286

Calva Maldonado M. et al. Lesión traqueal como hallazgo radiológico. A propósito de un caso. revistachilenadeanestesia.cl. 2021;506–10. DOI: https://doi.org/10.25237/revchilanestv50n03-12

De José AJ. Et al. Migración intratorácica de aguja de Kirschner en cerclaje roto de la articulación acromioclavicular. Rev Ortop Traumatol. 2018;38–40. https://doi.org/10.1016/S1888-4415(04)76164-0

De los Reyes P.E.et al. Rotura traqueal completa asociada a lesión del conducto torácico posterior a trauma torácico cerrado: reporte de un caso. Revista Chilena de Cirugia [Internet]. 19 de septiembre de 2016;69(2017):157–61. Disponible en: http://dx.doi.org/10.1016/j.rchic.2016.08.009

Yanowsky Reyes G. Cuerpos extraños en vías aéreas. Archivos de Medicina [Internet]. 2013;9(2013):1–7. Disponible en: http://www.imedpub.com, doi: https://doi.org/10.3823/096

Published

2022-12-29

How to Cite

Ramos Zenteno, R. M., Guzmán Salinas, C. J., & Ortega Martinez, R. A. (2022). TRACHEAL TRAUMA DUE TO MIGRATION OF CLAVICULAR OSTEOSYNTHESIS MATERIAL. Revista De Investigación E Información En Salud, 17(43). https://doi.org/10.52428/20756208.v17i43.260

Issue

Section

Case Report

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