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A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective
OBJECTIVE: Mediastinal injuries are uncommon, rarely encountered and depending on the institution, can be managed by various sub-specialties. The purpose of this narrative review is to present an overview of traumatic mediastinal injuries, their presentation, and management options from the perspect...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AME Publishing Company
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794412/ https://www.ncbi.nlm.nih.gov/pubmed/35118338 http://dx.doi.org/10.21037/med-21-13 |
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author | Williams, Erin Agzarian, John |
author_facet | Williams, Erin Agzarian, John |
author_sort | Williams, Erin |
collection | PubMed |
description | OBJECTIVE: Mediastinal injuries are uncommon, rarely encountered and depending on the institution, can be managed by various sub-specialties. The purpose of this narrative review is to present an overview of traumatic mediastinal injuries, their presentation, and management options from the perspective of a thoracic surgeon. BACKGROUND: Although infrequent, traumatic mediastinal injuries can pose significant morbidity and mortality. The infrequency of these injuries limits operative exposure for thoracic surgeons and trainees. A concise overview of common presentations and management options is warranted to further solidify important concepts. METHODS: A search of the literature was conducted using MEDLINE, PubMed, and Embase for relevant articles pertaining to anatomic injuries of the mediastinum. The presentation of mediastinal injuries along with indications for non-operative versus operative management in cardiac injuries, thoracic esophageal injuries, tracheobronchial injuries, and injuries to the lungs and pleura was conducted and literature summarized. CONCLUSIONS: In providing this review it is hopeful to enhance knowledge and comfort in recognition and management of these uncommon yet potentially lethal injuries. Early involvement of thoracic surgery is recommended to ensure effective and efficient treatment. |
format | Online Article Text |
id | pubmed-8794412 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | AME Publishing Company |
record_format | MEDLINE/PubMed |
spelling | pubmed-87944122022-02-02 A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective Williams, Erin Agzarian, John Mediastinum Review Article OBJECTIVE: Mediastinal injuries are uncommon, rarely encountered and depending on the institution, can be managed by various sub-specialties. The purpose of this narrative review is to present an overview of traumatic mediastinal injuries, their presentation, and management options from the perspective of a thoracic surgeon. BACKGROUND: Although infrequent, traumatic mediastinal injuries can pose significant morbidity and mortality. The infrequency of these injuries limits operative exposure for thoracic surgeons and trainees. A concise overview of common presentations and management options is warranted to further solidify important concepts. METHODS: A search of the literature was conducted using MEDLINE, PubMed, and Embase for relevant articles pertaining to anatomic injuries of the mediastinum. The presentation of mediastinal injuries along with indications for non-operative versus operative management in cardiac injuries, thoracic esophageal injuries, tracheobronchial injuries, and injuries to the lungs and pleura was conducted and literature summarized. CONCLUSIONS: In providing this review it is hopeful to enhance knowledge and comfort in recognition and management of these uncommon yet potentially lethal injuries. Early involvement of thoracic surgery is recommended to ensure effective and efficient treatment. AME Publishing Company 2021-12-25 /pmc/articles/PMC8794412/ /pubmed/35118338 http://dx.doi.org/10.21037/med-21-13 Text en 2021 Mediastinum. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0/. |
spellingShingle | Review Article Williams, Erin Agzarian, John A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective |
title | A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective |
title_full | A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective |
title_fullStr | A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective |
title_full_unstemmed | A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective |
title_short | A narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective |
title_sort | narrative review of traumatic mediastinal injuries and their management: the thoracic surgeon perspective |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8794412/ https://www.ncbi.nlm.nih.gov/pubmed/35118338 http://dx.doi.org/10.21037/med-21-13 |
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