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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...

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Detalles Bibliográficos
Autores principales: Williams, Erin, Agzarian, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
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.
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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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