From: Tracheal lesion during shoulder surgery: a case report and systemic review of the literature
References | Gender | Age | Reason for IOT | Problems during IOT | ALR (US) | Interval injury-diagnosis (h) | Presenting symptoms | RX/CT /FOB | Evidence of Tracheal injury and its location | Treatment/outcome and discharge (days) |
---|---|---|---|---|---|---|---|---|---|---|
ATS + ETI | ||||||||||
Our case | F | 54 | Elective ATS Right shoulder | NO | Posterior SSB (US) | 6 | Facial edema, SE Laterocervical right > left | RX: bilateral thoracic SE + PNM CT: anterior + Bilateral laterocervical SE + PNM | FOB: Submucous tear in posterior wall for 4.5 cm and 6 cm deeper from vocal cords | Conservative 5 days |
Lau [4] | M | 63 | ATS right shoulder | NO | NO | 2 | SE on right shoulder, neck, retrosternal pain. | RX: SE + PNM | FOB: no evidence of pharyngeal, laryngeal or tracheal injury | Conservative 7 days |
Lee et al. [1] case 2 | F | 43 | ATS right shoulder | NO | NO | Awakening | SE | RX: SE + PNM | Conservative 72h | |
Sivaram et al. [5] | F | 41 | ATS left shoulder | NO | NO | 4 | Severe pain in the chest. SE on left chest and upper eyelid | RX + CT: SE + PNM + bilateral PNX, | CT: intact trachea and bronchi | Conservative 5 days |
Bamps et al. [6] | F | 42 | ATS left shoulder | NO | NO | 10 | Left chest pain, difficulty breathing, SE on the left shoulder and neck region. Respiratory distress and hemodynamic shock | RX: SE + ipsilateral PNX (shift) | Conservative 4 days | |
Cassone et al. [7] | F | 60 | Elective ATS right shoulder | NO | NO | 3 | Right-sided Facial swelling, voice changes, dyspnea, crepitus on right neck, face and chest. | RX: SE + right PNX (70% shift) s | Conservative 3 days | |
Asghar et al. [8] | F | 51 | Elective ATS right shoulder | NO | NO | PO 30 min after | Shortness of breath, dysphonia, dysphagia, skin crepitation on the right side. | CT: right PNM and large PNX, residual air in shoulder joint, SE on right hemithorax extending into bilateral supraclavicular regions, neck, and anteromedial aspect of right arm. | Conservative | |
Lee et al. [1] case 1 | F | 45 | ATS right shoulder | NO | NO | Awakening | SE | RX +CT: SE + PNM+PNX bilateral (20% right + 50% left) | Conservative 96h | |
Lee et al. [1] case 3 | M | 40 | ATS left shoulder | NO | NO | Awakening | SE neck | RX: SE + PNX left | Conservative 48h | |
Dietzel and Ciullo [9] case 1 | M | 38 | ATS left shoulder | NO | NO | 24 | Left chest pain, Dyspnea | RX: PNX left sided | 2 days | |
Dietzel and Ciullo [9] case 2 | F | 22 | ATS right shoulder | NO | NO | 24 | Right chest pain | RX: PNX right sided | 4 Days | |
Dietzel and Ciullo [9] case 3 | F | 37 | ATS left shoulder | NO | NO | 24 | Left chest pain | RX: PNX right sided | 2 days | |
Dietzel and Ciullo [9] case 4 | ? | 34 | ATS right shoulder | NO | NO | RR | Desaturation in RR | RX : PNX right sided | ||
Kim et al. [10] | F | 75 | ATS right shoulder | NO | NO | Awakening | SE neck and right chest | RX: SE+PNX right sided | Conservative 6 days | |
Shariyate et al. [11] | F | 61 | ATS right shoulder | NO | NO | 4 | SE + dyspnea | RX+CT: SE +PNX right | Conservative 6 days | |
Knight et al. [12] | ATS shoulder | YES | ? | Midsurgery | SE | RX + CT+ FOB: SE + PNM + PNX | FOB: Tracheal wall injury during IOT (exacerbated by boogie) | |||
Saseendar 2014 | F | 75 | Mumford procedure | NO | SSB (US) | Midsurgery | SE | RX: SE | Conservative 1 day | |
ATS+ETI+ISB | ||||||||||
Bowden et al. [13] | F | 30 | ATS right assisted acromioclavicular joint reconstruction (fracture) | NO | ISB (US) | PO (?) | No symptoms | RX routine control : incidental finding PNX right + mediastinal shift | Conservative 4 days | |
Van Nieuwenhuyse et al. [14] | ? | 74 | Elective ATS Right shoulder | no | ISB (US) | PO awakening | Swollen face, voice distorted, SE right thoracic | Rx: SE Right > left CT: SE+ PNM | Conservative | |
Tandon et al. [15] | ATS | NO | ISB | ? | SE | RX: SE | ||||
Tanoubi et al. [16] | F | 63 | Elective ATS right shoulder | no | ISB (US) | 30 | Right Shoulder swelling, progressive to the face | Rx (54h PO): bilateral SE+ PNX right + PNM | Conservative | |
Leander-Olsson et al. [17] | M | 72 | ATS right shoulder | NO (videolaringoscopy) | ISB (US) | Midsurgery | Intraoperative desaturation | RX: SE CT: PNX | Conservative 2 days | |
Niu et al. [18] | F | 53 | ATS left shoulder | NO | ISB (US) | Intraop 2h50’ | SE on face neck, chest to bilateral leg | RX: PNX left, SE | 5 days | |
Sharma and Gandhi [19] | F | 56 | ATS right shoulder | NO | ISB (US) | PO | SE facial, neck, right shoulder extending till left shoulder. Increment of neck circumference | |||
ATS + ISB - NO ETI | ||||||||||
Calvisi 2008 | F | 52 | Elective ATS left shoulder (sitting position) | No IOT | ISB | < 24 | Chest pain, subcutaneous enphisema supraclavear fossa and left side of neck | RX+ CT: SE+ PNM in left thoracic and neck region | FOB: Posterolateral tear at T4 CT: suspected tracheal tear | Conservative 3 days |