Desinsercion y avulsion laringo-traqueal de origen traumatico. Presentacion de dos casos, uno de ellos complicado a fistula esofagica
Laryngotracheal disinsertion and avulsion after injury
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"apellidos" => "Martinez Vidal" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028961532086X?idApp=UINPBA00003Z" "url" => "/03002896/0000002200000002/v1_201509151023/S030028961532086X/v1_201509151023/es/main.assets" ] "es" => array:13 [ "idiomaDefecto" => true "titulo" => "Desinsercion y avulsion laringo-traqueal de origen traumatico. Presentacion de dos casos, uno de ellos complicado a fistula esofagica" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "88" "paginaFinal" => "91" ] ] "autores" => array:2 [ 0 => array:3 [ "autoresLista" => "A. Canto, J. Moya, J. Saumench, J. Pac, R. Aguilo" "autores" => array:5 [ 0 => array:2 [ "nombre" => "A." "apellidos" => "Canto" ] 1 => array:2 [ "nombre" => "J." "apellidos" => "Moya" ] 2 => array:2 [ "nombre" => "J." "apellidos" => "Saumench" ] 3 => array:2 [ "nombre" => "J." "apellidos" => "Pac" ] 4 => array:2 [ "nombre" => "R." "apellidos" => "Aguilo" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Servicio de Cirugía Torácica. Hospital de Bellvitge Prínceps d’Espanya. L’Hospitalet de Llobregat. Barcelona" "identificador" => "aff0005" ] ] ] 1 => array:3 [ "autoresLista" => "A. Clariana, L. Muñoz" "autores" => array:2 [ 0 => array:3 [ "nombre" => "A." "apellidos" => "Clariana" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] 1 => array:3 [ "nombre" => "L." "apellidos" => "Muñoz" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0010" ] ] ] ] "afiliaciones" => array:1 [ 0 => array:3 [ "entidad" => "Sección de Endoscopia Respiratoria. Hospital de Bellvitge Prínceps d’Espanya. L’Hospitalet de Llobregat. Barcelona" "etiqueta" => "*" "identificador" => "aff0010" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Laryngotracheal disinsertion and avulsion after injury" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1985-03-20" "fechaAceptado" => "1985-06-08" "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Dentro de la, no frecuente, patología traumática tráqueobronquial, las desinserciones laringotraqueales son de tal rareza, que no son tenidas en cuenta en nuestro quehacer diario de urgencia. A esta circunstancia hay que añadir un alto grado de mortalidad. La coincidencia de que puedan coexistir con otras lesiones asociadas, graves, subsidiarias de intubación traqueal y tratamiento, a veces quirúrgico, nos puede explicar que lesiones de este tipo puedan pasar desapercibidas y sean diagnosticadas tardíamente. Sus secuelas, en ocasiones de mayor gravedad que la patología inicial, requerirán una terapéutica más complicada.</p><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">El presente trabajo lo encontramos de interés, no sólo por la rareza de la patología presentada, sino por coincidir, además, en nuestros dos pacientes, los problemas diagnósticos que reafirman el comentario anterior. Mientras un paciente es diagnosticado a su ingreso en Urgencias, el diagnóstico del segundo se realiza al mes de su ingreso, al presentar una estenosis subcricoidea completa y una fístula traqueoesofágica.</p></span>" ] "en" => array:1 [ "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">Within infrequently seen tracheobronchial injuries, laryngotracheal disinsertion is so rarely encountered that it often is not taken into account in the emergency ward, thus carrying a high mortality rate. The fact that there may be other associated severe lesions requiring endotracheal intubation and at times surgical treatment, may explain why lesions of this type may not be seen and are diagnosed after considerable delay. The sequelae, which may be more severe than the original injury, require more complicated treatment.</p><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">In the two patients described in the present report, both with this rare injury, there also were the diagnostic problems mentioned. While one was diagnosed on arrival in the emergency ward, the other was diagnosed fully a month after receiving the injury when he presented with complete subcricoidal stenosis and a tracheo-esophageal fistula.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:13 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Traumatismos traqueobronquiales" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:7 [ 0 => "J. Padilla" 1 => "J.M. 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| 2016 June | 35 | 13 | 48 |
| 2016 May | 20 | 5 | 25 |
| 2016 April | 22 | 0 | 22 |
| 2016 March | 10 | 0 | 10 |
| 2016 February | 24 | 0 | 24 |
| 2016 January | 18 | 4 | 22 |
| 2015 December | 26 | 17 | 43 |
| 2015 November | 35 | 9 | 44 |
| 2015 October | 9 | 2 | 11 |
| 2015 September | 1 | 0 | 1 |
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