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Vol. 24. Issue 6.
Pages 261-263 (November - December 1988)
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Vol. 24. Issue 6.
Pages 261-263 (November - December 1988)
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Fistula traqueoesofagica tras traumatismo toracico cerrado. su reparacion quirurgica
Tracheoesophageal fistula after blunt trauma of the chest. Surgical repair
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R. Guijarro Jorge, A. Sánchez-Palencia Ramos, F. Expósito Sequera, A. Cueto Ladrón de Guevara
Unidad de Cirugía Torácica. Hospital Virgen de las Nieves. Granada
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Las fístulas traqueoesofágicas tras traumatismo cerrado son una rareza, habiéndose descrito sólo 50 casos en la literatura. Su importancia radica en que suelen conllevar lesiones asociadas que pueden ser mortales.

Se presenta un caso de FTE por traumatismo tras un accidente de tráfico resuelto quirúrgicamente con éxito tras realizar sutura con puntos sueltos de las heridas traqueal y esofágica y recubrimiento de las mismas con plastias pediculadas de pleura y músculo intercostal. Se comentan otras posibilidades quirúrgicas de tratamiento y se realiza una revisión de la literatura.

Tracheoesophageal fistulae after blunt trauma are rare; there are only 50 cases reported in relevant literatura. Its importance lies on the severity of the lesions which are associated to them, and may be fatal.

We report a patient with tracheoesophageal fistula after motor vehicle collision, which was successfully repaired with interrupted suture of tracheal and esophageal wounds and re-coating then with pediculated plasties of pleura and intercostal musde. Other therapeutic surgical approaches are discussed and current relevant literatura is reviewed.

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Copyright © 1988. Sociedad Española de Neumología y Cirugía Torácica
Archivos de Bronconeumología
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