title: [Management of pediatric iatrogenic tracheobronchial lesions in pediatric patients].
abstract: OBJECTIVE
  To present our experience in the management of three cases of tracheobronchial iatrogenic injuries and the literature revision about this pathology.
  
  
  METHODS
  We present 3 patients treated in our center with tracehobronchial iatrogenic injuries since 2005.
  
  
  RESULTS
  Case 1. 8 year old boy who present cervical, mediastinal and facial emphysema after foreign body extraction. After 9 days of conservative management without endotracheal intubation all emphysema remited, and the bronchial injury healed. Case 2. 1 month old toddler who presented after cardiovascular surgery and endotracheal tube extraction dyspnea and hypoxia. Fibrobronchoscopy showed subglotic posterior tracheal disrupture. Fifteen-day endotracheal intubation throughout the injury was enough management on this patient. One month later the tracheal injury was completely healed. Case 3. 5 year old girl with tracheobronchial iatrogenic injury after orotracheal intubation who developed neumothorax and subcutaneous emphysema. After fiteen-day conservative management without intubation the injury healed.
  
  
  CONCLUSIONS
  After iatrogenic tracheobronchial injury suspicion there were confirmed by fibrobronchoscopy. Conservative treatment in this patients was successful. Orotracheal intubation prevented air leaking through the tracheal injury allowing complete healing of the trachea. Bronchial injuries healed without needing intubation or mechanical ventilation. Articles reviewed recommend surgical treatment in those cases who had complete or large airway disrupture or in those who were misdiagnosed.
authors.affiliation: Servicio de Cirugía Pediátrica, Hospital Infantil Virgen del Rocío., Sevilla. draspiazu@yahoo.com
authors.forename: D A
authors.initials: DA
authors.lastname: Aspiazu
authors.forename: I
authors.initials: I
authors.lastname: Tuduri
authors.forename: J
authors.initials: J
authors.lastname: Morcillo
authors.forename: V
authors.initials: V
authors.lastname: Jiménez
authors.forename: J A
authors.initials: JA
authors.lastname: Matute
authors.forename: J C
authors.initials: JC
authors.lastname: De Agustín
mesh_terms: D001980:Bronchi / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007223:Infant; D007431:Intraoperative Complications / Q000628:therapy*; D008297:Male; D014132:Trachea / Q000293:injuries*