Reports in the literature are limited in evaluating the complications of penetrating laryngotracheal injuries
Mario López, Stella Martinez and Carlos Carvajal,
J Cardiothoracic Trauma 2022;7:10-14.
I was listening to Milton Nascimento
and, at the same time, contemplating a dense scientific article written by a
group of surgeons from Bogotá. The melody was instrumental, but inevitably the
lyrics levitate slowly and pass through the clear light of the relationship
with what is read: “Certain songs that I hear fit so deep inside me, that I
need to ask how I didn’t do it?” And I kept admiring that article that freed me
from the lost ideas in my thoughts.
The more I read, the more I felt like
a liar, thinking I had written that article. What audacity (or schizophrenic
outbreak)! In my conjectures, there is a sore point that emergency surgeons
tend not to discuss: the follow-up and the risk of late complications in
patients with neck and airway injuries. So, I need to say how I didn't write
this article. How did I not write that thought?
Gathering the pieces of the floor,
it's no longer time to regret. It's time to transform the ideas into a
scientific article and disseminate it to the world, with the database we have.
Our number of cases (in six years) is greater than those in the Colombian
article published in The Journal of Cardiothoracic Trauma - a new journal whose
editors are the legendary Kenneth Mattox, the renowned Demetrios Demetriades and the paladin Moheb
Rashid. I sent an e-mail to editors and Rashid, one of those surgeons who is
passionate about the trenches of trauma - as I once was - who does his best for
this journal, answered me. The article is called “Factors
Associated with Early Complications of Surgical Management due to Penetrating
Laryngotracheal Trauma in Colombia”, by Mario López, Stella Martínez and
Carlos Carvajal. Stella is well known among Brazilians in the area of thoracic
surgical oncology, but, from about what I have read, she also shares her
knowledge in the field of trauma.
The work will serve as a pillar for
ours, in the statistical analysis phase, in which it evaluates, by rigid endoscopy (videolaryngotracheoscopy),
the long-term behavior (at least three months), the patients who were admitted
to the emergency room, after trauma to the larynx and trachea.
As every job always leaves a room for
the next one, a kind of call, the airways group at the Galileu hospital
(SUS/SESPA/Government of Pará) dares to propose an answer to the queries of the
Colombian job, which confesses: it is important to highlight that the
limitations of this study are related to its retrospective design, a small
number of patients in a single center, and a short follow-up time. Despite
this, this study is one of the first to describe the factors associated with
early complications of penetrating laryngotracheal trauma in the literature, the factors associated with early
complications of penetrating laryngotracheal trauma.
Now it's a matter of waiting for
Mattox, Demetriades and Rashid, from The Journal of Cardiothoracic Trauma, to
accept our proposal to answer the questions of the Colombian group. Such
acceptance may represent what I usually call the positive entropy of the
scientific universe, that is, Milton Nascimento and Tunai, the Brazilian
authors are happy to say that, the heat of reading “invades,
burns, and encourages”.
Prof . Roger Normando, MD
Thoracic Surgery – Hospital Universitário Barros Barreto - Universidade Federal do Pará - Brazil
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