{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T16:06:32Z","timestamp":1771430792772,"version":"3.50.1"},"reference-count":10,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T00:00:00Z","timestamp":1750809600000},"content-version":"vor","delay-in-days":24,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Tracheoesophageal injury following blunt cervical trauma is a rarely described condition, especially in young patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Imaging documentation and clinical management of a tracheoesophageal fistula (TEF) associated with significant enlargement of the tracheal lumen occurring in a 16\u2010year\u2010old girl after a road accident was reported.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Due to impaired neurological status, the girl was intubated and underwent a 2\u2010week course of invasive mechanical ventilation. When weaning attempts were made, air leak and tracheal enlargement were noticed, consistent with a wide TEF. Surgical tracheostomy and feeding jejunostomy were performed to promote fistula healing and serial endoscopic evaluations were performed. After 3 months, surgical repair by a vascularized muscular flap allowed to establish esophageal and tracheal continuity, leading to a complete functional recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Posttraumatic TEF is a rare condition in adolescence and it requires a multi\u2010disciplinary approach for diagnosis and treatment. In this case, a multi\u2010step approach was adopted, eventually achieving a complete resolution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71170","type":"journal-article","created":{"date-parts":[[2025,6,25]],"date-time":"2025-06-25T03:55:38Z","timestamp":1750823738000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Posttraumatic Tracheal Ballooning and Tracheoesophageal Window in a 16\u2010Year\u2010Old Girl"],"prefix":"10.1002","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3144-8970","authenticated-orcid":false,"given":"Marco","family":"Piastra","sequence":"first","affiliation":[{"name":"Pediatric Intensive Care Unit and Pediatric Trauma Center Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS Rome Italy"},{"name":"Catholic University Medical School Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7189-5903","authenticated-orcid":false,"given":"Elisa","family":"Meacci","sequence":"additional","affiliation":[{"name":"Thoracic Surgery Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1599-4573","authenticated-orcid":false,"given":"Jacopo","family":"Galli","sequence":"additional","affiliation":[{"name":"Catholic University Medical School Rome Italy"},{"name":"Otolaryngology, Head and Neck Surgery Unit Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1808-0665","authenticated-orcid":false,"given":"Enzo","family":"Picconi","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit and Pediatric Trauma Center Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6240-8464","authenticated-orcid":false,"given":"Tony Christian","family":"Morena","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit and Pediatric Trauma Center Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4395-9356","authenticated-orcid":false,"given":"Vittoria","family":"Ferrari","sequence":"additional","affiliation":[{"name":"Catholic University Medical School Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3037-2556","authenticated-orcid":false,"given":"Daniela","family":"Paioli","sequence":"additional","affiliation":[{"name":"Respiratory Endoscopy Unit, Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8566-9365","authenticated-orcid":false,"given":"Giorgio","family":"Conti","sequence":"additional","affiliation":[{"name":"Pediatric Intensive Care Unit and Pediatric Trauma Center Fondazione Policlinico Universitario \u201cA. Gemelli\u201d IRCCS Rome Italy"},{"name":"Catholic University Medical School Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,6,25]]},"reference":[{"key":"e_1_2_1_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)00964-9"},{"key":"e_1_2_1_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.02.057"},{"key":"e_1_2_1_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpedsurg.2006.07.001"},{"key":"e_1_2_1_7_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198009000-00017"},{"key":"e_1_2_1_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2020.07.026"},{"key":"e_1_2_1_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmcr.2016.02.003"},{"key":"e_1_2_1_7_8_1","unstructured":"P. A.\u2010O.Jaiswal J. E.Yap B. M.Attar Y.Wang andV.KotwalGastrointestinal: Tracheoesophageal Fistula Secondary to Pressure Necrosis From Tracheostomy Tube Balloon Cuff. (1440\u20101746 (Electronic))."},{"key":"e_1_2_1_7_9_1","unstructured":"H. A.\u2010O.Li Z.Li J.Zhao et al. Management of Paediatric Laryngotracheal Trauma. (1748\u20105460 (Electronic))."},{"key":"e_1_2_1_7_10_1","doi-asserted-by":"publisher","DOI":"10.1183\/16000617.0094-2020"},{"key":"e_1_2_1_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2050.2006.00535.x"}],"container-title":["Pediatric Pulmonology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71170","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ppul.71170","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ppul.71170","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,18]],"date-time":"2026-02-18T15:19:20Z","timestamp":1771427960000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ppul.71170"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6]]},"references-count":10,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,6]]}},"alternative-id":["10.1002\/ppul.71170"],"URL":"https:\/\/doi.org\/10.1002\/ppul.71170","archive":["Portico"],"relation":{},"ISSN":["8755-6863","1099-0496"],"issn-type":[{"value":"8755-6863","type":"print"},{"value":"1099-0496","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6]]},"assertion":[{"value":"2025-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e71170"}}