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Transection of cervical trachea following blunt trauma

Published online by Cambridge University Press:  29 June 2007

A. Hosny ,
S. Bhendwal  and
A. Hosni
A. Hosny*
Affiliation:
Department of Otolaryngology, West Hill Hospital, Dartford, Kent, UK.
S. Bhendwal
Affiliation:
Department of Otolaryngology, West Hill Hospital, Dartford, Kent, UK.
A. Hosni
Affiliation:
Department of Otolaryngology, West Hill Hospital, Dartford, Kent, UK.
*
Address for correspondence: Mr. A. Hosny, ENT Department, West Hill Hospital, Dartford, Kent DAI 2HF
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Abstract

Laryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of the trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patient's symptoms and physical signs do not necessarily correlate with the severity of the injury as this case report highlights. X-rays, CT scans, barium swallows and endoscopies are recommended for evaluation of such injuries. However, direct laryngoscopy and fibre optic bronchoscopy are the most accurate.

Keywords

Wounds and injuriesTracheaAccidents, traffic
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 109 , Issue 3 , March 1995 , pp. 250 - 251
Copyright
Copyright © JLO (1984) Limited 1995

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References

Cicala, R. S., Kudsk, K. A., Butts, A., Nguyen, H., Fabian, T. C. (1991) Initial evaluation and management of upper airway injuries in trauma patients. Journal of Clinical Anaesthesia 3: 91–98.CrossRefGoogle ScholarPubMed
Ecker, R. R., Libertini, R. V., Rea, W. J., Sugg, W. L., Webb, W. R. (1971) Injuries of the trachea and bronchi. Annals of Thoracic Surgery 11: 289–298.CrossRefGoogle ScholarPubMed
Flynn, A. E., Thomas, A. N., Schecter, W. P. (1989) Acute tracheobronchial injury. Journal of Trauma 29: 1326–1330.Google Scholar
Gussack, G. S., Jurkovich, G. J., Lutherman, A. (1986) Laryngotracheal trauma: a protocol approach to a rare njury. Laryngoscope 96: 660–665.Google Scholar
Kelly, J. P., Webb, W. R., Moulder, P. V., Everson, C., Burch, B. H., Lindsey, E. S. (1985) Management of airway trauma. 1: Tracheobronchial injuries. Annals of Thoracic Surgery 40: 551–555.CrossRefGoogle Scholar
Mace, S. E. (1986) Blunt laryngotracheal trauma. Annals of Emergency Medicine 15: 836–842.CrossRefGoogle ScholarPubMed
Major, C. P., Floresguerra, C. A., Messerschmidt, W. H., Lewis, J. V. (1992) Traumatic disruption of the cervical trachea. Journal of the Tennessee Medical Association 85: 517–518.Google ScholarPubMed
Mathisen, D. J., Grillo, H. (1987) Laryngotracheal trauma. Annals of Thoracic Surgery 43: 254–262.Google Scholar
Minard, G., Kudsk, K. A., Croce, M. A., Butts, J. A., Cicala, R. S., Fabian, T. C. (1992) Laryngotracheal trauma. American Surgeon 58: 181–187.Google Scholar
Reddin, A., Stuart, M. E., Diaconis, J. N. (1987) Rupture of the cervical oesophagus and trachea associated with cervical spine fracture. Journal of Trauma 27: 564–566.Google Scholar
Trone, T. H., Schaefer, S. D., Carder, H. M. (1980) Blunt and penetrating laryngeal trauma: a 13-year review. Otolaryngology–Head and Neck Surgery 88: 257–261.CrossRefGoogle ScholarPubMed