Novosti Khirurgii. 2014 Jul-Aug; Vol 22 (4): 488-491
Novosti Khirurgii. Vol 22 (4): 488-491
Tracheal injuries are uncommon but potentially
fatal, while the incidence of tracheobronchial
injury is reported to involve in 4% of all cases of
thoracic trauma . Postoperative mortality rate
is reported to be up to 59% of cases after tracheobronchial
rupture in motor vehicle accidents
(MVA), but these patients often have associated
with multi-organ trauma [2, 3]. Despite on the
rarity, tracheobronchial damages can always be
found behind closed chest trauma and can sometimes
be detected with a high degree of suspicion.
Its treatment should start early, solve airway and
respiratory problems and avoid mediastinitis using
antibiotic cover .
Blunt cervical trauma is not commonly a single
organ trauma, and it is generally associated with
other injuries to associated surrounding anatomical
structures such as bone, muscle or neurovascular
bundle, due to the mechanism of injury, force and
angle, as well as the status of tissues (age of the patient).
Tracheal injury can be found associated to
closed blunt thoracic trauma, and can be present
as damage to the tracheobronchial tree damages
above and below the carina. Such injuries are a
challenge in diagnostics and treatment to emergency
physician, trauma surgeon or anesthetists.
In this article we present one of the rare cases
with blunt damage to the pediatric trachea, and
describe treatment strategies in the management
of blunt injuries of the cervical trachea at its level.
We are convinced that this demonstration is as
rare as it is interesting to the interested reader and
will serve to deal with this type of trauma, and
highlight the potential problems it carries with its´