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Published on: February 26, 2017
Complete cervical tracheal rupture in children after closed trauma
Stephane Feat1, Guy Le Clech, Laurent Riffaud
1Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Rennes University Hospital, Cedex, France.
Journal of Pediatric Surgery
|October 31, 2002
Summary
A rare pediatric cervical trachea rupture occurred after neck trauma. Surgical repair and subsequent dilatation successfully treated the airway injury and resulting stenosis.
Area of Science:
- Pediatric Traumatology
- Otolaryngology
- Surgical Innovation
Background:
- Cervical trachea rupture is exceptionally rare in children due to cartilage resilience.
- Traumatic neck injuries, especially with hyperextension and glottic closure, can lead to tracheal transection.
Observation:
- A 5-year-old boy sustained a complete cervical trachea rupture from a direct blow with a metallic bar.
- Initial management involved rigid endoscopy for diagnosis, airway stabilization, and surgical planning.
Findings:
- Surgical repair (cervicotomy and suturing) was successfully performed to restore tracheal integrity.
- Post-operative cervical trachea stenosis developed 50 days after initial repair.
- Dilatation effectively treated the tracheal stenosis, restoring normal airway function.
Implications:
- This case highlights the possibility of pediatric tracheal rupture despite cartilage consistency.
- Effective management strategies include prompt diagnosis via endoscopy and surgical repair.
- Endoscopic dilatation offers a viable treatment for post-traumatic tracheal stenosis in children.
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