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Full-thickness tracheal laceration managed conservatively: a case report.
Nikita Arora1, Maude Rancourt2, Mahesh Nagappa3
1Division of Thoracic Surgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.
Journal of Medical Case Reports
|September 30, 2025
Summary
Tracheobronchial injuries, rare intubation complications, can be managed nonoperatively. This case shows successful conservative treatment for a grade IIIA injury, suggesting suitability for stable patients.
Area of Science:
- Medicine
- Pulmonology
- Critical Care
Background:
- Tracheobronchial injuries are rare but serious complications following intubation.
- These injuries are often overlooked due to the need for high clinical suspicion.
- While surgery is traditional, nonoperative management is emerging for low-risk cases.
Purpose of the Study:
- To present a case of successful nonoperative management of a tracheobronchial injury.
- To highlight criteria for selecting patients suitable for conservative treatment.
- To challenge the conventional surgical approach for select tracheobronchial injuries.
Main Methods:
- A case report of a 56-year-old female with a grade IIIA tracheobronchial injury.
- Treatment involved conservative management with an endotracheal tube and medical therapy.
- Patient stability was a key factor in treatment selection.
Main Results:
- Successful conservative treatment of a grade IIIA tracheobronchial injury.
- Demonstration that nonoperative management can be effective in select cases.
- Confirmation of clinical stability as a criterion for conservative management.
Conclusions:
- Nonoperative management is a viable option for specific tracheobronchial injuries.
- Conservative measures can be effective, challenging the necessity of surgery in all cases.
- Careful patient selection based on clinical stability is crucial for successful nonoperative outcomes.
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