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Traumatic cervical tracheal disruption: report of two cases
1Department of Traumatology and Critical Care Medicine, Sapporo Medical University School of Medicine, Japan.
Surgery Today
|January 1, 1996
Summary
Two patients with tracheal disruption, a rare but serious neck injury, underwent successful emergency surgery. Diagnostic imaging and prompt surgical intervention led to good long-term outcomes for these critical cases.
Area of Science:
- Trauma Surgery
- Thoracic Surgery
- Emergency Medicine
Background:
- Tracheal disruption is a rare but life-threatening injury.
- Prompt diagnosis and surgical intervention are crucial for patient survival and recovery.
Observation:
- Two patients presented with severe dyspnea and massive subcutaneous emphysema following neck trauma.
- Diagnostic imaging, including lateral neck X-ray, computed tomography (CT), and fiberscopy, confirmed tracheal disruption.
- Endotracheal intubation was challenging due to bleeding, necessitating emergency tracheostomy in one case.
Findings:
- Both patients underwent successful emergency end-to-end tracheal anastomosis with T-tube insertion.
- Surgical treatment achieved good long-term results for both individuals.
Implications:
- This case series highlights the utility of advanced imaging techniques in diagnosing tracheal disruption.
- Successful surgical management of tracheal disruption can lead to favorable long-term outcomes.
- Emphasizes the importance of timely surgical intervention for traumatic airway injuries.