Blunt injuries of the cervical trachea: review of 51 patients.

摘要: The low incidence of blunt trauma to the cervical portion trachea limits management experience in most centers. Hence, we combined our patients with those published reports containing essential information on injury, treatment, and results. Among 51 (93% male), ages ranged from 3 65 years. There were 32 complete transections, 15 partial four tears. associated injuries recurrent laryngeal nerve (49%), esophagus (21%), larynx (14%), spine (9%). Presenting signs symptoms included subcutaneous emphysema 84%, respiratory distress 76%, hoarseness/dysphonia 46%, hemoptysis 21%. Tracheostomy was best means airway control; 13 17 (76%) attempted oral/nasotracheal intubations failed, necessitating emergency tracheostomy. Five no minimal tissue injury successfully managed without tracheal repair. Ten had repair only poor result occurred a patient treatment delay several days. Tracheal tracheostomy used 27 patients, good results 19. Two died other injuries, six (four delayed repair) required subsequent reconstruction. Repair over stent seven whom satisfactory From this review conclude that (1) diagnosis requires high index suspicion, since can easily be overlooked; (2) (vs intubation or cricothyroidotomy) is preferred (3) preoperative laryngoscopy/bronchoscopy should done assess vocal cord function, possible damage, level injury; (4) long-term results, measured by voice quality, are obtained immediate significant injuries. Language: en