Clinical features and management of closed injury of the cervical trachea due to blunt trauma

Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

Cheng Kang¹  Shijie Qiu²  Yuyuan Zhang²  Zhisen Shen²  Dong Ye² 

[1] Ningbo University School of Medicine, Ningbo 315211, China;Department of Otorhinolaryngology-Head and Neck Surgery, Lihuili Hospital of Ningbo University, Ningbo 315040, China

关键词: Repair;    Tracheotomy;    Management;    Diagnosis;    Tracheal disruption;   

Others  :  810845
DOI  :  10.1186/1757-7241-21-60

 received in 2012-12-29, accepted in 2013-08-05,  发布年份 2013

【 摘 要 】

Background

We retrospectively reviewed the presentation, diagnosis, treatment, and outcomes of patients with closed injury of the cervical trachea. We evaluated factors that improve diagnosis and treatment, reduce mortality, and avoid tracheal stenosis.

Methods

We reviewed the clinical data of 17 patients with closed injury of the cervical trachea. All patients underwent CT scanning or endoscopy, tracheal exploration, low tracheotomy, and tracheal repair.

Results

In 12 patients, breathing, phonation, and swallowing functions had returned to normal at 2 weeks. In three patients, breathing and swallowing functions had recovered at 2 weeks, but hoarseness continued. In two patients, tracheal stenosis prevented extubation and required further surgery; in these patients breathing and swallowing functions had recovered at 6 months.

Conclusions

Closed injury of the cervical trachea may cause airway obstruction and is potentially life-threatening. Early diagnosis and repair to restore structure and function are important to ensure survival and avoid tracheal stenosis.

【 授权许可】

   
2013 Ye et al.; licensee BioMed Central Ltd.

【 图 表 】

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