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Korean J Thorac Cardiovasc Surg 2007; 40(1): 79-81

Published online January 5, 2007

Copyright © Journal of Chest Surgery.

Complete Transsection of the Trachea by Blunt Trauma

Dae Hwan Kim, M.D.*, Byung Ha Yoo, M.D.*, Han Yong Kim, M.D.*, Sang-Won Hwang, M.D.*

Department of Thoracic and Cardiovascular Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Tracheobronchial rupture due to blunt chest trauma is an uncommon injury although the incidence is increasing. Early diagnosis and primary repair of tracheobronchial rupture not only restore a normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We present one case of the tracheal transsection caused by traffic accident. Patient suffered from progressive dyspnea, subcutaneous emphysema on the neck and anterior chest wall and tension pneumothorax at both sides were noted. Although both closed thoracostomy were done, massive air leakage through the chest tube continued and subcutaneous emphysema spread to the anterior abdominal wall and scrotum and the degree of dyspnea aggravated. With the impression of tracheobronchial injury, we performed the emergency operation. Preoperative bronchoscopy at the operation room was proceeded, which revealed the trachea was near totally transsected in transverse direction. Operation was performed through collar incision on the anterior neck, and the trachea was anastomosed with 4-0 Vicryl interruptedly. Postoperative course were uneventful and patient discharged without any complications. (Korean J Thorac Cardiovasc Surg 2007;40:79-82)

Keywords: 1. Tracheal injury, 2. Blunt trauma

Article

Case Report

Korean J Thorac Cardiovasc Surg 2007; 40(1): 79-81

Published online January 5, 2007

Copyright © Journal of Chest Surgery.

Complete Transsection of the Trachea by Blunt Trauma

Dae Hwan Kim, M.D.*, Byung Ha Yoo, M.D.*, Han Yong Kim, M.D.*, Sang-Won Hwang, M.D.*

Department of Thoracic and Cardiovascular Surgery, Masan Samsung Hospital, Sungkyunkwan University School of Medicine

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Tracheobronchial rupture due to blunt chest trauma is an uncommon injury although the incidence is increasing. Early diagnosis and primary repair of tracheobronchial rupture not only restore a normal lung function but also avoid the difficulties and complications associated with delayed diagnosis and repair. We present one case of the tracheal transsection caused by traffic accident. Patient suffered from progressive dyspnea, subcutaneous emphysema on the neck and anterior chest wall and tension pneumothorax at both sides were noted. Although both closed thoracostomy were done, massive air leakage through the chest tube continued and subcutaneous emphysema spread to the anterior abdominal wall and scrotum and the degree of dyspnea aggravated. With the impression of tracheobronchial injury, we performed the emergency operation. Preoperative bronchoscopy at the operation room was proceeded, which revealed the trachea was near totally transsected in transverse direction. Operation was performed through collar incision on the anterior neck, and the trachea was anastomosed with 4-0 Vicryl interruptedly. Postoperative course were uneventful and patient discharged without any complications. (Korean J Thorac Cardiovasc Surg 2007;40:79-82)

Keywords: 1. Tracheal injury, 2. Blunt trauma

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