Complete cricotracheal disruption following blunt trauma to the neck

I. Lin Hsu, Yaou Fong

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

A 35-year-old male patient sustained complete cricotracheal transection with wide separation of the ends following blunt neck trauma. Because of the stable general respiratory condition after endotracheal intubation by the physicians in the emergency room, the pathognomonic signs of severe major airway injury were not recognized, and this caused an unnecessary delay in treatment. A gradually deteriorating respiratory status after extubation of the endotracheal tube indicated a diagnosis of severe cervical tracheal injury. Treatment was performed 5 days after admission. It included primary end-to-end anastomosis of the trachea and a tracheostomy. The patient had an uneventful recovery, and follow-up showed no major late complications. We review this experience and discuss the diagnosis and treatment of such an injury. It is suggested that early diagnosis and treatment of tracheal transection are important in blunt neck trauma cases.

Original languageEnglish
Pages (from-to)220-225
Number of pages6
JournalFormosan Journal of Surgery
Volume36
Issue number5
Publication statusPublished - 2003 Jan 1

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Neck
Wounds and Injuries
Airway Extubation
Intratracheal Intubation
Tracheostomy
Therapeutics
Trachea
Hospital Emergency Service
Early Diagnosis
Physicians

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

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abstract = "A 35-year-old male patient sustained complete cricotracheal transection with wide separation of the ends following blunt neck trauma. Because of the stable general respiratory condition after endotracheal intubation by the physicians in the emergency room, the pathognomonic signs of severe major airway injury were not recognized, and this caused an unnecessary delay in treatment. A gradually deteriorating respiratory status after extubation of the endotracheal tube indicated a diagnosis of severe cervical tracheal injury. Treatment was performed 5 days after admission. It included primary end-to-end anastomosis of the trachea and a tracheostomy. The patient had an uneventful recovery, and follow-up showed no major late complications. We review this experience and discuss the diagnosis and treatment of such an injury. It is suggested that early diagnosis and treatment of tracheal transection are important in blunt neck trauma cases.",
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Complete cricotracheal disruption following blunt trauma to the neck. / Hsu, I. Lin; Fong, Yaou.

In: Formosan Journal of Surgery, Vol. 36, No. 5, 01.01.2003, p. 220-225.

Research output: Contribution to journalReview article

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