2003
DOI: 10.1007/bf03018150
|View full text |Cite
|
Sign up to set email alerts
|

Management of tracheal trauma

Abstract: I In nc ci id de en nc ce e Blunt injury to the lower airway is uncommon, due to anatomic protection by the mandible and sternum anteriorly, the spinal column posteriorly, and the mobility and the elasticity of the upper airway itself. The larynx or cervical trachea is injured in < 1% of patients admitted to the hospital for blunt trauma. 1 Over a ten-year period, Angood and co-workers reported that only 16 patients with laryngeal injury and four patients with cervical tracheal injury were treated at the Montr… Show more

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...
3
2

Citation Types

0
25
0

Year Published

2008
2008
2023
2023

Publication Types

Select...
7
1

Relationship

0
8

Authors

Journals

citations
Cited by 21 publications
(25 citation statements)
references
References 22 publications
0
25
0
Order By: Relevance
“…Postoperative use of bronchoscopic examination, nasotracheal suction, or forced coughing is important, and the patients should be reassessed by bronchoscope 3 months after repair [18,19]. Tracheal stenosis is Fig.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Postoperative use of bronchoscopic examination, nasotracheal suction, or forced coughing is important, and the patients should be reassessed by bronchoscope 3 months after repair [18,19]. Tracheal stenosis is Fig.…”
Section: Discussionmentioning
confidence: 99%
“…Because it is difficult to ventilate/oxygenate, even after tracheal intubation and mechanical ventilation, and even get worsened [18]. Thus, those who survive the accident were those with upper injuries while those who die at the scene were those with lower injuries [19].…”
Section: Discussionmentioning
confidence: 99%
“…Fractures of the larynx are rare injuries with an incidence rate of one in 30,000 because the larynx is relatively protected by the sternum and the mandible [1-4]. Typically, the massive traumatic impact required to cause laryngeal fracture usually results in additional injuries such as midfacial fractures, fractures of the body of cervical vertebra, and craniocerebral trauma; in addition, the patients commonly develop pneumothorax [2,4,5]. Overall, the patient population shows a high rate of mortality [2,4].…”
Section: Discussionmentioning
confidence: 99%
“…Although rapid sequence endotracheal intubation is frequent in trauma patients in those with airway injury may result disastrous. The pressure over a fractured cricoid may dislocate it enough to completely distort the upper airway, change the view of the physician performing the intubation or even lead to complete airway transection and obstruction [16]. Attempts to blindly overpass an upper airway injury may worsen the laceration and/or create false passage of the tube [36].…”
Section: Airway Management and Bronchoscopymentioning
confidence: 99%
“…Tracheostomy is not routinely performed in airway trauma. It should be done under local anesthesia in patients with significant laryngo-tracheal injuries with complete or pending airway obstruction and when endotracheal intubation is considered unwise and unsafe as in the presence of concomitant craniomaxillofacial injuries [16,45]. Moreover, it should be performed in every patient with TBI after failed attempts for endotracheal intubation [2,46].…”
Section: Airway Management and Bronchoscopymentioning
confidence: 99%