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Complete cricotracheal transection due to blunt neck trauma without significant symptoms

Laryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patients symptoms and physical signs do not necessarily correlate with the severi...

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Autores principales: Ershadi, Reza, Hajipour, Asghar, Vakili, Mohamadrahim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5499895/
https://www.ncbi.nlm.nih.gov/pubmed/28698792
http://dx.doi.org/10.1093/jscr/rjx111
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author Ershadi, Reza
Hajipour, Asghar
Vakili, Mohamadrahim
author_facet Ershadi, Reza
Hajipour, Asghar
Vakili, Mohamadrahim
author_sort Ershadi, Reza
collection PubMed
description Laryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patients symptoms and physical signs do not necessarily correlate with the severity of the injuries and this case report highlights it. This is a case report of 25-year-old man who arrived to the emergency department 8 h after a motor accident in which a rope was wrapped around his neck. Because of the good general and respiratory condition of the patient on admission, the pathognomonic signs of laryngeal injury were not noticed. A computed tomographic scan showed distortion of cricotracheal framework. Flexible bronchoscopy showed cricotracheal transaction. Immediately, the endotracheal tube was advanced distal to the transection site under bronchoscopic guide and then after neck exploration primary end-to-end cricotracheal anastomosis was performed.
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spelling pubmed-54998952017-07-11 Complete cricotracheal transection due to blunt neck trauma without significant symptoms Ershadi, Reza Hajipour, Asghar Vakili, Mohamadrahim J Surg Case Rep Case Report Laryngotracheal injuries are relatively rare but their mortality rate is fairly high. Complete disruption of trachea is extremely rare and a systematic approach is needed for early diagnosis and favourable outcome. The patients symptoms and physical signs do not necessarily correlate with the severity of the injuries and this case report highlights it. This is a case report of 25-year-old man who arrived to the emergency department 8 h after a motor accident in which a rope was wrapped around his neck. Because of the good general and respiratory condition of the patient on admission, the pathognomonic signs of laryngeal injury were not noticed. A computed tomographic scan showed distortion of cricotracheal framework. Flexible bronchoscopy showed cricotracheal transaction. Immediately, the endotracheal tube was advanced distal to the transection site under bronchoscopic guide and then after neck exploration primary end-to-end cricotracheal anastomosis was performed. Oxford University Press 2017-06-20 /pmc/articles/PMC5499895/ /pubmed/28698792 http://dx.doi.org/10.1093/jscr/rjx111 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2017. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Report
Ershadi, Reza
Hajipour, Asghar
Vakili, Mohamadrahim
Complete cricotracheal transection due to blunt neck trauma without significant symptoms
title Complete cricotracheal transection due to blunt neck trauma without significant symptoms
title_full Complete cricotracheal transection due to blunt neck trauma without significant symptoms
title_fullStr Complete cricotracheal transection due to blunt neck trauma without significant symptoms
title_full_unstemmed Complete cricotracheal transection due to blunt neck trauma without significant symptoms
title_short Complete cricotracheal transection due to blunt neck trauma without significant symptoms
title_sort complete cricotracheal transection due to blunt neck trauma without significant symptoms
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5499895/
https://www.ncbi.nlm.nih.gov/pubmed/28698792
http://dx.doi.org/10.1093/jscr/rjx111
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