Fallbericht zum traumatischen Totalabriss der Trachea vom Kehlkopf mit positivem Ausgang

HISTORY: A 21-year-old female was injured by accidental strangulation. Dyspnea and stridor occurred with delay, and led to emergency intubation. FINDINGS: Physical examination showed strangulation marks and neck emphysema. Computed tomography confirmed laryngotracheal separation and revealed misplac...

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Detalles Bibliográficos
Autores principales: Kisser, Ulrich, Pabst, Friedemann, Bartel, Sylva, Schramm, Dominik, Glien, Alexander, Plontke, Stefan K., Ebert, Daniel, Wittlinger, Jan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Medizin 2022
Materias:
Kasuistiken
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9512726/
https://www.ncbi.nlm.nih.gov/pubmed/35362726
http://dx.doi.org/10.1007/s00106-022-01159-9
Descripción
Sumario:HISTORY: A 21-year-old female was injured by accidental strangulation. Dyspnea and stridor occurred with delay, and led to emergency intubation. FINDINGS: Physical examination showed strangulation marks and neck emphysema. Computed tomography confirmed laryngotracheal separation and revealed misplacement of the ventilation tube. DIAGNOSIS: Further surgical exploration revealed complete laryngotracheal (cricotracheal) separation. TREATMENT: After initial emergency tracheotomy, cricotracheal reanastomosis was achieved by a two-stage surgical approach. CONCLUSION: Laryngotracheal separation is associated with high mortality. In the case presented herein, the patient survived and was discharged from hospital without a tracheostomy tube despite bilateral recurrent laryngeal nerve palsy.

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