Penetran Tracheal Injury: A Rakshe Accident
Journal Title: Journal of Ankara University Faculty of Medicine - Year 2019, Vol 72, Issue 1
Abstract
Tracheal injury is a rare pathology, but 30% of all cases can be fatal and 50% of those patients will deteriorate in couple of hours and may lead to death. The course of treatment must be scheduled by clinical status and severity of pathology; conservative approaches can be followed for minor injuries but major injuries must be performed for advanced cases. A 36-years-old male patient was referred to our hospital from an external center after suffering from a traffic accident. On physical examination, on the neck, there was an approximately 8 cm long horizontal incision extending into the left side of the trachea. When the incision in the neck was partially explored, it was seen that the trachea was cut due to trauma to the penetrant. The patient was operated on emergency conditions. The trachea was repaired by suturing using 3-0 polypropylene sutures. The injuries of the thyroid and vena jugularis interna were repaired. The patient was discharged after 2 days of intensive care and 2 days of follow-up. Mortality and morbidity rates of penetrating tracheal injuries higher. Also surprise major artery cuts may also accompany the injury. For this reason, physical examination, radiological findings and bronchoscopy should be performed in early stages for differential diagnosis and should the most appropriate treatment choice prefer for reduce high risks.
Authors and Affiliations
Hüseyin Fatih Sezer, Hakan Dayanır, Mehmet Yavuz Zıraman
Keywords
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- EP ID EP48726
- DOI 10.4274/atfm.galenos.2019.29392
- Views 212
- Downloads 0
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