Case reportSuccessful Repair of a Subtotal Rupture of Distal Tracheobronchial Tree With Complete Abridgment of the Right Bronchus in a 4-Year-Old Child
Section snippets
Comment
We report here on the management of a traumatic dissection of the right main bronchus and subtotal rupture of the tracheal bifurcation in a child. Tracheobronchial ruptures describe any injury between the cricoid cartilage and the bronchioli. Their cause includes iatrogenic mechanisms, blunt chest trauma, penetrating wounds, avulsion, and explosive injuries. Frequency in children is difficult to assess. In the more recent literature the incidence varies between 0.7% and 2.8%. The male-female
References (6)
- et al.
Tracheobronchial rupture by blunt thoracic trauma in children
J Pediatr Surg
(1999) - et al.
A review of 24 patients with bronchial ruptures: is delay in diagnosis more common in children?
Eur J Cardiothorac Surg
(2003) - et al.
Tracheobronchial injury by blunt trauma in children: is emergency tracheobronchoscopy always necessary?
Eur J Pediatr Surg
(2003)
Cited by (9)
Pedicled pericardial patch in tracheal reconstruction in children – Novel technique to provide vascularized tissue for salvaging difficult airways
2024, International Journal of Pediatric OtorhinolaryngologyPediatric tracheal injuries: Report on 5 cases with special view on the role of bronchoscopy and management
2021, InjuryCitation Excerpt :The main indication for surgery were persistent air leak from the chest tube and associated respiratory failure or shock. Progressing subcutaneous emphysema may also occur [18,24,20,11]. Bronchoscopy is recommended for early diagnosis and treatment, despite the possibility of misdiagnosis.
Management of Chest Trauma in Children
2013, Paediatric Respiratory ReviewsCitation Excerpt :This procedure is not always necessary.26 When the airway is severed, surgical repair by suture/anastomosis7,27–30 or segmental or lobar resection may be necessary. A multi-centre study from nine French hospitals over 26 years collected 16 cases of blunt airway injuries in children, of which half were tracheal and half bronchial.
Chest trauma in children—what an anesthesiologist should know
2022, Paediatric AnaesthesiaIntrathoracic bronchial intubation: A feasible option to manage life-threatening hypoxia in a neonate
2016, Journal of Anaesthesiology Clinical Pharmacology