Experience of Emergency Cervical Tracheal Repair after Non-Iatrogenic Injury

Authors

  • Yasser Shaban Mubarak, MD Minia University, Egypt
  • Mohamed Abdel Bary, MD South Valley University, Egypt

DOI:

https://doi.org/10.1532/hsf.3349

Keywords:

Trachea Injury, Airway Trauma, Tracheal Rupture, Intubation, Subcutaneous Emphysema, Cervical Trachea Repair

Abstract

Background: Non-iatrogenic cervical tracheal injury is very rare and challenging for emergency critical care, early diagnosis, and immediate repair. So, emergency repair after early definitive diagnosis is the mainstay to avoid mortality and morbidity.

Methods: A retrospective, observational, cohort study is undertaken with collected data on 50 patients with emergency cervical tracheal repair after non-iatrogenic injury between January 2011 to January 2020 at our accident and emergency department in Minia and South Valley Universities.

Results: The non-iatrogenic injury of the cervical trachea is more common in adult males (98%), and blunt trauma (70%) is the predominant type of injury. Subcutaneous emphysema (SE) is the most common presentation (99%). There are associated comorbidities like vascular (4%), maxillofacial (6%), head injury (2%), and esophageal tear (8%). Successful intubation is lifesaving, and early diagnosis and repair avoid complications.

Conclusions: Early diagnosis is a cornerstone for the successful management of cervical tracheal injury, in which successful intubation is a mainstay to reduce mortality. Emergency surgical repair reduces mortality and complications.

References

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Published

2021-01-13

How to Cite

Mubarak, Y., & Bary, M. A. (2021). Experience of Emergency Cervical Tracheal Repair after Non-Iatrogenic Injury. The Heart Surgery Forum, 24(1), E001-E003. https://doi.org/10.1532/hsf.3349

Issue

Section

Articles