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Pediatric tracheal trauma
Affiliation:1. Division of Pediatric General and Thoracic Surgery, Children''s Mercy Hospital, Kansas City, MO, United States;2. Division of Paediatric Surgery, University of Cape Town, Cape Town, South Africa;3. Division of Pediatric Surgery, University of North Carolina, Chapel Hill, NC, United States;1. Department of Pediatric Surgery and Pediatric Urology, University Children´s Hospital Tuebingen, Tuebingen, Germany;2. Department of Radiation Oncology, University Hospital Tuebingen, Tuebingen, Germany;3. Department of Radiotherapy and Radiation Oncology, University Hospital, Homburg, Germany;4. Department of Particle Therapy, West German Proton Therapy Centre, University Hospital Essen, Essen, Germany;1. Cincinnati Children''s Hospital Medical Center, Department of Pediatric Otolaryngology, Head and Neck Surgery, United States;2. University of Cincinnati, Department of Otolaryngology, Head and Neck Surgery, United States
Abstract:Tracheal trauma is an uncommon but potentially serious cause of airway injury in children. Presentation may be acute in cases of blunt or penetrating trauma, or delayed in cases of chronic irritation or indwelling endotracheal tubes. Symptoms include dyspnea, progressive respiratory distress, neck and chest swelling and ecchymosis, and dysphonia. Workup is pursued as allowed by the patient's clinical status and may include plain radiography, computed tomography, and endoscopy. Accuracy and efficiency of diagnosis is paramount for those at risk of rapid decompensation. Treatment may include observation, elective and strategic intubation, or primary surgical repair.
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