Injuries of the trachea and bronchi |
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| Authors: | R R Ecker R V Libertini W J Rea W L Sugg W R Webb |
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| Affiliation: | 1. Ophthalmology Department, Prince Mohammed Medical City, AlJouf, Saudi Arabia;2. Vitreoretinal Division, King Khalid Eye Specialist Hospital, Riyadh, Saudi Arabia;3. Department of Genetics, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia;4. Department of Anatomy and Cell Biology, College of Medicine, Alfaisal University, Riyadh, Saudi Arabia;5. Department of Ophthalmology, Clinical Sciences, Skane County University Hospital, University of Lund, Lund, Sweden;1. Department of Surgery, R Adams Cowley Shock Trauma Center, Baltimore, Maryland;1. University of Miami, Miller School of Medicine, Miami, Florida;2. The Heart Institute at Palmetto General Hospital, Hialeah, Florida;3. Division of Cardiac Surgery, The University of British Columbia, Vancouver, Canada;4. Department of Cardiothoracic Surgery, The University of Göteborg, Gothenburg, Sweden;1. Institute of Environmental Medicine, Karolinska Institutet, Biomedicum 5B, Solnavägen 9, SE-171 65, Stockholm, Sweden;2. Centre for Allergy Research, Karolinska Institutet, Biomedicum 5B, Solnavägen 9, SE-171 65, Stockholm, Sweden;3. Division of Physiological Chemistry 2, Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Biomedicum 9A, Solnavägen 9, SE-171 65, Stockholm, Sweden;1. Department of Vascular and Endovascular Surgery, University Hospital Salzburg, Austria;2. Research Office (Biostatistics), Paracelsus Medical University Salzburg, Austria;1. Division of Vascular Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH;2. Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, Minn;3. Section of Vascular Surgery, University of Utah Health Sciences, Salt Lake City, Utah;4. Division of Vascular Surgery, Emory University School of Medicine, Atlanta, Ga;5. Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Boston, Mass |
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| Abstract: | There were 105 injuries of the trachea and bronchi in Dallas County over the ten-year period 1958 through 1967. Twenty-four patients were alive (AOA) and 81 were dead (DOA) on admission. Survival to reach the hospital was related to age, wounding agent, site and severity of injury, and major associated injuries, particularly cardiovascular. Diagnosis in AOA patients could be suspected on the basis of symptoms and was confirmed by bronchoscopy. Definitive treatment included primary suture in 17 patients and tracheostomy alone in 4. Of the 21 patients with injuries to the trachea, 18 did well. Poor results were related to associated injuries or inadequate treatment. The 3 patients with bronchial injuries were treated by primary suture. One patient died of late stricture. Although most tracheal and bronchial injuries are associated with other fatal injuries, the prognosis in those patients who arrive alive is good. Immediate primary closure of the wound offers the best chance for a good result. |
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