Citation

Mener DJ, Stewart FD, Tunkel DE. Int. J. Pediatr. Otorhinolaryngol. 2017; 96: 100-102.

Affiliation

Department of Otolaryngology - Head & Neck Surgery, Division of Pediatric Otolaryngology, The Johns Hopkins University School of Medicine, Baltimore, MD, United States. Electronic address: dtunkel@jhmi.edu.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.ijporl.2017.03.010

PMID

28390594

Abstract

We describe the management of posterior trachea tears after blunt neck trauma in two children. The first, a 5 year-old boy who fell off his scooter, causing a 1.0cm tear in the membranous cervical trachea, was managed conservatively with 5 days of intubation. The second, a 12 year-old girl who fell on her bicycle, causing a 4.0cm tear in the membranous thoracic trachea, was repaired with thoracoscopic techniques. The presumed mechanism may be expansion of the U-shaped cartilage with tear of the membranous trachea. The size, location, and severity of symptoms dictate the decision about primary repair versus conservative management.

Copyright © 2017 Elsevier B.V. All rights reserved.

Language: en

Keywords

Blunt neck trauma; Pneumothorax; Tracheal tear