laryngotracheal and tracheobronchial injuries are uncommon, and their successful diagnosis and management often require a high level of expertise. this paper aimed at retrospective analysis of a thoracic surgeon's experience in the diagnosis and management of traumatic injuries to the larynx, trachea and major bronchi. forty one patients with major airway trauma were managed from march 1994 to ...

BACKGROUND A severe blunt injury to the chest might cause rupture of the tracheobronchial tree. A certain time following the management of the injury, stenosis of the bronchi may develop at the site of the rupture. CASE REPORT We reported a patient injured in a traffic accident. The injury was followed by the signs of pneumothorax, bleeding, and respiratory insufficiency. After the management...

INTRODUCTION A tracheobronchial foreign body is a rarely mentioned cause of massive hemoptysis. Although an aspirated toothpick is a well-known cause of traumatic injury to the respiratory tract, a similar device called a dental floss pick, which is much larger than a toothpick, has never been described as a tracheobronchial foreign body. CASE PRESENTATION We report a case of massive hemoptys...

Tracheobronchial injuries are uncommon, occurring in less than 1% of all patients following injury. However, the incidence is higher in specific subsets, notably up to 8% following penetrating neck injury and up to 2% following high energy blunt chest and/ or focal cervical injury. In the majority of cases tracheobronchial injury presents as immediately life threatening injuries, but in up to 1...

Tracheobronchial rupture due to blunt chest trauma is a rare but life-threatening injury among children. The severity of this condition ranges from death before hospital admission to clinical stability resulting in delayed management. Diagnosis is difficult because there is sometimes no evidence of external trauma, in spite of severe chest crush injury and consecutive rupture of airways. Here, ...

Apoptotic cell death has been considered an underlying mechanism in acute lung injury. To evaluate the evidence of this process, apoptosis rate was determined in effector cells (alveolar macrophages, neutrophils) and target cells (tracheobronchial and alveolar epithelial cells) of the respiratory compartment upon exposure to hypoxia and endotoxin stimulation in vitro. Cells were exposed to 5% o...

BACKGROUND To evaluate the early and long-term outcomes of acute tracheobronchial injuries (TBI). METHODS Twelve patients (10 males, 2 females; mean age 28; range 10 to 65 years) diagnosed as tracheobronchial injury and managed during between December 1997 and December 2004 were evaluated retrospectively. Clinical presentation, diagnostic evaluation, associated traumas, surgical management an...

Tracheobronchial ruptures (TBR) rarely complicate surgical procedures under general anesthesia. Seemingly uneventful intubations can result in injury to the trachea, which often manifests as hemoptysis and subcutaneous emphysema. We present 2 patients with postintubation TBR who were treated surgically and discuss considerations in the management of this potentially lethal injury.

STUDY OBJECTIVES To review the etiology and pathophysiology of pneumomediastinum in severe blunt trauma, with a special interest in one of its possible origins, the Macklin effect. The Macklin effect relates to a three-step pathophysiologic process: blunt traumatic alveolar ruptures, air dissection along bronchovascular sheaths, and spreading of this blunt pulmonary interstitial emphysema into ...