Tracheal injury

Revision as of 17:05, 5 September 2016 by ClaireLewis (talk | contribs) (Clinical Features)

Background

  • Usually occurs at junction of trachea and cricoid cartilage
  • direct trauma to airway is rare due to protection by sternum and mandible
  • Common causes:
    • Motor vehicle accident: extended neck impacts on steering wheel or dashboard
    • "clothes line injury", assaults/strangulation
    • Penetrating trauma (usually stabbings or gunshot wounds)
  • Associated with cervical spine injury, head injury, multisystem trauma

Clinical Features

  • Respiratory distress
  • Hoarseness, dysphonia, cough, stridor, dysphagia
  • Subcutaneous emphysema
  • Cervical ecchymosis
  • Hemoptysis
  • Tracheal deviation or abnormal laryngeal contour

Differential Diagnosis

Thoracic Trauma

Evaluation

Management

Disposition

See Also

External Links

References