Tracheobronchial ruptures from blunt thoracic trauma in children

Slimane, M Ait Ali; Baudin, François; Aubert, D.; Bachy, Bruno; Varlet, François; Chavrier, Y; Daoud, S; Frémond, B.; Guys, Jean-Michel; Lagausie, Pascal de; Aigrain, Y; Reinberg, Olivier; Sauvage, P

doi:10.1016/s0022-3468(99)90328-7

Cited by 63 publications

(42 citation statements)

References 15 publications

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“…In the few paediatric retrospective reviews mortality appears lower, although they only take into account admitted cases and not pre hospital deaths. Ait Ali Slimane et al (1999) reported no deaths, Ozdulger et al (2003) reported a mortality of 4.2% in a review of 24 cases, and Hancock and Wiseman (1991) and Grant et al (1998) had no deaths in reviews of five and four patients, respectively.…”

Section: Tracheobronchial Rupturementioning

confidence: 94%

“…Gaebler et al (1996) had an incidence of 0.17% over 10 years, and Fette and Hollwarth (2001) treated only two cases over a 12-year period. Ait Ali Slimane et al (1999) reviewed 16 cases over 26 years from nine different centres, equivalent to less than one case in each every 10 years. He noted two peaks of incidence, 5-to 6-year-olds (boys equal to girls) who are pedestrians in road traffic accidents or involved in a fall, and 12-to 14-year-olds (boys more than girls) involved in motorbike accidents.…”

Section: Tracheobronchial Rupturementioning

confidence: 99%

“…There are five methods of injury form blunt trauma (Dickenson, 1991;Hancock and Wiseman, 1991;Gaebler et al, 1996;Ait Ali Slimane et al, 1999):…”

Section: Tracheobronchial Rupturementioning

confidence: 99%

“…Around 80% of cases are main bronchial lesions (Gaebler et al, 1996;Ait Ali Slimane et al, 1999). They can be transverse or longitudinal (Dickenson, 1991;Gaebler et al, 1996),…”

Section: Tracheobronchial Rupturementioning

confidence: 99%

“…The right bronchus is most frequently damaged (Gaebler et al, 1996;Ait Ali Slimane et al, 1999;Ozdulger et al, 2003). It sits just in front of the spinal column against which it is compressed by blunt or shearing force.…”

Section: Paediatric Chest Trauma 197mentioning

confidence: 99%

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Paediatric chest trauma (part 2) — Hidden Injuries

Kerr

Maconochie

2008

Trauma

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Chest trauma is the second greatest cause of mortality from trauma, a leading cause of death in children over the age of one. Prompt diagnosis can be difficult as the underlying thoracic injuries are often disproportionately severe compared to the visible surface injury and symptoms may not appear for several hours. Diagnosis are easily underestimated, delayed or missed. This is the second of a 2 part article reviewing Paediatric chest trauma and its current management. The injuries are usefully classified into 6 lethal injuries that need excluding in the primary survey and 6 hidden injuries that must be considered in the secondary survey. The 6 lethal injuries are covered in the first part of this article along with biomechanics and mechanisms of injury. This article looks in depth at the 6 hidden injuries, along with a review of chest trauma in non-accidental injury.

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Section: Tracheobronchial Rupturementioning

confidence: 94%

Section: Tracheobronchial Rupturementioning

confidence: 99%

“…There are five methods of injury form blunt trauma (Dickenson, 1991;Hancock and Wiseman, 1991;Gaebler et al, 1996;Ait Ali Slimane et al, 1999):…”

Section: Tracheobronchial Rupturementioning

confidence: 99%

“…Around 80% of cases are main bronchial lesions (Gaebler et al, 1996;Ait Ali Slimane et al, 1999). They can be transverse or longitudinal (Dickenson, 1991;Gaebler et al, 1996),…”

Section: Tracheobronchial Rupturementioning

confidence: 99%

Section: Paediatric Chest Trauma 197mentioning

confidence: 99%

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Paediatric chest trauma (part 2) — Hidden Injuries

Kerr

Maconochie

2008

Trauma

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Iatrogenic tracheal rupture in children: A retrospective study

et al. 2009

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Conservative treatment of spontaneous tracheal rupture

Akyol

Çay

İmamoğlu

et al. 2006

Pediatric Pulmonology

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Spontaneous tracheobronchial ruptures are uncommon injuries, especially in the pediatric age group. Tracheal injuries, independent of their origin, may be life-threatening. Here we present the first report of a 14-year-old boy who presented with subcutaneous emphysema, pneumomediastinum, and pneumothorax on day 3, due to spontaneous posterior tracheal-wall rupture following paroxysmal productive coughing. The diagnosis was established using a computed tomography scan of the chest, and tracheobronchoscopy and esophagoscopy under general anesthesia. He was endotracheally intubated and ventilated in the intensive care unit. Such tracheal defects, bridgeable by an endotracheal tube, may permit conservative treatment. The patient was discharged on day 10, and follow-up revealed no late complications.

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Tracheobronchial ruptures from blunt thoracic trauma in children

Cited by 63 publications

References 15 publications

Paediatric chest trauma (part 2) — Hidden Injuries

Paediatric chest trauma (part 2) — Hidden Injuries

Iatrogenic tracheal rupture in children: A retrospective study

Conservative treatment of spontaneous tracheal rupture

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