Traumatic avulsion of the trachea associated with cricoid fracture.
A 15-year-old girl sustained a cricoid fracture, avulsion of the trachea, and bilateral cord paralysis in a automobile injury. An airway was established by intubation, and primary repair was performed on the day of injury. A postoperative stricture was successfully managed by endoscopic dilatation and injection of triamcinolone into the stricture. Function of one vocal cord appears to be returning 6 months after the injury, and the patient is leading an active life.
D000293:Adolescent; D001999:Bronchoscopy; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D050724:Fractures, Cartilage / Q000150:complications*; D006685:Hoarseness / Q000209:etiology; D006801:Humans; D007817:Laryngeal Cartilages / Q000293:injuries*; D014132:Trachea / Q000293:injuries*; D014826:Vocal Cord Paralysis / Q000209:etiology*