[Traumatic transection of the left main bronchus and laryngeal fracture resulting from blunt trauma--a successful case of emergency operation].
A 18-year-old female, who had incomplete transection of the left main bronchus and laryngeal fracture, due to blunt trauma, is reported. Chest X-ray on admission showed subcutaneous emphysema extending to the cervical soft tissues and marked pneumomediastinum. Bronchoscopic examination revealed disruption of the left main bronchus, leaving only the membranous portion. An emergency operation was performed 5 hours after the injury. A week later, bronchoscopic reexamination revealed tracheal stenosis just below the vocal cord, due to fracture of the cricoid and thyroid cartilages, which was enlarged to a certain extent by laryngoscopic intervention under cooperation of the laryngologist. The patient's postoperative course was uneventful, and two months later, was well with tracheostomy.
Ogawa
J
J
Minami
T
T
Yamada
S
S
Iwazaki
M
M
Suzuki
I
I
Inoue
H
H
Shohtsu
A
A
D000293:Adolescent; D001980:Bronchi / Q000293:injuries* / Q000601:surgery*; D004630:Emergencies; D005260:Female; D050724:Fractures, Cartilage / Q000601:surgery*; D006801:Humans; D007817:Laryngeal Cartilages / Q000293:injuries*; D014949:Wounds, Nonpenetrating