Complete cervical tracheal rupture in children after closed trauma.
The authors report the case of a 5-year-old boy who received a blow from a heavy metallic bar on the front of the neck and presented with a complete rupture of the cervical trachea. Such a rupture is exceptional in children because of the consistency of the cartilage but can occur when the neck is in extension and the glottis is closed. A rigid endoscopy allowed the rupture to be diagnosed, to restore the airway, to prepare the cervicotomy, and the suturing of the trachea. He presented with a stenosis 50 days after the suturing which was treated by dilatation.
Feat
Stephane
S
Department of Oto-Rhino-Laryngology, Head and Neck Surgery, Rennes University Hospital, Cedex, France.
Le Clech
Guy
G
Riffaud
Laurent
L
Godey
Benoit
B
D000658:Amoxicillin / Q000008:administration & dosage; D000714:Anastomosis, Surgical / Q000009:adverse effects; D001999:Bronchoscopy; D002675:Child, Preschool; D019818:Clavulanic Acid / Q000008:administration & dosage; D005500:Follow-Up Studies; D006801:Humans; D007442:Intubation, Intratracheal; D007828:Laryngoscopy; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D012421:Rupture / Q000175:diagnosis / Q000628:therapy; D014132:Trachea / Q000293:injuries*; D014135:Tracheal Stenosis / Q000209:etiology / Q000628:therapy; D014949:Wounds, Nonpenetrating / Q000628:therapy*
D019818:Clavulanic Acid; D000658:Amoxicillin; D008775:Methylprednisolone