title: Clinical features and management of closed injury of the cervical trachea due to blunt trauma.
abstract: BACKGROUND
  We retrospectively reviewed the presentation, diagnosis, treatment, and outcomes of patients with closed injury of the cervical trachea. We evaluated factors that improve diagnosis and treatment, reduce mortality, and avoid tracheal stenosis.
  
  
  METHODS
  We reviewed the clinical data of 17 patients with closed injury of the cervical trachea. All patients underwent CT scanning or endoscopy, tracheal exploration, low tracheotomy, and tracheal repair.
  
  
  RESULTS
  In 12 patients, breathing, phonation, and swallowing functions had returned to normal at 2 weeks. In three patients, breathing and swallowing functions had recovered at 2 weeks, but hoarseness continued. In two patients, tracheal stenosis prevented extubation and required further surgery; in these patients breathing and swallowing functions had recovered at 6 months.
  
  
  CONCLUSIONS
  Closed injury of the cervical trachea may cause airway obstruction and is potentially life-threatening. Early diagnosis and repair to restore structure and function are important to ensure survival and avoid tracheal stenosis.
authors.forename: Dong
authors.initials: D
authors.lastname: Ye
authors.forename: Zhisen
authors.initials: Z
authors.lastname: Shen
authors.forename: Yuyuan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Shijie
authors.initials: S
authors.lastname: Qiu
authors.forename: Cheng
authors.initials: C
authors.lastname: Kang
mesh_terms: D000328:Adult; D000402:Airway Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D004724:Endoscopy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D012421:Rupture; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000293:injuries* / Q000601:surgery; D014140:Tracheotomy / Q000379:methods*; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D055815:Young Adult
references.citation: Anesthesiol Clin North Am. 2002 Dec;20(4):953-69
references.pmid: 12512271
references.citation: Thorac Surg Clin. 2007 Feb;17(1):35-46
references.pmid: 17650695
references.citation: Am J Emerg Med. 2007 Nov;25(9):1084.e1-2
references.pmid: 18022512
references.citation: J Trauma. 2004 Jan;56(1):185-90
references.pmid: 14749588
references.citation: Eur J Cardiothorac Surg. 2001 Jul;20(1):46-51, discussion 51-2
references.pmid: 11423273
references.citation: B-ENT. 2005;1(2):93-6
references.pmid: 16044741
references.citation: World J Surg. 2005 Jan;29(1):102-5
references.pmid: 15599743
references.citation: J La State Med Soc. 2000 May;152(5):218-22
references.pmid: 10875208
references.citation: J Med Assoc Thai. 2005 Jan;88(1):32-40
references.pmid: 15960214
references.citation: Ann Thorac Surg. 2004 Apr;77(4):1211-5
references.pmid: 15063237
references.citation: Intensive Care Med. 2007 Dec;33(12):2173-8
references.pmid: 17684721
references.citation: Otolaryngol Head Neck Surg. 2001 Sep;125(3):241-4
references.pmid: 11555760
references.citation: Kyobu Geka. 2006 Oct;59(11):996-1000
references.pmid: 17058661
references.citation: Eur J Pediatr Surg. 2003 Dec;13(6):398-402
references.pmid: 14743328
references.citation: Am J Emerg Med. 2008 Sep;26(7):837.e3-4
references.pmid: 18774057
references.citation: Eur J Cardiothorac Surg. 2005 Mar;27(3):523-5
references.pmid: 15740971