title: Complete cervical tracheal transection caused by blunt neck trauma: case report.
abstract: This study aimed to report the survival of a rare case of complete tracheal transection followed by blunt neck trauma. A 66-year-old man was presented in the emergency room after a motorcycle accident in which a rope was wrapped around his neck. Although alert, he was in respiratory distress. A computed tomographic scan showed transection of the cervical trachea. Emergency neck exploration revealed that the tracheal laceration had been cut from the tracheal anterior third ring to the posterior first ring and the anterior esophageal wall had ruptured. Laryngectomy, tracheostomy, and esophagopharyngeal anastomosis were performed. Prompt airway management and immediate neck exploration is important for survival in these cases.
authors.affiliation: Department of Emergency Medicine, College of Medicine, Inha University, Incheon, South Korea.
authors.forename: Jin Hui
authors.initials: JH
authors.lastname: Paik
authors.affiliation: Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Inha University, Incheon, South Korea.
authors.forename: Jeong-seok
authors.initials: JS
authors.lastname: Choi
authors.affiliation: Department of Emergency Medicine, College of Medicine, Inha University, Incheon, South Korea.
authors.forename: Seung Baik
authors.initials: SB
authors.lastname: Han
authors.affiliation: Department of Emergency Medicine, College of Medicine, Inha University, Incheon, South Korea.
authors.forename: Hyun Min
authors.initials: HM
authors.lastname: Jung
authors.affiliation: Department of Emergency Medicine, College of Medicine, Inha University, Incheon, South Korea.
authors.forename: Ji Hye
authors.initials: JH
authors.lastname: Kim
mesh_terms: D000063:Accidents, Traffic; D000368:Aged; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology; D004632:Emergency Medical Services; D006801:Humans; D008297:Male; D019838:Neck Injuries / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D011859:Radiography; D014132:Trachea / Q000293:injuries*; D014139:Tracheostomy; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery