title: [Conservative management of tracheal injuries in children: Clinical case and literature review].
abstract: Tracheal injuries are a rare but potentially lethal entity, most particularly in pediatrics. While standardized management allows quick therapeutic decisions in adults, based on the results of the initial bronchoscopy, the use of diagnostic exams remains unclear during childhood. We describe the case of a 6-year-old patient with a posterior tracheal wall injury due to a car accident, which was managed without tracheal endoscopy. Based on our experience and on a literature review, we suggest clarifying the management of tracheal injury in children, defining the place of computerized tomodensitometry and endoscopy in the decision process.
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Brinas
authors.affiliation: Service d'accueil des urgences pédiatriques, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: C
authors.initials: C
authors.lastname: Bréhin
authors.affiliation: Service de réanimation pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Breinig
authors.affiliation: Service d'accueil des urgences pédiatriques, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Galinier
authors.affiliation: Service d'accueil des urgences pédiatriques, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: I
authors.initials: I
authors.lastname: Claudet
authors.affiliation: Service d'accueil des urgences pédiatriques, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France.
authors.forename: P
authors.initials: P
authors.lastname: Micheau
authors.affiliation: Service de chirurgie pédiatrique, hôpital des enfants de Toulouse, 330, avenue de Grande-Bretagne, 31059 Toulouse cedex 9, France. Electronic address: abbo.o@chu-toulouse.fr.
authors.forename: O
authors.initials: O
authors.lastname: Abbo
mesh_terms: D000063:Accidents, Traffic; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D000072700:Conservative Treatment; D004417:Dyspnea / Q000209:etiology; D005260:Female; D006801:Humans; D008478:Mediastinal Emphysema / Q000209:etiology; D012421:Rupture; D013352:Subcutaneous Emphysema / Q000209:etiology; D014132:Trachea / Q000000981:diagnostic imaging / Q000293:injuries*
chemical_list: D000900:Anti-Bacterial Agents