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Traumatic Injuries of the Tracheobronchial Tree

Traumatic Injuries of the Tracheobronchial Tree Abstract The thorax of the human body may periodically be exposed to undue trauma as the result of working conditions, automobile travel, or acts of violence. The contents of the thorax are unusually well protected by the ribs, sternum, and vertebral column. However, in spite of this protection, injury to the tracheobronchial tree occurs. Injuries to the trachea and major bronchi are infrequent and, therefore, no surgeon has extensive experience in this field.18 The early diagnosis and treatment of these lesions may be related to this lack of experience. However, it is fortunate that surgery of the bronchus and trachea has kept pace with the increasing frequency of this type of injury so that a damaged tracheobronchial tree can be restored to normal function. We have been fortunate in treating nine cases of closed traumatic injuries of the tracheobronchial tree and offer this experience to guide the surgical management of References 1. A proprietary iodized poppyseed oil. 2. Bennett, T.: Laryngeal Trauma , Laryngoscope 70:973, 1960.Crossref 3. Bishop, C. O.; Miller, A. C.; and Burch, B. H.: Fracture of the Bronchial Tree Following Blunt Chest Trauma , Western J Surg 68:345, 1960. 4. Burke, J. F.: Early Diagnosis of Traumatic Rupture of the Bronchus , JAMA 181:682, 1962.Crossref 5. Campbell, D. C.; Swindell, H. V.; and Dominy, D. E.: Delayed Repair of Rupture of the Bronchus , J Thorac Cardiov Surg 43:320, 1962. 6. Chadwick, D. L.: Closed Injuries of the Larynx and Pharynx , J Laryng 74:306, 1960.Crossref 7. Fitz-Hugh, G. S.; Wallenborn, W. M.; and McGovern, F.: Injuries of the Larynx and Cervical Trauma , Ann Otol 71:419, 1962. 8. Ford, J. B., and Swift, C. T.: Rupture of Bronchus with Recurrent Stricture Following Primary Anastomosis , Dis Chest 40:76, 1961.Crossref 9. Gebauer, P. W.: Plastic Reconstruction of Tuberculosis Bronchostenosis with Dermal Grafts , J Thorac Cardiov Surg 19:604, 1950. 10. Griffith, J. L.: Fracture of the Bronchus , Thorax 4:105, 1949.Crossref 11. Harrington, O. B.; Beall, A. C.; and DeBakey, M. E.: Traumatic Injuries to the Cervical Trachea , Amer J Surg 103:541, 1962.Crossref 12. Hood, R. M., and Sloan, H. E.: Injuries of the Trachea and Major Bronchi , J Thorac Cardiov Surg 38:458, 1959. 13. Mahaffey, D. E., et al: Traumatic Rupture of the Left Main Bronchus Successfully Repaired 11 Years after Injury , J Thorac Cardiov Surg 32: 312, 1956. 14. Ogura, J. H., and Roper, C. L.: Surgical Correction of Traumatic Stenosis of Larynx and Pharynx , Laryngoscope 72:468, 1962.Crossref 15. Rush, B. F.: Repair of the Injured Larynx Following Destruction of the Cricoid Cartilage , Surg Gynec Obstet 112:507, 1961. 16. Scannell, J. G.: Rupture of Bronchus Following Closed Injury to the Chest: Report of a Case Treated by Immediate Thoracotomy and Repair , Ann Surg 133:127, 1951.Crossref 17. Schmidt, H. W.; Erich, J. B.; and Edwards, J. E.: Trauma to the Trachea , Dis Chest 37:262, 1960.Crossref 18. Schonberg, S.: Bronchialkupturenbei Thorax-Kompression , Klin Wschr 49:2218, 1912. 19. Seybold, W. D.: Closed Intrathoracic Ruptures of the Trachea and Bronchi , Arch Surg (Chicago) 81:473, 1960.Crossref 20. Shaw, R. R.; Paulson, D. L.; and Kee, J. L.: Traumatic Tracheal Rupture , J Thorac Cardiov Surg 42:281, 1961. 21. Soothill, E. F.: Closed Traumatic Rupture of the Cervical Trachea , Thorax 15:89, 1960.Crossref 22. Sorensen, H. R.: Traumatic Rupture of the Main Bronchus , Acta Chir Scand 119:346, 1960. 23. Suggit, S.: Some Problems of Laryngeal Injuries and Stenosis , J Laryng 74:22, 1960.Crossref 24. Viola, A. R., et al: Pulmonary and Bronchial Circulation in Chronic Lung Apneumatosis , J Thorac Cardiov Surg 41:459, 1961. 25. Von Fraenkel, P. H.: Rupture of the Bronchus , Arch Otol 75:437, 1962.Crossref 26. Wulff, H. B., et al: Traumatic Bronchial Rupture , Acta Chir Scand (suppl) 245:142, 1959. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Traumatic Injuries of the Tracheobronchial Tree

Archives of Surgery , Volume 88 (4) – Apr 1, 1964

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Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1964.01310220134021
Publisher site
See Article on Publisher Site

Abstract

Abstract The thorax of the human body may periodically be exposed to undue trauma as the result of working conditions, automobile travel, or acts of violence. The contents of the thorax are unusually well protected by the ribs, sternum, and vertebral column. However, in spite of this protection, injury to the tracheobronchial tree occurs. Injuries to the trachea and major bronchi are infrequent and, therefore, no surgeon has extensive experience in this field.18 The early diagnosis and treatment of these lesions may be related to this lack of experience. However, it is fortunate that surgery of the bronchus and trachea has kept pace with the increasing frequency of this type of injury so that a damaged tracheobronchial tree can be restored to normal function. We have been fortunate in treating nine cases of closed traumatic injuries of the tracheobronchial tree and offer this experience to guide the surgical management of References 1. A proprietary iodized poppyseed oil. 2. Bennett, T.: Laryngeal Trauma , Laryngoscope 70:973, 1960.Crossref 3. Bishop, C. O.; Miller, A. C.; and Burch, B. H.: Fracture of the Bronchial Tree Following Blunt Chest Trauma , Western J Surg 68:345, 1960. 4. Burke, J. F.: Early Diagnosis of Traumatic Rupture of the Bronchus , JAMA 181:682, 1962.Crossref 5. Campbell, D. C.; Swindell, H. V.; and Dominy, D. E.: Delayed Repair of Rupture of the Bronchus , J Thorac Cardiov Surg 43:320, 1962. 6. Chadwick, D. L.: Closed Injuries of the Larynx and Pharynx , J Laryng 74:306, 1960.Crossref 7. Fitz-Hugh, G. S.; Wallenborn, W. M.; and McGovern, F.: Injuries of the Larynx and Cervical Trauma , Ann Otol 71:419, 1962. 8. Ford, J. B., and Swift, C. T.: Rupture of Bronchus with Recurrent Stricture Following Primary Anastomosis , Dis Chest 40:76, 1961.Crossref 9. Gebauer, P. W.: Plastic Reconstruction of Tuberculosis Bronchostenosis with Dermal Grafts , J Thorac Cardiov Surg 19:604, 1950. 10. Griffith, J. L.: Fracture of the Bronchus , Thorax 4:105, 1949.Crossref 11. Harrington, O. B.; Beall, A. C.; and DeBakey, M. E.: Traumatic Injuries to the Cervical Trachea , Amer J Surg 103:541, 1962.Crossref 12. Hood, R. M., and Sloan, H. E.: Injuries of the Trachea and Major Bronchi , J Thorac Cardiov Surg 38:458, 1959. 13. Mahaffey, D. E., et al: Traumatic Rupture of the Left Main Bronchus Successfully Repaired 11 Years after Injury , J Thorac Cardiov Surg 32: 312, 1956. 14. Ogura, J. H., and Roper, C. L.: Surgical Correction of Traumatic Stenosis of Larynx and Pharynx , Laryngoscope 72:468, 1962.Crossref 15. Rush, B. F.: Repair of the Injured Larynx Following Destruction of the Cricoid Cartilage , Surg Gynec Obstet 112:507, 1961. 16. Scannell, J. G.: Rupture of Bronchus Following Closed Injury to the Chest: Report of a Case Treated by Immediate Thoracotomy and Repair , Ann Surg 133:127, 1951.Crossref 17. Schmidt, H. W.; Erich, J. B.; and Edwards, J. E.: Trauma to the Trachea , Dis Chest 37:262, 1960.Crossref 18. Schonberg, S.: Bronchialkupturenbei Thorax-Kompression , Klin Wschr 49:2218, 1912. 19. Seybold, W. D.: Closed Intrathoracic Ruptures of the Trachea and Bronchi , Arch Surg (Chicago) 81:473, 1960.Crossref 20. Shaw, R. R.; Paulson, D. L.; and Kee, J. L.: Traumatic Tracheal Rupture , J Thorac Cardiov Surg 42:281, 1961. 21. Soothill, E. F.: Closed Traumatic Rupture of the Cervical Trachea , Thorax 15:89, 1960.Crossref 22. Sorensen, H. R.: Traumatic Rupture of the Main Bronchus , Acta Chir Scand 119:346, 1960. 23. Suggit, S.: Some Problems of Laryngeal Injuries and Stenosis , J Laryng 74:22, 1960.Crossref 24. Viola, A. R., et al: Pulmonary and Bronchial Circulation in Chronic Lung Apneumatosis , J Thorac Cardiov Surg 41:459, 1961. 25. Von Fraenkel, P. H.: Rupture of the Bronchus , Arch Otol 75:437, 1962.Crossref 26. Wulff, H. B., et al: Traumatic Bronchial Rupture , Acta Chir Scand (suppl) 245:142, 1959.

Journal

Archives of SurgeryAmerican Medical Association

Published: Apr 1, 1964

References