Journal of Emergencies, Trauma, and Shock
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Year : 2013  |  Volume : 6  |  Issue : 2  |  Page : 117-122

Combined tracheoesophageal transection after blunt neck trauma

Department of Cardiothoracic Surgery, Royal Victoria Hospital, Grosvenor road, Belfast, UK BT12 6BA, United Kingdom

Correspondence Address:
Umar Imran Hamid
Department of Cardiothoracic Surgery, Royal Victoria Hospital, Grosvenor road, Belfast, UK BT12 6BA
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.110774

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Survival following tracheoesophageal transection is uncommon. Establishing a secure airway has the highest priority in trauma management. Understanding the mechanism of the incident can be a useful adjunct in predicting the likelihood and severity of specific anatomical patterns of injuries. We discuss published literature on combined tracheoesophageal injuries after blunt neck trauma and their outcome. A search of MEDLINE for papers published regarding tracheoesophageal injury was made. The literature search identified 14 such articles referring to a total of 27 patients. Age ranged from 3-73 years. The mechanism of injury was secondary to a rope/wire in 33%, metal bar in 4% of cases and unspecified in 63%. All of the patients were managed surgically. A number of tissues were used to protect the anastomosis including pleural and sternocleidomastoid muscle flaps. There were no reported mortalities. Patients with combined tracheoesophageal injury after blunt neck trauma require acute management of airway along with concomitant occult injuries.

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