• J. Pediatr. Surg. · Jun 2009

    Case Reports

    Blunt posterior tracheal laceration and esophageal injury in a child.

    • Kaushik Mukherjee, James M Isbell, and Edmund Yang.
    • Monroe Carell Jr, Children's Hospital at Vanderbilt, Nashville, Tenn 37232, USA.
    • J. Pediatr. Surg. 2009 Jun 1;44(6):1292-4.

    AbstractBlunt force trauma to the neck can result in the unusual injury pattern of laceration of the posterior tracheal wall in combination with esophageal injury. We present the report of a 10-year-old child who had blunt cervical trauma because of a bicycle accident and subsequently presented with profound subcutaneous emphysema. This case was addressed with operative management with a good result. The essential management principles for this rare constellation of injuries include a high index of suspicion, early control of the airway, endoscopic and radiographic diagnosis, and use of a buttressing strap muscle flap in the event of operative management to prevent delayed complications, including leak and tracheoesophageal fistula.

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