Zhonghua wai ke za zhi [Chinese journal of surgery]
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Two patients with closed rupture of the cervical trachea secondary to blunt trauma, one secondary to neck injury and the other secondary to thoracic injury, were analysed with those reported else where (58). Signs and symptoms included subcutaneous emphysema, respiratory distress, hoarseness/dysphonia, dysphagia, hemoptysis and so on. We conclude that: (1) the diagnosis of blunt trauma of the cervical trachea requires a high index of suspicion, since this injury can easily be overlooked; (2) tracheostomy is the best means of airway control; (3) good long-term airway quality is best obtained by immediate repair of injuries.
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Twenty-three cases of recurrent gliomas were reoperated upon. The indications and some factors influencing the length of survival time after reoperation were studied. ⋯ Reoperation is not only to prolong life time but also to improve living quality. After reoperation, a comprehensive treatment is needed.