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Journal of the Korean Society of Traumatology 2011;24(1):7-11.
Clinical Aanalysis of Airway Trauma
Hyun Min Cho, Young Jin Kim, Han Young Ryu, Jung Joo Hwang
1Department of Thoracic and Cardiovascular Surgery, College of Medicine, Konyang University, Korea. kyjcs@kyuh.ac.kr
2Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Korea.
외상성 기도 손상의 임상적 고찰
조현민ㆍ김영진ㆍ류한영ㆍ황정주1
건양대학교 의과대학 흉부외과학교실, 을지대학교 의과대학 흉부외과학교실1
Abstract
PURPOSE
Traumatic airway injuries have high rates of mortality and morbidity. Thus, we evaluated the clinical results of trauma-related airway-injury patients.
METHODS
A clinical analysis was performed for patients with airway trauma who were admitted and treated at the Department of Thoracic and Cardiovascular Surgery, Konyang University Hospital from Dec. 2002 to Dec. 2009.
RESULTS
Sixteen patients were admitted and treated. Fourteen patients were male, and the ages of the patients ranged from 16 to 75 years. Six cases were penetrating injuries, 4 were traffic-accident injuries. 3 were fall injuries, and. 3 were other blunt trauma injuries. Anato- mic injuries included 14 trachea cases (87.5%), 1 Rt. main bronchus (6.25%), and 1 Lt. main bronchus cases (6.25%). Diagnosis was made by using computed tomography and bronchoscopy. Five patients were treated with an explothoracotomy, and 7 underwent neck exploration with primary repair. Three patients simply needed conservative management, and 1 patient was treated with a closed thoracostomy. The post-operative mortality rate was 6.25 % (1 patient).
CONCLUSION
Airway trauma is dangerous and should be treated as an emergency, so a high index of suspicion is essential for rapid diagnosis and successful surgical intervention in patients with airway injuries.
Key Words: Airway; Trauma; Trachea; Bronchus


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