Tracheobronchial injury

Injury to the trachea or bronchi

Tracheobronchial injury refers to damage to the trachea or bronchi, which are parts of the respiratory system. These injuries can be life-threatening and require prompt medical attention.

Causes

Tracheobronchial injuries are often caused by blunt or penetrating trauma. Common causes include motor vehicle accidents, falls, and violent assaults. Iatrogenic injuries, which occur during medical procedures such as intubation or bronchoscopy, are also possible.

Symptoms

Symptoms of tracheobronchial injury may include difficulty breathing, coughing up blood, subcutaneous emphysema, and abnormal breath sounds. In severe cases, there may be signs of respiratory distress or failure.

Diagnosis

Diagnosis of tracheobronchial injury typically involves imaging studies. A chest X-ray may show signs such as pneumothorax or pneumomediastinum. A CT scan provides more detailed information and can help identify the location and extent of the injury. Bronchoscopy is often used to directly visualize the injury.

3D CT scan showing tracheobronchial rupture

Bilateral pneumothorax and pneumomediastinum

Treatment

The treatment of tracheobronchial injuries depends on the severity and location of the injury. Minor injuries may be managed conservatively with observation and supportive care. More severe injuries often require surgical intervention to repair the damaged trachea or bronchi. Airway management is critical, and intubation may be necessary to ensure adequate ventilation.

Intubation is often necessary in cases of severe tracheobronchial injury

Prognosis

The prognosis for tracheobronchial injuries varies. Early diagnosis and appropriate treatment are crucial for a favorable outcome. Complications can include infection, stenosis, and persistent air leaks.

Prevention

Preventive measures include the use of seat belts and airbags in vehicles, as well as careful technique during medical procedures that involve the airway.

Related pages

• Pneumothorax
• Bronchoscopy
• Intubation

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  3D CT scan showing tracheobronchial rupture

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  Bilateral pneumothorax with pneumomediastinum

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  Bronchial rupture

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  Main bronchus laceration

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  Bronchial stenosis on CT