Ersin GÜNAY, Neşe Nur USER, Ahmet DUMANLI, Gürhan ÖZ, Abdulkadir BUCAK, Adem GENCER

Künt travma sonrası total servikal rüptür

Trakeal rüptürler nadir görülen ve potansiyel olarak yaşamı tehdit eden yaralanmalardır. Servikal trakeal yaralanmalar künt travmadan ziyade penetran travmalara bağlı gelişir. Diğer taraftan, künt travmalara bağlı total servikal trakeal rüptür çok nadirdir. Otuz iki yaşında erkek hasta acil servise trafik kazası sonucunda oluşan nefes darlığı ve stridor yakınması ile getirildi. Hastanın toraks bilgisayarlı tomografisinde krikoid kıkırdak seviyesinin altında total servikal trakeal rüptür saptandı. Hava yolu güvenliğinin sağlanması için ameliyathane koşullarında acil trakeostomi açıldı. Hastaya Collar insizyonu ile trakea anastamozu yapıldı. Postoperatif 16. günde ses kısıklığı dışında herhangi bir komplikasyon gözlenmeyen hasta taburcu edildi.

Total cervical tracheal rupture following blunt trauma

Tracheal ruptures are rarely seen and potentially high life-threatening injuries. Cervical tracheal injuries occur due to the penetrant trauma rather than the blunt trauma. On the other hand, total cervical tracheal rupture due to the blunt trauma is so rare. A 32 year-oldmale patient was admitted to the emergency service with complaints of breathlessness and stridor resulting from a traffic accident.Thorax computed tomography of the patient revealed total cervical tracheal rupture under the cricoid cartilage level. Emergency tracheostomy was opened and distal airway safety was provided in operating room. The patient underwent an anastomosis with Collar’sincision and was discharged in 16th days postoperatively without any complication other than hoarseness.

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