AK Tripathi - Academia.edu (original) (raw)
Uploads
Papers by AK Tripathi
Innovative Publication, Dec 1, 2016
Penetrating Neck injury is rare and tracheal rupture is seen only in 14% cases. Tracheal injury c... more Penetrating Neck injury is rare and tracheal rupture is seen only in 14% cases. Tracheal injury can lead to serious consequences due to airway obstruction, bleeding, aspiration and severe sympathetic stimulation. We are reporting two cases of anterior tracheal rupture following assault with knife. About 95% of tracheal injury results from ballistic and knife injuries. In first case emergency tracheostomy was done through the same wound. In second case emergency tracheostomy was done from the non-injured area after fibreoptic guided orotracheal intubation. We opted for barium esophagography over gastrograffin swallow. Introduction Direct tracheal injury is a rare injury, accounting for less than 1% of traumatic injury and 14% of penetrating neck injuries. (1,2) Majority of such cases are seen in zone II of the Neck that is from cricoid cartilage to the angle of mandible. (1,3) These injuries occur most commonly from assault with sharp objects like knife, scissor and ballistic injuries. (1) Surgical exploration is a major challenge for surgeons due to dense arrangement of vital structures which cannot be examined or assessed by physical examination. (3) In neck injuries the management should be within the golden hour to prevent aspiration of blood through the tracheal opening. Here we are reporting surgically treated two cases of anterior tracheal injury following assault with knife.
Innovative Publication, Dec 1, 2016
Penetrating Neck injury is rare and tracheal rupture is seen only in 14% cases. Tracheal injury c... more Penetrating Neck injury is rare and tracheal rupture is seen only in 14% cases. Tracheal injury can lead to serious consequences due to airway obstruction, bleeding, aspiration and severe sympathetic stimulation. We are reporting two cases of anterior tracheal rupture following assault with knife. About 95% of tracheal injury results from ballistic and knife injuries. In first case emergency tracheostomy was done through the same wound. In second case emergency tracheostomy was done from the non-injured area after fibreoptic guided orotracheal intubation. We opted for barium esophagography over gastrograffin swallow. Introduction Direct tracheal injury is a rare injury, accounting for less than 1% of traumatic injury and 14% of penetrating neck injuries. (1,2) Majority of such cases are seen in zone II of the Neck that is from cricoid cartilage to the angle of mandible. (1,3) These injuries occur most commonly from assault with sharp objects like knife, scissor and ballistic injuries. (1) Surgical exploration is a major challenge for surgeons due to dense arrangement of vital structures which cannot be examined or assessed by physical examination. (3) In neck injuries the management should be within the golden hour to prevent aspiration of blood through the tracheal opening. Here we are reporting surgically treated two cases of anterior tracheal injury following assault with knife.