eMedicine Specialties > Radiology > Chest

Tracheobronchial Tear: Follow-up

Author: David W Light IV, MD, Staff Physician, Department of Radiology, Memorial Hermann Memorial City Hospital
Coauthor(s): J Michael Holbert, MD, Associate Professor, Department of Radiology, Scott and White Memorial Hospital and Clinic; Mark L Montgomery, MD, Vice Chair of Education, Assistant Professor and Course Coordinator, Department of Radiology, Texas A&M College of Medicine; Consulting Staff, Divisions of Interventional Radiology and Diagnostic Imaging, Scott and White Clinic
Contributor Information and Disclosures

Updated: Sep 13, 2007

Intervention

In patients in whom tracheal or bronchial stenosis complicates a tracheobronchial tear, a stent may be used to maintain the airway.

Medicolegal Pitfalls

  • Complications that are related to the delayed diagnosis of tracheobronchial tears are the most important medicolegal pitfalls.
 


More on Tracheobronchial Tear

Overview: Tracheobronchial Tear
Imaging: Tracheobronchial Tear
Follow-up: Tracheobronchial Tear
Multimedia: Tracheobronchial Tear
References

References

  1. Tack D, Defrance P, Delcour C, Gevenois PA. The CT fallen-lung sign. Eur Radiol. 2000;10(5):719-21. [Medline].

  2. Unger JM, Schuchmann GG, Grossman JE, Pellett JR. Tears of the trachea and main bronchi caused by blunt trauma: radiologic findings. AJR Am J Roentgenol. Dec 1989;153(6):1175-80. [Medline][Full Text].

  3. Armstrong P, Wilson AG, Dee P, Hansell DM, eds. Tracheal or bronchial rupture. Imaging of Diseases of the Chest. 3rd ed. St Louis, Mo: Mosby-Year Book; 2000:958-60, 977-81.

  4. Barmada H, Gibbons JR. Tracheobronchial injury in blunt and penetrating chest trauma. Chest. Jul 1994;106(1):74-8. [Medline][Full Text].

  5. Collins J, Primack SL. CT of nonpenetrating chest trauma. Appl Radiol. 2001;30(2):11-21.

  6. Dertsiz L, Arici G, Arslan G, Demircan A. Acute tracheobronchial injuries: early and late term outcomes. Ulus Travma Acil Cerrahi Derg. Apr 2007;13(2):128-34. [Medline].

  7. Faure A, Floccard B, Pilleul F, et al. Multiplanar reconstruction: a new method for the diagnosis of tracheobronchial rupture?. Intensive Care Med. Aug 8 2007;epub ahead of print. [Medline].

  8. Fraser RS, Muller NL, Coleman NC, Dare PD, eds. Fractures of the trachea and bronchi. Fraser and Pare's Diagnosis of Diseases of the Chest. 4th ed. Philadelphia, Pa: WB Saunders Co; 1999:2618-23, 2692-5.

  9. Harvey-Smith W, Bush W, Northrop C. Traumatic bronchial rupture. AJR Am J Roentgenol. Jun 1980;134(6):1189-93. [Medline][Full Text].

  10. Hemmila MR, Hirschl RB, Teitelbaum DH, et al. Tracheobronchial avulsion and associated innominate artery injury in blunt trauma: case report and literature review. J Trauma. Mar 1999;46(3):505-12. [Medline].

  11. Huson H, Sais GJ, Amendola MA. Diagnosis of bronchial rupture with MR imaging. J Magn Reson Imaging. Nov-Dec 1993;3(6):919-20. [Medline].

  12. Kaloud H, Smolle-Juettner FM, Prause G, List WF. Iatrogenic ruptures of the tracheobronchial tree. Chest. Sep 1997;112(3):774-8. [Medline][Full Text].

  13. Kirkham JR, Blackmore CC. Screening for aortic injury with chest radiography and clinical factors. Emerg Radiol. Sep 2007;14(4):211-7. [Medline].

  14. Kuhlman JE, Pozniak MA, Collins J, Knisely BL. Radiographic and CT findings of blunt chest trauma: aortic injuries and looking beyond them. Radiographics. Sep-Oct 1998;18(5):1085-106; discussion 1107-8; quiz 1. [Medline][Full Text].

  15. Magnotti LJ, Weinberg JA, Schroeppel TJ, et al. Initial chest CT obviates the need for repeat chest radiograph after penetrating thoracic trauma. Am Surg. Jun 2007;73(6):569-72; discussion 572-3. [Medline].

  16. Miñambres E, González-Castro A, Burón J, et al. Management of postintubation tracheobronchial rupture: our experience and a review of the literature. Eur J Emerg Med. Jun 2007;14(3):177-9. [Medline].

  17. Moriwaki Y, Sugiyama M, Fujita S, et al. Application of ultrasonography for blunt laryngo-cervical-tracheal injury. J Trauma. Nov 2006;61(5):1156-61. [Medline].

  18. Pasic M, Ewert R, Engel M, et al. Aortic rupture and concomitant transection of the left bronchus after blunt chest trauma. Chest. May 2000;117(5):1508-10. [Medline][Full Text].

  19. Sangster GP, González-Beicos A, Carbo AI, et al. Blunt traumatic injuries of the lung parenchyma, pleura, thoracic wall, and intrathoracic airways: multidetector computer tomography imaging findings. Emerg Radiol. Jul 11 2007;epub ahead of print. [Medline].

  20. Scaglione M, Romano S, Pinto A, et al. Acute tracheobronchial injuries: impact of imaging on diagnosis and management implications. Eur J Radiol. Sep 2006;59(3):336-43. [Medline].

  21. Schneider T, Storz K, Dienemann H, Hoffmann H. Management of iatrogenic tracheobronchial injuries: a retrospective analysis of 29 cases. Ann Thorac Surg. Jun 2007;83(6):1960-4. [Medline].

  22. Sersar SI, Rizk WH, Bilal M, et al. Inhaled foreign bodies: presentation, management and value of history and plain chest radiography in delayed presentation. Otolaryngol Head Neck Surg. Jan 2006;134(1):92-9. [Medline].

  23. Tocino I, Miller MH. Computed tomography in blunt chest trauma. J Thorac Imaging. Jul 1987;2(3):45-59. [Medline].

  24. Van Hise ML, Primack SL, Israel RS, Muller NL. CT in blunt chest trauma: indications and limitations. Radiographics. Sep-Oct 1998;18(5):1071-84. [Medline][Full Text].

  25. Weir IH, Muller NL, Connell DG. CT diagnosis of bronchial rupture. J Comput Assist Tomogr. Nov-Dec 1988;12(6):1035-6. [Medline].

  26. Wiot JF. Tracheobronchial trauma. Semin Roentgenol. Jan 1983;18(1):15-22. [Medline].

Further Reading

Keywords

tracheal rupture, bronchial rupture, airway rupture, tracheal laceration, bronchial laceration, airway laceration, tracheal fracture, bronchial fracture, airway fracture, tracheal avulsion, bronchial avulsion, airway avulsion, tracheal injury, bronchial injury, airway injury

Contributor Information and Disclosures

Author

David W Light IV, MD, Staff Physician, Department of Radiology, Memorial Hermann Memorial City Hospital
David W Light IV, MD is a member of the following medical societies: American Medical Association, Radiological Society of North America, and Texas Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

J Michael Holbert, MD, Associate Professor, Department of Radiology, Scott and White Memorial Hospital and Clinic
J Michael Holbert, MD is a member of the following medical societies: American College of Chest Physicians, American College of Radiology, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Mark L Montgomery, MD, Vice Chair of Education, Assistant Professor and Course Coordinator, Department of Radiology, Texas A&M College of Medicine; Consulting Staff, Divisions of Interventional Radiology and Diagnostic Imaging, Scott and White Clinic
Mark L Montgomery, MD is a member of the following medical societies: Alpha Omega Alpha, American College of Radiology, American Medical Association, American Roentgen Ray Society, and Radiological Society of North America
Disclosure: Nothing to disclose.

Medical Editor

Jeffrey A Miller, MD, Associate Professor of Clinical Radiology, University of Medicine and Dentistry of New Jersey; Associate Chief of Service, Department of Radiology, Veterans Affairs of New Jersey Health Care System
Jeffrey A Miller, MD is a member of the following medical societies: North American Society for Cardiac Imaging, Society for Health Services Research in Radiology, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Eric J Stern, MD, Director of Thoracic Imaging, Professor of Radiology and Medicine, Departments of Radiology and Internal Medicine, Harborview Medical Center, University of Washington School of Medicine
Eric J Stern, MD is a member of the following medical societies: American Roentgen Ray Society, Radiological Society of North America, and Society of Thoracic Radiology
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Eugene C Lin, MD, Consulting Staff, Department of Radiology, Virginia Mason Medical Center
Eugene C Lin, MD is a member of the following medical societies: American College of Nuclear Medicine, American College of Radiology, Radiological Society of North America, and Society of Nuclear Medicine
Disclosure: Nothing to disclose.

RELATED EMEDICINE ARTICLES
Patient Education
 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.