Rd. Levy et al., MANAGEMENT OF PENETRATING INJURIES OF THE CERVICAL TRACHEA, Annals of the Royal College of Surgeons of England, 79(3), 1997, pp. 195-197
This is a report of a 2-year experience with the management of penetra
ting injury of the cervical trachea. There were 29 cases. The respirat
ory status of the patient on admission dominated the initial managemen
t: 12 patients required emergency intubation and were immediately take
n to operation, while 17 patients were more stable and could be subjec
ted to the preoperative assessment of the oesophagus. Associated injur
ies were significant and dominated the postoperative morbidity and mor
tality. Primary repair of the trachea, without tracheostomy, was succe
ssful in a relatively high proportion of patients (55%).