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March 1958

Stricture of the Trachea Following Traumatic Fracture: Successful Excision and Anastomosis

Author Affiliations

Savannah, Ga.
From the Department of Surgery, The Johns Hopkins School of Medicine and The Johns Hopkins Hospital, Baltimore.

AMA Arch Surg. 1958;76(3):417-423. doi:10.1001/archsurg.1958.01280210087018

Rupture of the intrathoracic trachea and bronchi is now a well-recognized complication of nonpenetrating injuries of the chest. The usual pattern of injury has been described by Kinsella and Johnsrud1 and confirmed by Mahaffey and associates,2 who have accumulated numerous references to indicate that the region of the tracheal bifurcation is the most susceptible site in the respiratory tract to the force of a severe crushing chest injury. Rupture of one of the major bronchi with or without extension proximally into the trachea or distally into the secondary bronchi is the common result. It would seem that rupture of the trachea alone is a much less common occurrence, although it is possible that small rents in the trachea occur more frequently than is generally recognized and go on to heal spontaneously.3 In the trachea the rupture may take the form of an irregular longitudinal tear,4-6 or

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