Abstract

FLORES SALAZAR, Luis Omar; GONZALEZ TOVAR, Jorge; HERNANDEZ GUEDEA, Marco Antonio  and  MUNOZ-MALDONADO, Gerardo Enrique. Tracheal Injury with Muscle Flap Repair. Rev Cubana Cir [online]. 2019, vol.58, n.1  Epub June 30, 2019. ISSN 1561-2945.

Neck injuries can be classified as blunt or penetrating injuries. Penetrating injuries caused by a puncturing gun are the most frequent. The clinical manifestations depend on trauma mechanism, and on lesion size and degree. We present the case of a 26-year-old male patient with puncture injuries to the neck and wrists. After he was admitted to the emergency room, a vascular exploration of the neck was performed, finding a complete avulsion of the cricothyroid ligament. The defect was repaired with a flap of the cricothyroid muscles. The patient had a good evolution and was discharged on the twelfth day. The diagnosis of tracheal lesions is challenging and must be carried out quickly. A definitive airway should be installed efficiently, as well as the planning of the surgical reconstruction. The postoperative follow-up performed in an interdisciplinary way is essential for the prognosis.

Keywords : trachea; flap.

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