The evaluation of pneumomediastinum in blunt trauma patients

Journal of Trauma - Injury, Infection and Critical Care

Volumn 65, Issue 6, 2008, Pages 1340-1345

  Dissanaike, Sharmila ^a   Shalhub, Sherene ^a   Jurkovich, Gregory J ^a  

^a UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Blunt chest trauma; Bronchial injury; Esophageal injury; Laryngeal injury; Pneumomediastinum; Tracheal injury

Indexed keywords

ADULT; ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; CONTRAST ENHANCEMENT; DEMOGRAPHY; DIAGNOSTIC ACCURACY; DIGESTIVE SYSTEM INJURY; ESOPHAGUS PERFORATION; FEMALE; HOSPITALIZATION; HUMAN; INCIDENCE; LARYNX INJURY; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDICAL RECORD REVIEW; MORTALITY; PNEUMOMEDIASTINUM; PRIORITY JOURNAL; SENSITIVITY AND SPECIFICITY; THORAX BLUNT TRAUMA; THORAX RADIOGRAPHY; TRACHEA INJURY; BLUNT TRAUMA; CROSS-SECTIONAL STUDY; ENDOSCOPY; INJURY; LARYNX; MULTIPLE TRAUMA; NECK INJURY; RETROSPECTIVE STUDY; THORAX INJURY; TRACHEA;

ADULT; CROSS-SECTIONAL STUDIES; ENDOSCOPY; ESOPHAGEAL PERFORATION; FEMALE; HUMANS; INCIDENCE; LARYNX; MALE; MEDIASTINAL EMPHYSEMA; MULTIPLE TRAUMA; NECK INJURIES; RETROSPECTIVE STUDIES; SENSITIVITY AND SPECIFICITY; THORACIC INJURIES; TOMOGRAPHY, X-RAY COMPUTED; TRACHEA; WOUNDS, NONPENETRATING;

EID: 67650603715     PISSN: 00225282     EISSN: 15298809     Source Type: Journal    
DOI: 10.1097/TA.0b013e318169cd24     Document Type: Article

References (18)

1. Bejvan SM, Godwin JD. Pneumomediastinum: old signs and new signs. AJR. 1996; 166: 1041-1048.
2. Wintermark M, Schnyder P. The Macklin effect: a frequent etiology for pneumomediastinum in severe blunt chest trauma. Chest. 2001; 120: 543-547.
3. Baumgartner F, Sheppard B, De Virgilio C, et al. Tracheal and main bronchial disruption after blunt chest trauma: presentation and management. Ann Thorac Surg. 1990; 50: 569-574.
4. Kunisch-Hoppe M, Hoppe M, Rauber K, Popella C, Rau WS. Tracheal rupture caused by blunt chest trauma: radiological and clinical features. Eur Radiol. 2000; 10: 480-483.
5. Jabra AA, Fishman EK, Shehata BM, Perlman EJ. Localized persistent pulmonary and interstitial emphysema: CT findings with radiographic-pathologic correlation. AJR Am J Roentgenol. 1997; 169: 1381-1384.
6. Triaridis S, Konstantinidis I, Noussios G, Karagiannidis K, Permekerlis A. A diagnostic challenge: investigating suspected tracheobronchial and pharyngoesophageal tears. Are there gold standards? Acta Otorhinolaryngol Belg. 2002; 56: 331-334.
7. Ladurner R, Qvick LM, Hohenbleicher F, Hallfeldt KK, Mutschler W, Mussack T. Pneumopericardium in blunt chest trauma after high speed motor vehicle accidents. Am J Emerg Med. 2005; 23: 83-86.
8. Symbas NP, Justicz AG, Ricketts RR. Rupture of airways from blunt trauma. Ann Thorac Surg. 1992; 54: 117-183.
9. Moriwaki Y, Sugiyama M, Matsuda G, et al. Usefulness of the 3-dimensionally reconstructed computed tomography imaging for diagnosis of the site of tracheal injury. World J Surg. 2005; 29: 102-105.
10. Chen JD, Shanmuganathan K, Mirvis SE, Killeen KL, Dutton RP. Using CT to diagnose tracheal rupture. AJR. 2001; 176: 1273-1280.
11. Scaglione M, Romano S, Pinto A, Sparano A, Scialpi M, Rotondo A. Acute tracheobronchial injuries: impact of imaging on diagnosis and management implications. Eur J Radiol. 2006; 59: 336-343.
12. Gabor S, Renner H, Pinter H, et al. Indications for surgery in tracheobronchial ruptures. Eur J Cardiothorac Surg. 2001; 20: 399-404.
13. Jougon J, Ballester M, Choukroun E, Dubrez J, Reboul G, Velly JF. Conservative treatment for post-intubation tracheobronchial rupture. Ann Thorac Surg. 2000; 69: 216-220.
14. Gomez-Caro A, Ausin P, Moradiellos FJ, et al. Role of conservative medical management of tracheobronchial injuries. J Trauma. 2006; 61: 1426-1435.
15. Kiser AC, O'Brien SM, Detterbeck FC. Blunt tracheobronchial injuries: treatment and outcomes. Ann Thorac Surg. 2001; 71: 2059-2065.
16. Cordero JA Jr, Kuehler DH, Fortune JB. Distal esophageal rupture after external blunt trauma: report of two cases. J Trauma. 1997; 42: 321-322.
17. De Lutio di Castelquidone E, Pinto A, Merola S, Stavolo C, Romano L. Role of Spiral and Multislice Computed Tomography in the evaluation of traumatic and spontaneous oesophageal perforation. Radiol Med. 2005; 109: 252-259.
18. De Lutio di Castelquidone E, Merola S, Pinto A, Raissaki M, Gagliardi N, Romano L. Esophageal injuries: spectrum of multidetector row CT findings. Eur J Radiol. 2006; 59: 344-348.