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Traumatic Neck Wound

navin goyal drnavingoyal at yahoo.co.in
Mon Aug 7 13:54:47 BST 2006


30 yr. old male attende my trauma ward . He had trauma as a large glass slab fell over his neck and chest . He had a wound in the neck just above the clavicle which was bubbling and bleeding . There were fractures in the ribd with bilateral decreased air entry on both side . There was collection of Blood in the mouth . Patient was immediately intubated . Bilateral Chest tubes were put and by the time the wound was explored it had stopped bubbling , bleeding was located to vessel in the muscle which was ligated and the wound closed .
   
  Later on CT of the neck and chest done which showed rent in the posterolateral aspect of the trachea  above the carina. Surgical emphysema  in the neck has not increased rather slightly decreased. Patient is perfectly stable now he has been extubated . 
   
  Should we still do a surgical closure of the rent in the trachea??

 				
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