{"id":81,"date":"2024-03-30T16:21:52","date_gmt":"2024-03-30T16:21:52","guid":{"rendered":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/?p=81"},"modified":"2024-05-19T13:31:54","modified_gmt":"2024-05-19T13:31:54","slug":"airway-injury-photo-essay","status":"publish","type":"post","link":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/volume-1\/airway-injury-photo-essay\/","title":{"rendered":"Photo Essay- Life threatening Airway injury following blunt thoracic trauma."},"content":{"rendered":"<p>Photo Essay<\/p>\n<p><strong>Life-threatening airway injury following blunt thoracic trauma.\u00a0<\/strong><\/p>\n<p>I.H.D Saman Pradeep1, Dhammika Rasnayake1.<\/p>\n<ol>\n<li>National Hospital for Respiratory Diseases, Welisara.<\/li>\n<\/ol>\n<p>DOI:\u00a0<a href=\"https:\/\/doi.org\/10.62474\/SLJT-TXAK2497\">https:\/\/doi.org\/10.62474\/SLJT-TXAK2497<\/a><\/p>\n<p><strong><u>Keywords<\/u><\/strong><\/p>\n<p>Tracheobronchial Injury, Bronchial trauma, Blunt Thoracic Trauma.<\/p>\n<p><strong>Case.<\/strong><\/p>\n<p>A 20-year-old male presented following a fall from a motorcycle and presented to the local hospital with shortness of breath. He was found to Have a tension pneumothorax and an intercostal drain inserted into the right side. Subsequent Chest X-ray revealed persistent pneumothorax and continuous bubbling from the Intercostal drain. He was transferred to National Hospital for Respiratory Disease for Further management.<\/p>\n<p>The patient had undergone a Bronchoscopy which revealed a complete avulsion of the right Main bronchus. Primary repair of the Right main Bronchus was done and the repair site was covered with an Intercostal Muscle flap. He had an uneventful recovery and was discharged home on postoperative day 5.<\/p>\n<p><strong>Figure 1: Chest X ray showing Persistent pneumothorax on right side<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-484 aligncenter\" src=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/AI-1.jpg\" alt=\"\" width=\"416\" height=\"387\" srcset=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/AI-1.jpg 416w, https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/AI-1-300x279.jpg 300w\" sizes=\"auto, (max-width: 416px) 100vw, 416px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Figure 2: Surgical emphysema seen on CT chest.<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-486 aligncenter\" src=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-2.jpg\" alt=\"\" width=\"519\" height=\"296\" srcset=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-2.jpg 519w, https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-2-300x171.jpg 300w\" sizes=\"auto, (max-width: 519px) 100vw, 519px\" \/><\/p>\n<p><strong>Figure 3: CT chest revealed collapsed right lung and Right Main bronchial Disruption<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-489 aligncenter\" src=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-6.jpg\" alt=\"\" width=\"498\" height=\"303\" srcset=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-6.jpg 498w, https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-6-300x183.jpg 300w\" sizes=\"auto, (max-width: 498px) 100vw, 498px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-491 alignleft\" src=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-4a.jpg\" alt=\"\" width=\"395\" height=\"321\" srcset=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-4a.jpg 395w, https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-4a-300x244.jpg 300w\" sizes=\"auto, (max-width: 395px) 100vw, 395px\" \/><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-492 alignright\" src=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-4b.jpg\" alt=\"\" width=\"371\" height=\"325\" srcset=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-4b.jpg 371w, https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-4b-300x263.jpg 300w\" sizes=\"auto, (max-width: 371px) 100vw, 371px\" \/><\/p>\n<p><strong>Figure 4: a. Bronchoscopy view at Carina.<\/strong><\/p>\n<p><strong> 4:b. Obliterated Right Main bronchial orifice.<\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Figure 5: Right Main bronchial opening seen on Posterolateral Thoracotomy.<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-493 aligncenter\" src=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-7.jpg\" alt=\"\" width=\"485\" height=\"489\" srcset=\"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-7.jpg 485w, https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-7-298x300.jpg 298w, https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-content\/uploads\/2024\/03\/Ai-7-150x150.jpg 150w\" sizes=\"auto, (max-width: 485px) 100vw, 485px\" \/><\/p>\n<p><strong>Acknowledgements <\/strong>: None<\/p>\n<p><strong>CRediT statement : <\/strong>Both authors contributed equally<\/p>\n<p><strong>Funding : <\/strong>None<\/p>\n<p><strong>Competing interests:<\/strong>\u00a0None declared.<\/p>\n<p><strong>Patient consent for publication<\/strong>\u00a0Not applicable.<\/p>\n<p><strong>Ethics approval This study : <\/strong>Not applicable<\/p>\n<p><strong>Data availability statement:\u00a0<\/strong>Images\u00a0 are not available for patient confidentiality.<\/p>\n<p><strong>Supplemental material: <\/strong>None<\/p>\n<p><strong>Open access<\/strong>\u00a0This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license. See:\u00a0<a href=\"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/\">http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/<\/a>.<\/p>\n<p><strong>Artificial intelligence:<\/strong>\u00a0Generative artificial intelligence or artificial intelligence assisted technologies were not used in preparation of this article<\/p>\n<p><strong>ORCiD <\/strong>\u00a0Saman Pradeep <a href=\"https:\/\/orcid.org\/0000-0003-3526-1684\">https:\/\/orcid.org\/0000-0003-3526-1684<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Photo Essay Life-threatening airway injury following blunt thoracic trauma.\u00a0 I.H.D Saman Pradeep1, Dhammika Rasnayake1. National Hospital for Respiratory Diseases, Welisara. DOI:\u00a0https:\/\/doi.org\/10.62474\/SLJT-TXAK2497 Keywords Tracheobronchial Injury, Bronchial trauma, Blunt Thoracic Trauma. Case. A 20-year-old male presented following a fall from a motorcycle and presented to the local hospital with shortness of breath. He was found to Have...<\/p>","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[9,6],"tags":[15,13,14],"article-type":[26],"class_list":["post-81","post","type-post","status-publish","format-standard","hentry","category-2024-issue-1","category-volume-1","tag-bronchoscopy","tag-moto-cycle-accident","tag-tension-pneumothorax"],"acf":[],"_links":{"self":[{"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/posts\/81","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/comments?post=81"}],"version-history":[{"count":13,"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/posts\/81\/revisions"}],"predecessor-version":[{"id":497,"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/posts\/81\/revisions\/497"}],"wp:attachment":[{"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/media?parent=81"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/categories?post=81"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/tags?post=81"},{"taxonomy":"article-type","embeddable":true,"href":"https:\/\/traumaseclanka.health.gov.lk\/sljt\/wp-json\/wp\/v2\/article-type?post=81"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}