Main Airway Trauma

  • Ana Luisa Bettega
  • Glauco Afonso Morgenstern
  • João Victor Pruner Vieira
  • Janaina de Oliveira Poy
  • April Anne Grant
  • Joyce Kaufman


Main airway trauma consists in the injury of one or more segments of the anatomical region that comprises the larynx, trachea, and primary bronchi. Symptoms such as dyspnea, hoarseness, air leak by the penetrating wound, cervical or facial subcutaneous emphysema, and hemopneumothorax can be present in the main airway trauma. Several times, the diagnosis can be suspected by chest X-ray due to the presence of pneumomediastinum or pneumothorax. Bronchoscopy is the best method not only to localize the lesion but also to define its extension. Early diagnosis with immediate stabilization of the airway is the fundamental principle in the initial management of a main airway trauma, which can be done by endotracheal intubation or by performing a surgical airway. Different techniques allow a satisfactory exposition of specific segments of the airway, and also an adequate reconstruction when required.


Bronchoscopy Larynx Trachea X-ray 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Ana Luisa Bettega
    • 1
  • Glauco Afonso Morgenstern
    • 2
  • João Victor Pruner Vieira
    • 1
  • Janaina de Oliveira Poy
    • 3
  • April Anne Grant
    • 4
  • Joyce Kaufman
    • 5
  1. 1.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  3. 3.Faculdade de Ciências Médicas de SantosSantos, São PauloBrazil
  4. 4.Ryder Trauma Center – Jackson Health System, Miller School of Medicine, University of MiamiMiamiUSA
  5. 5.Division of Trauma Surgery & Critical Care, DeWitt Daughtry Family Department of SurgeryMiller School of Medicine, University of MiamiMiamiUSA

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