Isolated Complete Cervical Tracheal Transection in Penetrating Neck Injury: A Unique Case

Main Article Content

Misauq Mazcuri
Usama T. Ahmad
Pratikshya Thapaliya
Ambreen Abid
Nazish Sikander
Tanveer Ahmad


Isolated penetrating neck injuries involving cervical trachea are rare. Cervical tracheal transection is life-threatening and may result in immediate death due to asphyxiation. Early recognition and maintenance of the airway followed by definitive repair are essential for survival. We report a 28-year-old male who presented to the emergency department with a penetrating neck injury. He was dyspneic and cyanosed with neck swelling. Air was gushing from the wound. He was immediately shifted to the operating room. Neck wound exploration revealed complete tracheal transection. The distal trachea was identified and controlled with stay sutures. The endotracheal tube was advanced into the distal trachea through an oral route across the 3 cm gap at the level of the suprasternal notch. Crossfield ventilation was achieved to first repair the posterior layer and then the anterior layer after establishing the airway through the oral cavity. End to end anastomosis was achieved with interrupted 3/0 vicryl. The postoperative course was uneventful and the patient was discharged on the 10th day after bronchoscopy.

Penetrating neck injuries, cervical trachea, complete tracheal transection, airway.

Article Details

How to Cite
Mazcuri, M., Ahmad, U. T., Thapaliya, P., Abid, A., Sikander, N., & Ahmad, T. (2020). Isolated Complete Cervical Tracheal Transection in Penetrating Neck Injury: A Unique Case. Asian Journal of Case Reports in Surgery, 5(4), 4-9. Retrieved from
Case Report


Ghnnam W, Al-Mastour A, Bazeed M. Penetrating neck trauma in a level ii trauma hospital, Saudi Arabia. ISRN Emergency Medicine. 2012;1-6. DOI: 10.5402/2012/672948

Altinok T, Can A. Management of tracheobronchial injuries. The Eurasian Journal of Medicine. 2014;46(3):209-215. DOI: 10.5152/eajm.2014.42

Welter S, Essaleh W. Management of tracheobronchial injuries. J Thorac Dis; 2020. DOI: 10.21037/jtd-2019-as-05

Zhao Z, Zhang T, Yin X, Zhao J, Li X, Zhou Y. Update on the diagnosis and treatment of tracheal and bronchial injury. J Thorac Dis. 2017;9(1):E50-E56. DOI:10.21037/jtd.2017.01.19

Ershadi R, Hajipour A, Vakili M. Complete cricotracheal transection due to blunt neck trauma without significant symptoms. Journal of Surgical Case Reports. 2017; 6:10. DOI: 1093/jscr/rjx111

Srivastava S, Murthy K, Tripathi A, Mangla V, Pandey S. Penetrating tracheal injury- A surgical challenge. Indian Journal of Anatomy and Surgery of Head, Neck and Brain. 2016;2(4):107-109. DOI: 10.18231/2455-846x.2016.0005

Sharma P, Sharma A, Mehdi KM, Mohanty Z, Kumari U, Chikara S. Outcome analysis of tracheobronchial injuries at a large service hospital. Int J Sci Stud. 2018; 6(2):47-52. DOI: 10.17354/ijss/2018/144

Prokakis C, Koletsis E, Dedeilias P, Fligou F, Filos K, Dougenis D. Airway trauma: A review on epidemiology, mechanisms of injury, diagnosis and treatment. Journal of Cardiothoracic Surgery. 2014;9(1):10. DOI: 1186/1749-8090-9-117

Nitta K, Hamano Y, Kamijo H, Oishi S, Ichikawa M, Takayama H et al. Complete cervical tracheal transection due to blunt trauma. Acute Medicine & Surgery. 2016; 3(4):376-379. DOI: 10.1002/ams2.184

Saad JR R, Gonçalves R, Dorgan neto V, Perlingeiro J, Rivaben J, Botter M et al. Tracheobronchial injuries in chest trauma: a 17-year experience. Revista do Colégio Brasileiro de Cirurgiões. 2017;44(2):194-201. DOI: 10.1590/0100-69912017002014

Farley L, Schlicksup K. Tracheal injury [Internet]. 2020. [Cited 14 September 2020]. Available:

Moonsamy P, Sachdeva U, Morse C. Management of laryngotracheal trauma. Annals of Cardiothoracic Surgery. 2018; 7(2):210-216. DOI: 10.21037/acs.2018.03.03

Auchincloss HG, Wright CD. Complications after tracheal resection and reconstruction: Prevention and treatment. J Thorac Dis.2016;8(2): S160-S167. DOI: 10.3978/j ISSN: 2072-1439.2016.01.86