Skip to main content

Health Encyclopedia

Search the Health Encyclopedia

Tracheal rupture

Definition

A tracheal or bronchial rupture is a tear or break in the windpipe (trachea) or bronchial tubes, the major airways leading to the lungs. A tear can also occur in the tissue lining the windpipe.

Alternative Names

Torn tracheal mucosa; Bronchial rupture

Causes

The injury may be caused by:

  • Infections
  • Sores (ulcerations) due to foreign objects
  • Trauma, such as a gunshot wound or automobile accident

Injuries to the trachea or bronchi also may occur during medical procedures (for example, bronchoscopy and placement of a breathing tube). However, this is very uncommon.

Symptoms

People with trauma who develop a tracheal or bronchial rupture often have other injuries.

Symptoms may include:

Exams and Tests

The health care provider will perform a physical exam. Close attention will be paid to the symptoms of the rupture.

Tests that may be done include:

Treatment

People who have had a trauma will need to have their injuries treated. Injuries to the trachea often need to be repaired during surgery. Injuries to the smaller bronchi can sometimes be treated without surgery. A collapsed lung is treated with a chest tube connected to suction, which re-expands the lung.

For people who have breathed a foreign body into the airways, bronchoscopy may be used to take out the object.

Antibiotics are used in people with an infection in the part of the lung around the injury.

Outlook (Prognosis)

Outlook of injury due to trauma depends on the severity of other injuries. Operations to repair these injuries often have good results. Outlook is good for people whose tracheal or bronchial disruption is due to causes such as a foreign object, which tend to have a good outcome.

In the months or years after the injury, scarring at the injury site may cause problems, such as narrowing, which require other tests or procedures.

Possible Complications

Major complications after surgery for this condition include:

  • Infection
  • Long-term need of a ventilator
  • Narrowing of the airways
  • Scarring

When to Contact a Medical Professional

Contact your provider if you have:

  • Had a major injury to the chest
  • Inhaled a foreign body
  • Symptoms of a chest infection
  • The feeling of air bubbles underneath your skin and trouble breathing

References

Asensio JA, Trunkey DD. Neck injuries. In: Asensio JA, Trunkey DD, eds. Current Therapy of Trauma and Surgical Critical Care. 2nd ed. Philadelphia, PA: Elsevier; 2016:179-185.

Martin RS, Meredith JW. Management of acute trauma. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 16.

Review Date:8/21/2016
Reviewed By:Denis Hadjiliadis, MD, MHS, Paul F. Harron, Jr. Associate Professor of Medicine, Pulmonary, Allergy, and Critical Care, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997-A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.

adam.com

The Agency for Health Care Administration (Agency) and this website do not claim the information on, or referred to by, this site is error free. This site may include links to websites of other government agencies or private groups. Our Agency and this website do not control such sites and are not responsible for their content. Reference to or links to any other group, product, service, or information does not mean our Agency or this website approves of that group, product, service, or information.

Additionally, while health information provided through this website may be a valuable resource for the public, it is not designed to offer medical advice. Talk with your doctor about medical care questions you may have.

Health
Outcome Data

No data available for this condition/procedure.

Images

Health Encyclopedia

More Features

We Appreciate Your Feedback!
1. Did you find this information useful?
         Yes
         No
2. Would you recommend this website to family and friends?
         Yes
         No