Perforating wounds of the trachea due to indirect injury are unusual. References in the surgical literature are few, particularly when a cure has followed treatment. Recently Tixier1 reported a case from France which resulted from an automobile accident five hours previously. The trachea was found completely severed transversely, in addition to a longitudinal posterior tear. The patient died sixty hours after operation. Graham1 mentions four cases in which recovery followed the treatment that was instituted.
REPORT OF CASE
T. R., a white boy aged 7 years, was brought to the hospital July 31, 1936, following a fall from a bicycle in which the lad struck his neck against the handle bars. On admission he was markedly cyanotic. Subcutaneous emphysema was most pronounced, extending from the head to the knees. The nurse's notes described the patient as being "ballooned out." His past medical history and family history were irrelevant.