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 patients who have breathed a foreign body into the airways, rigid or fiberoptic bronchoscopy may be used to take out the object.
Antibiotics are used in patients with an infection in the part of the lung around the injury.
For trauma patients, the outlook depends on the severity of other injuries. Operations to repair these injuries often have good results. The 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 that require other tests or procedures.
Major complications after surgery for this condition include:
Long-term need of a ventilator
Narrowing of the airways
When to Contact a Medical Professional
Contact your health care 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
Kraft M. Approach to the patient with respiratory disease. In: Goldman L, Schafer AI, eds. Goldman's Cecil Medicine. 24th ed. Philadelphia, PA: Elsevier Saunders; 2011:chap 83.
Kupeli E, Karnak D, Mehta AC. Flexible bronchoscopy. In: Mason RJ, Broaddus CV, Martin TR, et al, eds. Textbook of Respiratory Medicine. 5th ed. Philadelphia, PA: Elsevier Saunders; 2010:chap 22.
Denis Hadjiliadis, MD, 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.