ABSTRACT:
Closed tracheal injuries are rare but are more
frequent in northern India. Ladies wear Dupatta
(A Scarf ) around the neck which causes
strangulation injury when entangled in the rear
wheel of motorcycle or rickshaw. Because of
rarity of such cases, it is often difficult for
physicians at periphery to diagnose it early
adding to the morbidity. We report a12-years old
girl who presented to us with severe stridor and
grade III tracheal Stenosis following dupatta
strangulation while she was riding motorcycle.
She was previously treated with T-tube
placement in the trachea for 6 months, which
was removed a week back. The patient
underwent urgent tracheostomy followed by
CECT which showed 2cm grade III tracheal
tenosis below the cricoid cartilage. The patient
underwent tracheal resection and anastomosis.
The patient recovered well, without any change
in voice and restenosis on bronchoscopy in 5
months follow-up