Trachea Flashcards
Trachea
tubular semi-rigid midline structure
Which direction is it normal for the trachea to deviate towards?
The right
What can lead to false compression of the trachea?
Extension of the neck
What can lead to false bend in the cranial mediastinum?
Flexion of the neck
What are some common lesions of the trachea?
Tracheal displacement Foreign body Tumor Hypoplasia Dynamic airway collapse
If you see ventral deviation of the trachea in the cervical area what is the DDx?
Thyroid Mass
Retropharyngeal lymphomegaly
If you see dorsal deviation of the trachea in the cranial mediastinum what is the DDx?
Cranial Mediastinal mass
Neck postition during radiography
If you see ventral deviation of the trachea in the cranial mediastinum what is the DDx?
Esophageal enlargement/mass
If you see dorsal deviation of the trachea in the area of the heart base what is the DDx?
Heart base mass
Pulmonary artery enlargement
Right atrial enlargement
If you see dorsal deviation of the trachea in the carina area what is the DDx?
Left atrial enlargement
Generalized cardiomegaly
If you see ventral deviation of the trachea in the carina area what is the DDx?
Tracheobronchial lymphomegaly
Dynamic Tracheal Collapse
Dynamic narrowing during inspiration at the thoracic inlet and narrowing during expiration at the carina
What are the clinical signs of Dynamic Tracheal Collapse?
Honking coughing
What can Complete intrathoracic tracheal collapse cause?
Lung lobe herniation through the thoracic inlet
How do you treat Tracheal collapse?
Mesh Stint