Abstract
(1) Blunt trauma as a result of traffic accidents is by far the most common cause of traumatic laceration or rupture of the human bronchus. (2) Failure to make the correct early diagnosis of bronchial rupture or amputation See Images in the PDF File has been insufficiently emphasized in the past. Such failure invariably results in a high mortality rate in those cases where the injury goes undiagnosed and untreated. (3) A new classification for bronchial lacerations and injuries is presented and the appropriate treatment for such injuries is described. Five case reports illustrating the types of injury encountered and the proper application of appropriate surgical treatment are presented. (4) Thoracotomy with primary repair of the bronchial laceration or suture anastomosis of the severed bronchus is unquestionably the treatment of choice. Since associated major vessel injury is uncommon, elective pneumonectomy even as late as 15 years after traumatic amputation of the bronchus is almost invariably unnecessary in the management of this injury.
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