Objective:

To present three patients who underwent open cervical tracheal lesions with wires (2/3) or closed lesions with a string (1/3), hanged out over public way, while travelling in a motorcycle.

Material and methods:

Descriptive study on a prospective data base related to airway diseases. All were treated primarily in other hospital and later referred to us to sequela treatment. Sex, age, location and type of lesion, definitive treatment, complications and final results were studied.

Results:

All three patients (males) were referred to us after initial treatment. First patient (31 years) underwent an open trauma. He was treated with a tracheal resection and endoscopic methods. After tracheal stenosis recurrence he was referred to our hospital. Firstly, we inserted a T tube, because of a complex subglottic lesion and important inflammation. A postoperative granuloma was treated conservatively. A satisfactory result was obtained by subglottic resection. Second patient (20 years) had a contused tracheal trauma due to striking against a corde. We performed a subglottic resection with excellent results. The last patient (35 years) underwent an open trauma (with a wire). He had a bilateral recurrent nerve paralysis. In the first time posterior cordoaritenoidectomy was done, and posteriorly a subglottic resection. Final result was satisfactory.

Conclusions:

Cervical trachea is exposed to severe lesions in cases of cervical trauma. Described production mechanism is so rare that were not found cases in the reviewed literature. Treatment of sequela in survivors could have satisfactory results if treated in centers and surgeons with experience in tracheal surgery.