Reconstruction of a complex tracheal injury using an intercostal muscle flap.

Blunt tracheobronchial injuries occur rarely but can be life threatening. These injuries require accurate preoperative diagnosis and potentially complex reconstruction. We present the case of a 15-year-old boy who was transferred to the University of Washington with a complex tracheobronchial injury after rolling over in a sand-rail dune buggy. The injury was repaired successfully using an intercostal muscle flap and cardiopulmonary bypass.