Abstract
The growing popularity of minibikes among adolescents is evident by the number of advertisements and participants. Potentially fatal injuries to the neck were observed among several minibike enthusiasts. Typically, a minibike rider with his neck in extension unexpectedly collides with a hidden wire or cable. With only abrasions or contusions on his neck, the subject arrives at the emergency room in extreme airway distress. Attempts to manipulate his neck for mouth-to-mouth resuscitation or intubation produce greater air hunger. Only a low tracheotomy performed rapidly can save his life. The basic pathology in all cases encountered has been a laryngotracheal separation. Other associated injuries have been a fractured larynx, damaged recurrent laryngeal nerves, esophageal rupture and pneumothorax.
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