Acute external laryngotracheal trauma: Diagnosis and management

Head and Neck Institute, The Cleveland Clinic, 9500 Euclid Ave., Desk A-71, Cleveland, OH 44195, USA.
Ear, nose, & throat journal (Impact Factor: 1). 04/2006; 85(3):179-84.
Source: PubMed


Laryngotracheal trauma may result in lifelong complications or even death if diagnosis or treatment is delayed. Emergency room physicians, trauma surgeons, anesthesiologists, and especially otolaryngologists should maintain a high level of awareness of and suspicion for laryngotracheal trauma whenever a patient presents with multiple trauma in general or with cervical trauma in particular. Although there is some controversy regarding care, treatment in experienced hands will usually result in a favorable outcome. In this article, we review and update the diagnosis and management of acute external laryngotracheal trauma.

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    • "In the literature, blunt trauma has been reported to be the most frequent cause of laryngeal fracture. For this type of trauma, the proportion of injuries caused by driver-caused traffic accidents is decreasing, and thus, laryngeal fractures caused by general blunt trauma are also decreasing.12 This is thought to be due to improvement of airbags and abundant safety devices for riders. "
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