Management of Laryngotracheal Trauma: A Five-Year Single Institution Experience | ||
| Iranian Journal of Otorhinolaryngology | ||
| مقاله 5، دوره 30، شماره 5 - شماره پیاپی 100، آذر و دی 2018، صفحه 283-290 اصل مقاله (481.48 K) | ||
| نوع مقاله: Original | ||
| شناسه دیجیتال (DOI): 10.22038/ijorl.2018.28672.1937 | ||
| نویسندگان | ||
| Pradipta-Kumar Parida1؛ Kalaiarasi Raja* 2؛ Arun Alexander3 | ||
| 1Department of ENT and Head Neck Surgery, AIIMS Bhubaneswar, Bhubaneswar-751019, Odisha, India. | ||
| 2Department of ENT, Sri Lakshmi Narayana Institute of Medical Sciences, Pondicherry- 09, Pondicherry, India. | ||
| 3Department of ENT and Head Neck Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry, India. | ||
| چکیده | ||
| Introduction: Laryngotracheal trauma is a rare life-threatening emergency that requires early identification and immediate intervention. Here, we present 26 patients with laryngotracheal trauma from a tertiary hospital in India. The aim was to describe the clinical presentation and management of laryngotracheal trauma patients. Materials and Methods: This was a retrospective study of laryngotracheal trauma patients treated between January 2011 and March 2016. Patients who presented with a breach in the laryngotracheal framework were included, while those who had penetrating neck injuries superficial to strap muscles/platysma, burn injuries, caustic ingestion, or endotracheal injuries were excluded from the study. Results: Of 253 patients with neck injury, 26 (23 adults, three children; 21 males, five females; age range, 5-60 years) presented with a breach in the laryngotracheal framework (15 blunt neck-trauma patients and 11 penetrating neck-trauma patients). The most common cause of neck injury was road traffic accidents, seen in 12 patients (46.2%). Computed tomography (CT) was performed in all blunt trauma cases and in four patients with penetrating trauma. All penetrating trauma patients underwent neck exploration. Twelve blunt trauma patients (46.1%) were managed conservatively, while three (11.5%) required surgical intervention. The most common neck exploration finding noted in patients with a penetrating injury was fracture of the thyroid cartilage, which was seen in eight patients (30.8%). Twenty patients (76.9%) had a normal voice, five patients (19.2%) had a hoarse voice, and one patient (3.8%) had a breathy voice post treatment. Conclusion: Early intervention of laryngotracheal trauma is crucial. The role of a CT scan is essential in decision making in blunt trauma cases. | ||
| کلیدواژهها | ||
| Arytenoid cartilage؛ Larynx؛ Laryngeal cartilages؛ Neck injury | ||
| مراجع | ||
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