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.
References
1.
EliacharI.Management of acute laryngeal trauma. Acta Otorhinolaryngol Belg1996;50:151–8.
2.
BentJPIII, SilverJR, PorubskyES. Acute laryngeal trauma: A review of 77 patients. Otolaryngol Head Neck Surg1993;109:441–9.
3.
SchaeferSD. The acute management of external laryngeal trauma. A 27-year experience. Arch Otolaryngol Head Neck Surg1992;118:598–604.
4.
GluckmanJL. Laryngeal trauma: Surgical therapy in the adult. Ear Nose Throat J1981;60:366–72.
5.
RichardsonMA. Laryngeal anatomy and mechanisms of trauma. Ear Nose Throat J1981;60:346–51.
6.
GreeneR, StarkP.Trauma of the larynx and trachea. Radiol Clin North Am1978;16:309–20.
7.
MyersEM, IkoBO. The management of acute laryngeal trauma. J Trauma1987;27:448–52.
8.
GoldenbergD, GolzA, Flax-GoldenbergR, JoachimsHZ. Severe laryngeal injury caused by blunt trauma to the neck: Acase report. J Laryngol Otol1997;111:1174–6.
9.
GanzelTM, MumfordLA. Diagnosis and management of acute laryngeal trauma. Am Surg1989;55:303–6.
10.
HanftK, PosternackC, AstorF, AttarianD.Diagnosis and management of laryngeal trauma in sports. South Med J1996;89:631–3.
11.
StanleyRBJr., HansonDG. Manual strangulation injuries of the larynx. Arch Otolaryngol1983;109:344–7.
12.
ChagnonFP, MulderDS. Laryngotracheal trauma. Chest Surg Clin N Am1996;6:733–48.
13.
SchaeferSD, CloseLG. Acute management of laryngeal trauma. Update. Ann Otol Rhinol Laryngol1989;98:98–104.
14.
JewettBS, ShockleyWW, RutledgeR.External laryngeal trauma analysis of 392 patients. Arch Otolaryngol Head Neck Surg1999;125:877–80.
15.
GussackGS, JurkovichGJ, LutermanA.Laryngotracheal trauma: A protocol approach to a rare injury. Laryngoscope1986;96:660–5.
16.
StanleyRBJr.Value of computed tomography in management of acute laryngeal injury. J Trauma1984;24:359–62.
17.
SchaeferSD. Use of CT scanning in the management of the acutely injured larynx. Otolaryngol Clin North Am1991;24:31–6.
18.
SchaeferSD, BrownOE. Selective application of CT in the management of laryngeal trauma. Laryngoscope1983;93:1473–5.
19.
EliacharI, LewinJS. Imaging evaluation of laryngotracheal stenosis. J Otolaryngol1993;22:265–77.
20.
EliacharI.Unaided speech in long-term tube-free tracheostomy. Laryngoscope2000;110:749–60.
21.
de Mello-FilhoFV, CarrauRL. The management of laryngeal fractures using internal fixation. Laryngoscope2000;110:2143–6.
22.
KennedyKS, HarleyEH. Diagnosis and treatment of acute laryngeal trauma. Ear Nose Throat J1988;67:584, 587, 590-2, passim.
23.
LimJW, LernerPK, RothsteinSG. Epiglottic position after cricothyroidotomy: A comparison with tracheotomy. Ann Otol Rhinol Laryngol1997;106:560–2.
24.
BroschS, JohannsenHS. Clinical course of acute laryngeal trauma and associated effects on phonation. J Laryngol Otol1999;113:58–61.