The goal of this study is to review the current literature on the trends in management of laryngeal fractures following trauma.
Methods
Independent searches of the PubMed and MEDLINE databases were performed. Articles from the period of 1963 to 2020 were collected. All studies which described laryngeal fractures using the Boolean method and relevant search term combinations, including “Laryngeal”, “Fracture”, “Operative”, and “Management” were collected.
Results
A total of 588 relevant unique articles were identified for analysis. Of these, 24 articles were deemed appropriate for inclusion in the literature review. Due to variability in study design and outcome measures, formal synthesis of data in the form of a meta-analysis was not possible.
Conclusions
Laryngeal fractures are rare traumatic injuries that require early identification and evaluation with complex management options. This comprehensive review aims to highlight the breadth of the topic with regard to presentation and clinical management. Though there remains no clear best practice for laryngeal fracture management, we review trends in clinical practice throughout the literature.
SchaeferSD. The acute management of external laryngeal trauma: A 27-year experience. Arch Otolaryngol Neck Surg. 1992;118(6):598-604.
2.
SchaeferSD. Management of acute blunt and penetrating external laryngeal trauma. Laryngoscope. 2014;124(1):233-244.
3.
MinardGKudskKCroceMButtsJCicalaRFabianT. Laryngotracheal trauma. Am Surg. 1992;58(3):181-187.
4.
VassiliuPBakerJHendersonSAloKVelmahosGDemetriadesD. Aerodigestive injuries of the neck. Am Surg. 2001;67(1):75-79.
5.
ATLS Subcommittee; American College of Surgeons’ Committee on Trauma; International ATLS working group. Advanced trauma life support (ATLS®): The Ninth Edition. J Trauma Acute Care Surg. 2013;74(5):1363-1366.
6.
BentJPPorubskyES. The management of blunt fractures of the thyroid cartilage. Otolaryngol Neck Surg. 1994;110(2):195-202.
7.
MoherDLiberatiATetzlaffJAltmanDG. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. BMJ. 2009;339(7716):332-336.
8.
MoherDShamseerLClarkeM, et al.Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Rev Esp Nutr Humana y Diet. 2016;20(2):148-160.
9.
SlimKNiniEForestierDKwiatkowskiFPanisYChipponiJ. Methodological index for non-randomized studies (Minors): Development and validation of a new instrument. ANZ J Surg. 2003;73(9):712-716.
10.
SchaeferSD. Primary Management of Laryngeal Trauma. Ann Otol Rhinol Laryngol. 1982;91(4):399-402.
Jucá MoscardiMFMeizosoJRattanR. Trauma epidemiology. In: NasrASaavedra TomasichFCollaçoIAbreuPNamiasNMarttosA, eds. The Trauma Golden Hour: A Practical Guide. Cham, Switzerland: Springer International Publishing; 2020:5-8.
13.
De Mello-FilhoFVCarrauRL. The management of laryngeal fractures using internal fixation. The Laryngoscope. 2000;110(12):2143-2146.
14.
JewettBSShockleyWWRutledgeR. External laryngeal trauma analysis of 392 patients. Arch Otolaryngol - Head Neck Surg. 1999;125(8):877-880.
15.
AdiOSumKMAhmadAHWahabMANeriLPanebiancoN. Novel role of focused airway ultrasound in early airway assessment of suspected laryngeal trauma. Ultrasound J. 2020;12(1):37.
16.
VerschuerenDSBellRBBagheriSCDierksEJPotterBE. Management of laryngo-tracheal injuries associated with craniomaxillofacial trauma. J Oral Maxillofac Surg. 2006;64(2):203-214.
17.
BellRBVerschuerenDSDierksEJ. Management of Laryngeal Trauma. Oral Maxillofac Surg Clin North Am. 2008;20(3):415-430.
18.
LeopoldDA. Laryngeal trauma: A historical comparison of treatment methods. Arch Otolaryngol. 1983;109(2):106-111.
19.
OlsonNRMilesWK. Treatment of acute blunt laryngeal injuries. Ann Otol Rhinol Laryngol. 1971;80(5):704-709.
20.
WooP. Laryngeal framework reconstruction with miniplates. Ann Otol Rhinol Laryngol. 1990;99(10):772-777.
21.
PouAShoemakerDCarrauRSnydermanCEiblingD. Repair of laryngeal fractures using adaptation plates. Head Neck. 1998;20(8):707-713.
22.
BhanotSAlexJCLowlichtRARossDASasakiCT. The efficacy of resorbable plates in head and neck reconstruction. Laryngoscope. 2002;112(5):890-898.
23.
SasakiCTMarottaJCRossDALowlichtRAJohnsonM. Efficacy of resorbable plates for reduction and stabilization of laryngeal fractures. Ann Otol Rhinol Laryngol. 2003;112(9 I):745-750.
24.
TroneTHSchaeferSDCarderHM. Blunt and penetrating laryngeal trauma: A 13-year review. Otolaryngol - Head Neck Surg. 1980;88(3 I):257-261.
25.
BentJPSilverJRPorubskyES. Acute laryngeal trauma: A review of 77 patients. Otolaryngol Neck Surg. 1993;109(3):441-449.
26.
HarrisHHAinsworthJZ. Immediate management of laryngeal and tracheal injuries. Laryngoscope. 1965;75(7):1103-1115.
27.
GussackGSJurkovichGJLutermanA. Laryngotracheal trauma: A protocol approach to a rare injury. Laryngoscope. 1986;96(6):660-665.
28.
McCoyGMcAfeeW. Fractures of the larynx. Calif Med. 1963;99(6).
SchildJADennenyEC. Evaluation and treatment of acute laryngeal fractures. Head Neck. 1989;11(6):491-496.
32.
AustinJRStanleyRBCooperDS. Stable internal fixation of fractures of the partially mineralized thyroid Cartilage. Ann Otol Rhinol Laryngol. 1992;101(1):76-80.
BroschSJohannsenHS. Clinical course of acute laryngeal trauma and associated effects on phonation. J Laryngol Otol. 1999;113(1):58-61.
35.
JuutilainenMVintturiJRobinsonSBäckLLehtonenHMäkitieAA. Laryngeal fractures: Clinical findings and considerations on suboptimal outcome. Acta Otolaryngol. 2008;128(2):213-218.
36.
JalisiSZoccoliM. Management of laryngeal fractures - A 10-year experience. J Voice. 2011;25(4):473-479.
37.
SidellDMendelsohnAHShapiroNLSt JohnM. Management and outcomes of laryngeal injuries in the pediatric population. Ann Otol Rhinol Laryngol. 2011;120(12):787-795.
38.
MendelsohnAHSidellDRBerkeGSJohnMS. Optimal timing of surgical intervention following adult laryngeal trauma. Laryngoscope. 2011;121(10):2122-2127.
39.
KimJPChoSJSonHYParkJJWooSH. Analysis of clinical feature and management of laryngeal fracture: Recent 22 case review. Yonsei Med J. 2012;53(5):992-998.
40.
FrenchCKelleyR. Laryngeal fractures in lacrosse due to high speed ball impact. JAMA Otolaryngol - Head Neck Surg. 2013;139(7):735-738.
41.
MadaniAPecorelliNRazekTSpicerJFerriLEMulderDS. Civilian airway trauma: A single-institution experience. World J Surg. 2016;40(11):2658-2666.
42.
MendisDAndersonJA. Blunt laryngeal trauma secondary to sporting injuries. The Journal of Laryngology & Otology. 2017;131(8):728-735.
43.
ParidaP-KKalaiarasiRAlexanderA. Management of laryngotracheal trauma: A five-year single institution experience. Iran J Otorhinolaryngol. 2018;30(100):283-290.
44.
HallakBVon WihlSBoselieFBouayedS. Repair of displaced thyroid cartilage fracture using miniplate osteosynthesis. BMJ Case Rep. 2018;11(1).
SethiRKVKhatibDKligermanMKozinEDGraySTNaunheimMR. Laryngeal fracture presentation and management in United States emergency rooms. Laryngoscope. 2019;129(10):2341-2346.
