Laryngeal trauma is an uncommon but life threatening injury which is uncommon in British practice. It often occurs as part of a multiple injury. Major laryngeal injury may cause catastrophic airway compromise and death. Minor laryngeal injuries may be missed as more severe injuries supercede the management of the larynx. This may have adverse long-term sequlae. This article presents the initial assess ment and management of the patient with laryngeal trauma. The various controversies are discussed with reference to the literature available. The surgical approaches to the larynx are described.
Atkins B, Abbate S, Fisher S, Vaslef S.2004. Current management of laryngotracheal trauma: case report and literature review. J of Trauma56: 185-190.
2.
Back M, Baumgartner F, Klein S.1997. Detection and evaluation of aerodigestive tract injuries caused by cervical and transmediastinal gunshot wounds. J Trauma42: 680-686.
3.
Bailey B.Head and neck surgery - otolaryngology. in Laryngeal trauma, J.B. Lippincott, Philadelphia. Chapter 74, Vol. 1, 1993.
4.
Bent J, Porubsky E.1994. The management of blunt fractures of the thyroid cartilage. Otolaryn Head Neck Surgery110: 195-202.
5.
Brosch S, Johannsen H.1999. Clinical course of acute laryngeal trauma and associated effects on phonation. J of Laryngol Otol113: 58-61.
6.
Corsten G, Berkowitz R.2002. Membranous tracheal rupture in children following minor blunt cervical trauma. J Laryngol Otol106: 372-373.
Nahum A, Siegel AW.1967. Biodynamics of injury to the larynx in automobile collision. Ann Otol Rhino Laryngol76: 781-785.
16.
O’Keeffe L, Maw M.1992. The dangers of minor blunt trauma. J Laryngol Otol106: 372-373.
17.
Povey D.2004. Homicide and gun crime in England and Wales 2002/2003. Home Office Statistical Bulletin S1 (online). Available at http://www.homeoffice.gov.uk/rds/pdfs2/hosb0104.pdf
18.
Rupprecht H, Rumenapf G, Braig H, Flesch R.1994. Acute bleeding caused by rupture of the thyroid gland following blunt neck trauma: case report. Jof Trauma36: 408-409.
19.
Schaefer SD.1982. Primary management of laryngeal trauma. Ann Otol Rhino Laryngol91: 399-402.
20.
Schaefer SD.1991a. Use of CT scanning in the management of the acutely injured larynx. Oto Clinics of North America24: 31-36.
21.
Schaefer SD.1991b. The treatment of acute external laryngeal injuries. Arch Otolarngol Head Neck Surg117: 35-39.
22.
Schaefer SD.1992. The acute management of External Laryngeal Trauma - a 27 year experience. Arch Otolaryngol Head Neck Surg118: 598-604.
23.
Schaefer SD, Brown OE.1983. Selective application of CT in the management of laryngeal trauma. Laryngoscope93: 1473-1475.
24.
Stack B Jr, Ridley M.1994. Arytenoid subluxation from blunt laryngeal trauma. Am J Otolaryngol15: 16-73.
25.
Stanley R Jr, Cooper D, Florman S.1987. Phonatory effects of thyroid cartilage fractures. Ann Otol Rhinol Laryngol96: 493-496.
26.
Vassiliu P, Baker J, Henderson S, Alo K, Velmahos G, Demitriades D.2001. Aerodigestive injuries of the neck. Am Surg67: 75-79.