Management of penetrating laryngotracheal injuries

Abstract

Mortality can be minimized by aggressive airway control. Endotracheal intubation can be accomplished safely in selected patients with penetrating laryngotracheal injuries. Digestive-tract injuries can often clinically occult and contribute significantly to morbidity and mortality; therefore, early evaluation of the esophagus is vital. Simple repair of laryngotracheal and digestive-tract injuries can be performed safely with good results. In patients with minor injuries, tracheostomy does not appear to be mandatory.

Current Management of Laryngotracheal Trauma: CASE-REPORT and Literature Review

“…18,20 Some foresee an increased frequency of penetrating neck trauma in the future because of the continued epidemic of "urban trauma." 18 Gunshot wounds appear to be increasing relative to stabbings as the major cause of penetrating neck injuries. 2,18 In contrast to the increasing rates of penetrating neck injuries, blunt LT injuries appear to be decreasing.…”

“…16 These injuries are more commonly associated with penetrating neck trauma (5-15%), attributable to the superficial, anterior midline location of the larynx. 15,[17][18][19] Furthermore, the rate of upper airway injury is doubled if concomitant cervical vascular or digestive tract injuries are present. 18,20 Some foresee an increased frequency of penetrating neck trauma in the future because of the continued epidemic of "urban trauma."…”

“…15,[17][18][19] Furthermore, the rate of upper airway injury is doubled if concomitant cervical vascular or digestive tract injuries are present. 18,20 Some foresee an increased frequency of penetrating neck trauma in the future because of the continued epidemic of "urban trauma." 18 Gunshot wounds appear to be increasing relative to stabbings as the major cause of penetrating neck injuries.…”

Trauma de laringe

“…O sangramento das lesões vasculares associadas e comprometimento da via aérea superior, principalmente em ferimento penetrante, são fatores importantes que contribuem para óbi-to, logo após o ferimento cervical 11 . O mecanismo de trauma mais freqüente na presente casuística foi o trauma penetrante (85,7%), o que condiz com trabalhos na literatura 1,3,6,11 . Há estudos que descrevem o trauma contuso decorrente de evento automobilístico, como principal agente da lesão de laringe 2,12 .…”

Penetrating Neck Injury: A Case Report and Review of Management

“…Minor lacerations, small hematomas, and nondisplaced single fractures may be managed with observation and serial examination [8][9][10][11]. Lacerations which need exploration and repair are as follows:…”