Trauma laringotraqueal crítico: reparo cirúrgico com molde traqueal em "T"

Laryngeal trauma: a case with blunt thyroid cartilage fracture

“…Severe laryngotracheal trauma corresponds to a lesion of high mortality at the scene or during prehospital care 5 and, for this reason, has a low incidence in the hospital environment. The absence of evident signs of laryngeal injury makes it essential to perform an organized multidisciplinary care to avoid inadequate management and diagnosis, since early treatment of lesions improves prognosis and reduces the risk of serious complications to trauma victims 2,7,8 . Therefore, all cervical traumas require a high level of suspected laryngeal fracture due to asymptomatic cases 3,4 .…”

“…Individualized management and treatment should be performed from the categorization of these injuries into five groups (mild, moderate, severe, very severe and critical, respectively), and the patient in this case is classified as Themes focused on interdisciplinarity and sustainable development worldwide V.01 -Laryngeal trauma: a case with blunt thyroid cartilage fracture type 2 -moderate, with a fracture without significant displacement. The main objective of the conduct in the face of laryngeal trauma is to maintain airway clearance, it is necessary to ensure airway pathway pathening through possible effective procedures at the time and place of trauma 2,9 . There is divergence in the literature regarding the most appropriate method for obtaining airway patency [1][2][3][4][5] and how laryngeal trauma causes difficulties in performing intubation through distorted anatomy, poor visualization and suboptimal conditions 2-4 there is a risk of increasing new lesions and worsening of existing ones.…”

Thyroid Cartilage Fracture in a Blunt Cervical Trauma a Case Report

“…Severe laryngotracheal trauma corresponds to a high mortality injury in the scene or during pre-hospital care 5 and, for this reason, it has a low incidence in the hospital environment. The absence of obvious signs of laryngeal injury makes it essential to carry out an organized multidisciplinary care to avoid inadequate management and diagnosis, since early treatment of injuries improves the prognosis and reduces the risk of serious complications for the trauma victim 2,7,8 . Therefore, all the cervical traumas require a high level of suspicion of laryngeal fracture due to asymptomatic cases 3,4 .…”

“…Individualized management and treatment must be carried out based on the categorization of these injuries into five groups (mild, moderate, severe, very severe and critical, respectively), with the patient in this case classified as type 2 -moderate, with a fracture without significant displacement. The main objective of dealing with laryngeal trauma is to maintain airway clearance, it is necessary to ensure airway patency through effective procedures possible at the time and place of the trauma 2,9 . There is divergence in the literature regarding the most appropriate method for obtaining airway patency [1][2][3][4][5] and how laryngeal trauma causes difficulties in performing intubation due to distorted anatomy, poor visualization and suboptimal conditions [2][3][4] there is a risk of increasing new lesions and worsening existing ones.…”

“…The main objective of dealing with laryngeal trauma is to maintain airway clearance, it is necessary to ensure airway patency through effective procedures possible at the time and place of the trauma 2,9 . There is divergence in the literature regarding the most appropriate method for obtaining airway patency [1][2][3][4][5] and how laryngeal trauma causes difficulties in performing intubation due to distorted anatomy, poor visualization and suboptimal conditions [2][3][4] there is a risk of increasing new lesions and worsening existing ones. Thus, a tracheostomy with local anesthesia must be preferred,³ which can be performed through the existing cervical wound itself, in the presence of anterior neck laceration 3,10 .…”