Acute external laryngotracheal trauma: diagnosis and management.
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.
Lee
Walter T
WT
Head and Neck Institute, The Cleveland Clinic, 9500 Euclid Ave., Desk A-71, Cleveland, OH 44195, USA. leew@ccf.org
Eliashar
Ron
R
Eliachar
Isaac
I
D000402:Airway Obstruction / Q000209:etiology; D003413:Cricoid Cartilage / Q000601:surgery; D004638:Emergency Treatment; D006801:Humans; D007830:Larynx / Q000293:injuries*; D008279:Magnetic Resonance Imaging; D011182:Postoperative Care / Q000379:methods / Q000592:standards; D014057:Tomography, X-Ray Computed; D014132:Trachea / Q000293:injuries*; D014139:Tracheostomy; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000628:therapy*; D014950:Wounds, Penetrating / Q000175:diagnosis* / Q000628:therapy*