title: Complete traumatic laryngotracheal disruption--a case report and review.
abstract: Blunt neck trauma is an infrequent cause of injury in the pediatric population; however, significant injury is possible even with minor trauma to the neck. The authors present the previously unreported case of a combined laryngotracheal and esophageal disruption as well as a severe laryngeal crush injury in a pediatric patient following a blunt, clothesline neck injury. Immediate management of laryngotracheal or esophageal separation is frequently discussed, but little information exists concerning long-term treatment and management of total laryngotracheal disruption and crush injuries in pediatric patients. A review of the literature is presented to address these concerns.
authors.affiliation: School of Medicine, Virginia Commonwealth University School of Medicine, Richmond, VA, United States.
authors.forename: David F
authors.initials: DF
authors.lastname: Smith
authors.forename: Sara
authors.initials: S
authors.lastname: Rasmussen
authors.forename: Angela
authors.initials: A
authors.lastname: Peng
authors.forename: Charles
authors.initials: C
authors.lastname: Bagwell
authors.forename: Charles
authors.initials: C
authors.lastname: Johnson
mesh_terms: D000063:Accidents, Traffic; D002404:Catheterization / Q000379:methods; D002648:Child; D003131:Combined Modality Therapy; D004947:Esophagus / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D015601:Injury Severity Score; D007828:Laryngoscopy / Q000379:methods; D007830:Larynx / Q000293:injuries* / Q000601:surgery; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery; D019838:Neck Injuries / Q000209:etiology / Q000601:surgery*; D018570:Risk Assessment; D014132:Trachea / Q000293:injuries* / Q000601:surgery; D014139:Tracheostomy / Q000379:methods; D016896:Treatment Outcome; D014827:Vocal Cords / Q000293:injuries; D014949:Wounds, Nonpenetrating / Q000150:complications*