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External laryngeal trauma: analysis of thirty cases

Published online by Cambridge University Press:  29 June 2007

T. A. Cherian ,
V. Rupa  and
R. Raman
T. A. Cherian
Affiliation:
Department of ENT, Christian Medical College HOspital, Vellore, India.
V. Rupa*
Affiliation:
Department of ENT, Christian Medical College HOspital, Vellore, India.
R. Raman
Affiliation:
Department of ENT, Christian Medical College HOspital, Vellore, India.
*
Dr V. Rupa, M.S., D.L.O., Department of ENT, Christian Medical College Hospital, Vellore-632004, India.
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Abstract

A retrospective analysis of thirty patients with external laryngeal trauma was performed to assess the type and extent of injuries commonly seen as well as the outcome following treatment. Outcome was assessed both in terms of voice and airway. Major laryngeal injuries (19 cases) outnumbered minor injuries (11 cases). A good correlation exists between the symptoms of haemoptysis and stridor at presentation and severity of the injury (p = 0.002). Early surgical intervention is associated with better outcome (p = 0.01). However there is no statistically significant difference in outcome between major and minor injuries (p = 0.3) indicating that other factors are operative in determining outcome. Based on our findings a management strategy for patients with external laryngeal trauma is outlined.

Keywords

Wounds and injurieslarynx
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 107 , Issue 10 , October 1993 , pp. 920 - 923
Copyright
Copyright © JLO (1984) Limited 1993

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References

Bryce, D. P. (1972) The surgical management of laryngotracheal injury. Journal ofLaryngology and Otology 86: 547–587.CrossRefGoogle ScholarPubMed
Fitz-Hugh, G. S., Wallenborn, W. M., McGovern, F. (1962) Injuries of the larynx and cervical trauma. Annals of Otology, Rhinology and Laryngology 71: 419–442.CrossRefGoogle ScholarPubMed
Harris, H. H., Ainsworth, C. Z. (1965) Immediate management of laryngeal and tracheal injuries. Laryngoscope 75: 1103–1115.CrossRefGoogle ScholarPubMed
Herrin, T. J., Bruzustowicz, R., Hendrickson, M. (1979) Anesthetic management of neck trauma. Southern Medical Journal 72: 1102.CrossRefGoogle ScholarPubMed
Leopold, D. A. (1983) Laryngeal trauma: a historical comparison of treatment methods. Archives of Otolaryngology, Head and Neck Surgery 109: 106–112.CrossRefGoogle ScholarPubMed
Maran, A. G. D., Stell, P. M. (1970) Acute laryngeal trauma. Lancet 2: 1107–1110.CrossRefGoogle ScholarPubMed
Nahum, A. M. (1969) Immediate care of acute blunt laryngeal trauma. Journal of Trauma 9: 112–125.CrossRefGoogle ScholarPubMed
Nahum, A.M., Siegel, A.W. (1967) Biodynamics of injury to the larynx in automobile collision. Annals of Otology, Rhinology and Laryngology 76: 781–785.CrossRefGoogle Scholar
Olson, N. R., Miles, W. K. (1971) Treatment of acute blunt laryngeal injuries. Annals of Otology, Rhinology and Laryngology 80: 704–709.CrossRefGoogle ScholarPubMed
Schaefer, S. D. (1991) The treatment of acute external laryngeal injuries. ‘State of the art’. Archives of Otolaryngology, Head and Neck Surgery 117: 35–39.CrossRefGoogle ScholarPubMed
Schaefer, S. D. (1992) The acute management of external laryngeal trauma: a 27-year experience. Archives of Otolaryngology, Head and Neck Surgery 118: 598–604.CrossRefGoogle ScholarPubMed
Schaefer, S. D., Close, L. G. (1989) Acute management of laryngeal trauma. Annals of Otology, Rhinology and Laryngology 98: 98–104.CrossRefGoogle ScholarPubMed