ACUTE LARYNGEAL TRAUMA - A REVIEW OF 77 PATIENTS

被引：98

作者：

BENT, JP

SILVER, JR

PORUBSKY, ES

机构：

[1] Division of Otolaryngology, Medical College of Georgia, Augusta

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 1993年 / 109卷 / 03期

关键词：

D O I：

10.1177/019459989310900309

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

Acute laryngeal trauma is a rare injury. In the past 18 years, 77 patients with acute laryngeal trauma have been evaluated at our institution. Each patient's care was overseen by the senior author (E.S.P.). The 61 patients who were seen within 48 hours of their accident are compared with those treated after 48 hours. All patients are classified by both injury (groups 1 through 5) and treatment (types I through III). Results are reported for voice, airway, and swallowing. Our methods of evaluation and treatment are outlined, and controversial aspects of patient management are addressed. We conclude that conservative treatment of group 1 and 2 injuries is 100% effective, expeditious repair of laryngeal injuries greatly reduces poor outcome, and the type of injury can be used to roughly predict patient outcome. Further, with use of current methods of diagnosis and management, almost all patients will be decannulated (98%) with functional speech (100%) and normal deglutition (100%).

引用

页码：441 / 449

页数：9

共 22 条

[1]

Schaefer S.D., Close L.G., Acute management of laryngeal trauma: Update, Ann Otol Rhinol Laryngol, 98, pp. 98-104, (1989)

[2]

Gussack G.S., Jurkovich G.J., Luterman A., Laryngotracheal trauma: A protocol approach to a rare injury, Laryngoscope, 96, pp. 660-665, (1986)

[3]

Schaefer S.D., The acute management of external laryngeal trauma, Arch Otolaryngol Head Neck Surg, 118, pp. 598-604, (1992)

[4]

Fuhrman G.M., Stieg F.H., Buerk C.A., Blunt laryngeal trauma: Classification and management, J Trauma, 30, pp. 87-92, (1990)

[5]

Schild J.A., Denneny E.C., Evaluation and treatment of acute laryngeal fractures, Head Neck, 11, pp. 491-496, (1989)

[6]

Harris H.H., Tobin H.A., Acute injuries of the larynx and trachea in 49 patients, Laryngoscope, 80, pp. 1376-1384, (1970)

[7]

Schaefer S.D., The treatment of acute external laryngeal injuries, Arch Otolaryngol Head Neck Surg, 117, pp. 35-39, (1991)

[8]

Leopold D.A., Laryngeal trauma. A historical comparison of treatment methods, Arch Otolaryngol Head Neck Surg, 109, pp. 106-111, (1983)

[9]

Cohn A.M., Larson D.L., Laryngeal injury. A critical review, Arch Otolaryngol Head Neck Surg, 102, pp. 166-170, (1976)

[10]

Potter C.P., Sessions D.G., Ogura J.H., Blunt laryngotracheal trauma, Otolaryngology, 86, pp. 909-923, (1978)

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