Published June 30, 2023 | Version http://impactfactor.org/PDF/IJTPR/13/IJTPR,Vol13,Issue6,Article36.pdf
Journal article Open

A Study on Laryngotracheal Trauma and Its Management

  • 1. Assistant Professor, Department of ENT, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar
  • 2. Associate Professor, Department of ENT, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar

Description

Background: Laryngotracheal wounds are rare; however, they have a significant mortality rate. Laryngeal injury forms less than 1% of all traumatic injuries. Despite being rare, they may be quite severe. Aim and Objective: To study laryngeal trauma and its management in our hospital settings. Material and Method: This was a prospective study conducted in Department of ENT, CAIMS Karimnagar, included 50 patients reported to OPD due to various aetiologies of Laryngeal trauma for the period of one year, after getting informed consent from patients, approved by institutional ethical committee and following inclusion and exclusion criteria. Results: Among all 50 participants who were included in the study, 64% of them were male and 36% were female and majority of the patients were from the age group of 21 – 40 years followed by < 20 Years. majority of the patients were reported due to the Blunt Injury (Road traffic accidents, Cut Throat and Hanging) followed by intubation injury (Post Intubation) and penetrating Injury. But after management of the patients with above treatment procedures there was significant difference observed in outcomes of the patients, after treatment out of 50 patients 41 patients were able to speak and 43 patients were able to swallow. Conclusion: The role of the CT scan is crucial in decision making in blunt trauma cases. A multidisciplinary approach is required in trauma patients to identify other co-existing injuries.

Abstract (English)

Background: Laryngotracheal wounds are rare; however, they have a significant mortality rate. Laryngeal injury forms less than 1% of all traumatic injuries. Despite being rare, they may be quite severe. Aim and Objective: To study laryngeal trauma and its management in our hospital settings. Material and Method: This was a prospective study conducted in Department of ENT, CAIMS Karimnagar, included 50 patients reported to OPD due to various aetiologies of Laryngeal trauma for the period of one year, after getting informed consent from patients, approved by institutional ethical committee and following inclusion and exclusion criteria. Results: Among all 50 participants who were included in the study, 64% of them were male and 36% were female and majority of the patients were from the age group of 21 – 40 years followed by < 20 Years. majority of the patients were reported due to the Blunt Injury (Road traffic accidents, Cut Throat and Hanging) followed by intubation injury (Post Intubation) and penetrating Injury. But after management of the patients with above treatment procedures there was significant difference observed in outcomes of the patients, after treatment out of 50 patients 41 patients were able to speak and 43 patients were able to swallow. Conclusion: The role of the CT scan is crucial in decision making in blunt trauma cases. A multidisciplinary approach is required in trauma patients to identify other co-existing injuries.

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Additional details

Dates

Accepted
2023-05-26

References

  • 1. Brennan J, Gibbons MD, Lopez M, Hayes D, Faulkner J, Eller RL, Barton C: Traumatic airway management in Operation Iraqi Freedom. Otolaryngol Head Neck Surg. 2011, 144:376-80. 2. Schaefer SD: The acute management of external laryngeal trauma. A 27-year experience. Arch Otolaryngol Head Neck Surg. 1992, 118:598-604. 3. Butler AP, Wood BP, O'Rourke AK, Porubsky ES: Acute external laryngeal trauma: experience with 112 patients. Ann Otol Rhinol Laryngol. 2005, 114:361-8. 4. Juutilainen M, Vintturi J, Robinson S, Bäck L, Lehtonen H, Mäkitie AA: Laryngeal fractures: clinical findings and considerations on suboptimal outcome. Acta Otolaryngol. 2008, 128:213-8. 5. Jalisi S, Zoccoli M: Management of laryngeal fractures--a 10-year experience. J Voice. 2011, 25:473-9. 6. Schaefer SD,Close LG.Acute management of laryngeal trauma. Update. Ann Otol Rhinol Laryngol 1989;98: 98-104. 7. Parida PK, Kalaiarasi R, Alexander A. Management of Laryngotracheal Trauma: A Five-Year Single Institution Experience. Iran J Otorhinolaryngol. 2018 Sep; 30(100): 283-290. 8. Sachdeva K, Upadhyay A. Neck Trauma: ENT Prospects. Indian J Otolaryngol Head Neck Surg. 2017;69(1):52-7. 9. Akhtar S, Awan S. Laryngotracheal trauma: its management and sequelae. J Pak Med Assoc. 2008;58(5):241-3. 10. Schaefer SD. The treatment of acute external laryngeal injuries. 'State of the art'. Arch Otolaryngol Head Neck Surg. 1991;117(1):35-9. 11. Yen PT, Lee HY, Tsai MH, Chan ST, Huang TS. Clinical analysis of external laryngeal trauma. J Laryngol Otol 1994;108(3):221–5. 12. Cherian TA, Rupra V, Raman R. External laryngeal trauma: analysis of thirty cases. J Laryngol Otol 1993; 107(10):920–3. 13. Schaefer SD. Management of acute blunt and penetrating external laryngeal trauma. Laryngoscope. 2014;124(1):233-44. 14. Bell RB, Osborn T, Dierks EJ, Potter BE, Long WB. Management of penetrating neck injuries: a new paradigm for civilian trauma. J Oral. Maxillofac Surg.2007;65(4):691-705. 15. Bell RB, Verschueren DS, Dierks EJ. Management of laryngeal trauma. Oral Maxillofac Surg Clin North Am. 2008;20(3):415-30. 16. Jalisi S, Zoccoli. Management of laryngeal fractures-a 10-year experience. M J Voice. 2011; 25(4):473-9.