Severe blunt external laryngotracheal trauma: surgical outcome

Blunt external laryngotracheal trauma is rarely encountered in clinical practice. Most of the time, the first attending doctor overlooks this injury. Surgical management for this trauma is complicated, since there is no common management approach for this potentially life-threatening injury. It is i...

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Main Author:	Raja Lope Ahmad, Raja Ahmad Al'konee
Format:	Conference or Workshop Item
Language:	English English English
Published:	2009
Subjects:	RF Otorhinolaryngology
Online Access:	http://irep.iium.edu.my/16800/ http://irep.iium.edu.my/16800/1/Dr_Raja9.pdf http://irep.iium.edu.my/16800/4/oto_2009.pdf http://irep.iium.edu.my/16800/5/LTTrauma_EAORL-HNS.Manheim.2009.pdf

id	iium-16800
recordtype	eprints
spelling	iium-168002012-05-23T01:12:48Z http://irep.iium.edu.my/16800/ Severe blunt external laryngotracheal trauma: surgical outcome Raja Lope Ahmad, Raja Ahmad Al'konee RF Otorhinolaryngology Blunt external laryngotracheal trauma is rarely encountered in clinical practice. Most of the time, the first attending doctor overlooks this injury. Surgical management for this trauma is complicated, since there is no common management approach for this potentially life-threatening injury. It is important that this injury to be identified early as delay in surgical intervention may result in poor airway and speech outcome. The aim of surgical reconstruction is to minimize the debilitating morbidity from the trauma by restoring as much as possible the main laryngeal functions of airway and speech. We reviewed four cases of severe blunt external laryngotracheal trauma and assessed the outcome of the surgical interventions. One patient had associated cervical trauma and none of them had concomitant esophageal injury. All patients made a good recovery in term of airway function, but most of them except one developed reduced speech function. The technique of surgical reconstruction is highlighted in this report. The surgical treatment depends on the site of injury either in the larynx or tracheal. In both situations stenting are needed to help normal healing and re-epithelization to take place. In conclusion, prompt recognition and airway controlled are required in laryngotracheal trauma. Surgical emphysema is an important hallmark that should alert the attending physician to the possibility of severely laryngotracheal trauma. Immediate surgical intervention with appropriate surgery in this problem may result in favorable outcome. 2009 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/16800/1/Dr_Raja9.pdf application/pdf en http://irep.iium.edu.my/16800/4/oto_2009.pdf application/pdf en http://irep.iium.edu.my/16800/5/LTTrauma_EAORL-HNS.Manheim.2009.pdf Raja Lope Ahmad, Raja Ahmad Al'konee (2009) Severe blunt external laryngotracheal trauma: surgical outcome. In: 1st European Academy of Otorhinolaryngology – Head & Neck Surgery (EAORL-HNS) Conference, 27th – 30th June, 2009, Mannheim, Germany.
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English English
topic	RF Otorhinolaryngology
spellingShingle	RF Otorhinolaryngology Raja Lope Ahmad, Raja Ahmad Al'konee Severe blunt external laryngotracheal trauma: surgical outcome
description	Blunt external laryngotracheal trauma is rarely encountered in clinical practice. Most of the time, the first attending doctor overlooks this injury. Surgical management for this trauma is complicated, since there is no common management approach for this potentially life-threatening injury. It is important that this injury to be identified early as delay in surgical intervention may result in poor airway and speech outcome. The aim of surgical reconstruction is to minimize the debilitating morbidity from the trauma by restoring as much as possible the main laryngeal functions of airway and speech. We reviewed four cases of severe blunt external laryngotracheal trauma and assessed the outcome of the surgical interventions. One patient had associated cervical trauma and none of them had concomitant esophageal injury. All patients made a good recovery in term of airway function, but most of them except one developed reduced speech function. The technique of surgical reconstruction is highlighted in this report. The surgical treatment depends on the site of injury either in the larynx or tracheal. In both situations stenting are needed to help normal healing and re-epithelization to take place. In conclusion, prompt recognition and airway controlled are required in laryngotracheal trauma. Surgical emphysema is an important hallmark that should alert the attending physician to the possibility of severely laryngotracheal trauma. Immediate surgical intervention with appropriate surgery in this problem may result in favorable outcome.
format	Conference or Workshop Item
author	Raja Lope Ahmad, Raja Ahmad Al'konee
author_facet	Raja Lope Ahmad, Raja Ahmad Al'konee
author_sort	Raja Lope Ahmad, Raja Ahmad Al'konee
title	Severe blunt external laryngotracheal trauma: surgical outcome
title_short	Severe blunt external laryngotracheal trauma: surgical outcome
title_full	Severe blunt external laryngotracheal trauma: surgical outcome
title_fullStr	Severe blunt external laryngotracheal trauma: surgical outcome
title_full_unstemmed	Severe blunt external laryngotracheal trauma: surgical outcome
title_sort	severe blunt external laryngotracheal trauma: surgical outcome
publishDate	2009
url	http://irep.iium.edu.my/16800/ http://irep.iium.edu.my/16800/1/Dr_Raja9.pdf http://irep.iium.edu.my/16800/4/oto_2009.pdf http://irep.iium.edu.my/16800/5/LTTrauma_EAORL-HNS.Manheim.2009.pdf
first_indexed	2023-09-18T20:25:31Z
last_indexed	2023-09-18T20:25:31Z
_version_	1777408390601900032

Severe blunt external laryngotracheal trauma: surgical outcome

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