Technical considerations in the surgical management of external laryngotracheal: surgical outcomes

Introduction: External laryngotracheal (ELT) trauma is rarely encountered in clinical practice. In most circumstances, this injury is overlooked by the primary attending team. Surgical management of ELT trauma is complicated, because there is no established management approach for this potentially l...

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Main Authors:	Razali, Mohd Sayuti, Asha'ari, Zamzil Amin, Abdullah, Kahairi, Leman, Wan Ishlah, Kamarudin, Norie Azilah
Format:	Article
Language:	English English
Published:	IIUM 2016
Subjects:	RF Otorhinolaryngology
Online Access:	http://irep.iium.edu.my/53311/ http://irep.iium.edu.my/53311/ http://irep.iium.edu.my/53311/1/IMJM-Laryngotracheal%20trauma.pdf http://irep.iium.edu.my/53311/7/53311_Technical%20Considerations_Laryngotracheal%20trauma_WOS.pdf

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spelling	iium-533112018-05-18T07:20:14Z http://irep.iium.edu.my/53311/ Technical considerations in the surgical management of external laryngotracheal: surgical outcomes Razali, Mohd Sayuti Asha'ari, Zamzil Amin Abdullah, Kahairi Leman, Wan Ishlah Kamarudin, Norie Azilah RF Otorhinolaryngology Introduction: External laryngotracheal (ELT) trauma is rarely encountered in clinical practice. In most circumstances, this injury is overlooked by the primary attending team. Surgical management of ELT trauma is complicated, because there is no established management approach for this potentially life-altering, high morbidity injury. It is important for this injury to be identified early, as any delay in surgical intervention may result in poor airway and phonatory outcomes. The aim of surgical reconstruction is to minimise the above debilitating morbidities by restoring the main laryngeal functions as much as possible. Methods: We reviewed the outcomes of six surgical interventions for ELT trauma at Tengku Ampuan Afzan Hospital from June 2007 to June 2014. Clinical presentations, computed tomography (CT) scans features, intraoperative findings, and postoperative outcomes were evaluated. Results: All patients made a good recovery in terms of phonation except for one patient who had reduced speech function. After one year, one patient was still dependent on a fenestrated tracheostomy. This article describes the surgical reconstruction techniques used to achieve these positive outcomes. Stenting is helpful to aid healing and re-epithelialisation. Conclusion: Prompt recognition and non-traumatised airway control are essential for addressing laryngotracheal trauma. Subcutaneous emphysema is an important hallmark that should alert the attending physician to the possibility of ELT trauma. Immediate surgical intervention using appropriate techniques can produce favorable patient outcomes. IIUM 2016-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/53311/1/IMJM-Laryngotracheal%20trauma.pdf application/pdf en http://irep.iium.edu.my/53311/7/53311_Technical%20Considerations_Laryngotracheal%20trauma_WOS.pdf Razali, Mohd Sayuti and Asha'ari, Zamzil Amin and Abdullah, Kahairi and Leman, Wan Ishlah and Kamarudin, Norie Azilah (2016) Technical considerations in the surgical management of external laryngotracheal: surgical outcomes. International Medical Journal Malaysia, 15 (2). pp. 7-12. ISSN 1823-4631 http://iiumedic.net/imjm/v1/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English English
topic	RF Otorhinolaryngology
spellingShingle	RF Otorhinolaryngology Razali, Mohd Sayuti Asha'ari, Zamzil Amin Abdullah, Kahairi Leman, Wan Ishlah Kamarudin, Norie Azilah Technical considerations in the surgical management of external laryngotracheal: surgical outcomes
description	Introduction: External laryngotracheal (ELT) trauma is rarely encountered in clinical practice. In most circumstances, this injury is overlooked by the primary attending team. Surgical management of ELT trauma is complicated, because there is no established management approach for this potentially life-altering, high morbidity injury. It is important for this injury to be identified early, as any delay in surgical intervention may result in poor airway and phonatory outcomes. The aim of surgical reconstruction is to minimise the above debilitating morbidities by restoring the main laryngeal functions as much as possible. Methods: We reviewed the outcomes of six surgical interventions for ELT trauma at Tengku Ampuan Afzan Hospital from June 2007 to June 2014. Clinical presentations, computed tomography (CT) scans features, intraoperative findings, and postoperative outcomes were evaluated. Results: All patients made a good recovery in terms of phonation except for one patient who had reduced speech function. After one year, one patient was still dependent on a fenestrated tracheostomy. This article describes the surgical reconstruction techniques used to achieve these positive outcomes. Stenting is helpful to aid healing and re-epithelialisation. Conclusion: Prompt recognition and non-traumatised airway control are essential for addressing laryngotracheal trauma. Subcutaneous emphysema is an important hallmark that should alert the attending physician to the possibility of ELT trauma. Immediate surgical intervention using appropriate techniques can produce favorable patient outcomes.
format	Article
author	Razali, Mohd Sayuti Asha'ari, Zamzil Amin Abdullah, Kahairi Leman, Wan Ishlah Kamarudin, Norie Azilah
author_facet	Razali, Mohd Sayuti Asha'ari, Zamzil Amin Abdullah, Kahairi Leman, Wan Ishlah Kamarudin, Norie Azilah
author_sort	Razali, Mohd Sayuti
title	Technical considerations in the surgical management of external laryngotracheal: surgical outcomes
title_short	Technical considerations in the surgical management of external laryngotracheal: surgical outcomes
title_full	Technical considerations in the surgical management of external laryngotracheal: surgical outcomes
title_fullStr	Technical considerations in the surgical management of external laryngotracheal: surgical outcomes
title_full_unstemmed	Technical considerations in the surgical management of external laryngotracheal: surgical outcomes
title_sort	technical considerations in the surgical management of external laryngotracheal: surgical outcomes
publisher	IIUM
publishDate	2016
url	http://irep.iium.edu.my/53311/ http://irep.iium.edu.my/53311/ http://irep.iium.edu.my/53311/1/IMJM-Laryngotracheal%20trauma.pdf http://irep.iium.edu.my/53311/7/53311_Technical%20Considerations_Laryngotracheal%20trauma_WOS.pdf
first_indexed	2023-09-18T21:15:27Z
last_indexed	2023-09-18T21:15:27Z
_version_	1777411531860869120

Technical considerations in the surgical management of external laryngotracheal: surgical outcomes

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