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Iranian Journal of Otorhinolaryngology، جلد ۳۰، شماره ۵، صفحات ۲۸۳-۲۹۰
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عنوان انگلیسی Management of Laryngotracheal Trauma: A Five-Year Single Institution Experience
چکیده انگلیسی مقاله Introduction: Laryngotracheal trauma is a rare life-threatening emergency that requires early identification and immediate intervention. Here, we present 26 patients with laryngotracheal trauma from a tertiary hospital in India. The aim was to describe the clinical presentation and management of laryngotracheal trauma patients.   Materials and Methods: This was a retrospective study of laryngotracheal trauma patients treated between January 2011 and March 2016. Patients who presented with a breach in the laryngotracheal framework were included, while those who had penetrating neck injuries superficial to strap muscles/platysma, burn injuries, caustic ingestion, or endotracheal injuries were excluded from the study.   Results: Of 253 patients with neck injury, 26 (23 adults, three children; 21 males, five females; age range, 5-60 years) presented with a breach in the laryngotracheal framework (15 blunt neck-trauma patients and 11 penetrating neck-trauma patients). The most common cause of neck injury was road traffic accidents, seen in 12 patients (46.2%). Computed tomography (CT) was performed in all blunt trauma cases and in four patients with penetrating trauma. All penetrating trauma patients underwent neck exploration. Twelve blunt trauma patients (46.1%) were managed conservatively, while three (11.5%) required surgical intervention. The most common neck exploration finding noted in patients with a penetrating injury was fracture of the thyroid cartilage, which was seen in eight patients (30.8%). Twenty patients (76.9%) had a normal voice, five patients (19.2%) had a hoarse voice, and one patient (3.8%) had a breathy voice post treatment.   Conclusion: Early intervention of laryngotracheal trauma is crucial. The role of a CT scan is essential in decision making in blunt trauma cases.
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نویسندگان مقاله | Pradipta-Kumar Parida
Department of ENT and Head Neck Surgery, AIIMS Bhubaneswar, Bhubaneswar-751019, Odisha, India.


| Kalaiarasi Raja
Department of ENT, Sri Lakshmi Narayana Institute of Medical Sciences, Pondicherry- 09, Pondicherry, India.


| Arun Alexander
Department of ENT and Head Neck Surgery, Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER), Pondicherry, India.
نشانی اینترنتی http://ijorl.mums.ac.ir/article_11411.html
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