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The Annals of Thoracic Surgery, Vol 43, 254-262, Copyright © 1987 by The Society of Thoracic Surgeons
DJ Mathisen and H Grillo
Laryngotracheal trauma can be an immediately life-threatening injury.
Failure to recognize such injuries and promptly secure an airway may have
fatal consequences. Failure to recognize acute injuries or to observe the
principles of management can lead to laryngotracheal stenosis. We have seen
10 patients with acute injuries. Blunt trauma was responsible in 5,
penetrating trauma in 4, and iatrogenic injury in 1. Esophageal transection
was present in 1 patient. Thoracotomy was required in 2 patients with
injury of the carina, and cervical exposure was adequate in 8. All patients
underwent successful repair of the injuries. Seventeen patients have been
treated for delayed traumatic laryngotracheal stenosis. Vocal cord
paralysis was apparent in 14. Concomitant esophageal injury was repaired in
4 patients. Eight patients required intralaryngeal procedures prior to
repair of the laryngotracheal stenosis. All patients except 1 have a good
airway, and 16 of the 17 have a good voice.
ARTICLES
Laryngotracheal trauma
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