|
KMID : 0361019990420010097
|
|
Korean Journal of Otolaryngology - Head and Neck Surgery
1999 Volume.42 No. 1 p.97 ~ p.101
|
|
|
Retrospective Analysis of Acute Laryngeal Trauma
|
|
황의기/Eui Gee Hwang
박정제/전시영/정태기/강재용/성종화/Jung Je Park/Sea Young Jeon/Tae Gee Jung/Jae Yong Kang/Jong Hwa Sung
|
|
|
Abstract
|
|
|
Background and Objectives: Acute laryngeal trauma is a very rare injury. Controversy still exists in regards to its proper management. The aim of this study was to present clinical findings and management of acute laryngeal trauma.
Materials
ad Methods: We analyzed medical records of 15 patients with acute laryngeal trauma from 1987 to 1997 retrospectively. Results: The most common cause of injury was traffic accident. Hoarseness (93.3%), odynophagia (86.7%), subcutaneous
emphysema (60.0%) were the common presenting symptoms and thyroid cartilage was the most common site of fracture. The correlation between dyspnea (p=0.03) and subcutaneous emphysema (p=0.08) and major injury was high. Esophageal examination was
performed on 11 patients and revealed no injury. All four patients with vocal cord palsy and minor injury findings improved. Patients with major injury showed bad results of airway and voice, and result of voice was worse that of airway.
Conclusion: If presenting symptoms are emphysema and dyspnea, major injury should be considered. Routine esophageal examination may be skipped in blunt minor injury. Vocal cord palsy with minor injury finding may not be an operative
indication in
blunt injury.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|