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KMID : 0361020070500090800
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Korean Journal of Otolaryngology - Head and Neck Surgery
2007 Volume.50 No. 9 p.800 ~ p.806
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Analysis of 32 Cases of Acute Laryngeal Trauma
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Jo Han-Gyu
Park Jung-Je
Jeon Sea-Yuong
Kim Jin-Pyeong
Ahn Seong-Ki
Lim Jong-Beom
Song Min-Sung
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Abstract
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Background and Objectives:Laryngeal trauma occurs uncommonly, but when it does, it can cause acute airway obstruction and longterm voice and airway problems. The purpose of this study was to analyze the clinical presentation of larynx trauma and to assess the outcome of the treatment.
Materials and Methods:We analyzed the medical records of 32 patients with acute laryngeal trauma from 1992 to 2006, retrospectively.
Results: The most common cause of injury was traffic accident. Voice change was the most common symptom. Vocal cord palsy in patients with redistributed in minor injury was improved in all of the group that received conservative management. If there are significant endolaryngeal laceration or arytenoid disruption, which can occur with major trauma, consideration should be given to placing an endolaryngeal stent. But there was no difference in improvement rates between those receiving treatment with stent and those without stent. Thus, consider severity, treatment with stent is likely to yield to significant benefit.
Conclusions: Vocal cord palsy in patients with redistributed in minor trauma may be managed conservatively. We conclude that patients with major trauma of endolaryngeal mucosa should use a stent in their treatment.
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KEYWORD
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Larynx trauma, Vocal cord palsy
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