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KMID : 0377520180430010001
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Chung-Ang Journal of Medicine
2018 Volume.43 No. 1 p.1 ~ p.5
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Clinical Analysis of Acute Laryngotracheal Injuries
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Shim Haeng-Seon
Kim Dong-Joon
Kim Jeong-Yeon
Kim Myung-Gu
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Abstract
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Background and Objectives: Recently, the incidence of laryngotracheal injuries has increased steadily with the increase in traffic collisions and mechanization. Acute laryngotracheal injury is relatively uncommon but has the potential for rapid progression and can become life-threatening. Early diagnosis and appropriate airway management are essential for avoiding significant morbidity and mortality. We investigated our cases with laryngotracheal injuries to present the clinical findings and evaluate their correct management.
Subjects and Method: A retrospective chart review was done of all patients who had been treated for acute laryngotracheal injuries from January 2000 to March 2016. The patients were studied with attention to gender and age distribution, mode of injury, clinical signs and symptoms, injury mechanisms and causes, degree of injury, treatment and outcomes after the treatment.
Results: Thirty-two patients with laryngotracheal injuries were included in the study. Twenty-six cases were categorized as blunt traumas, and the other six were penetrating traumas. Acute laryngotracheal injuries were more common in males, and odynophagia and voice changes were the most common symptoms. Seventeen patients were managed conservatively, and fifteen underwent surgery. Twenty-two patients recovered their normal voices, and ten were assessed as fair. All patients showed good airway outcomes after appropriate treatment.
Conclusion: Immediate recognition of acute external laryngotracheal injury and expedient appropriate management are essential to good functional recovery from these potentially lethal injuries.
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KEYWORD
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Blunt trauma, Laryngotracheal injury, Life-threatening, Penetrating trauma
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