| Recognition and Management of the Spectrum of Acute Laryngeal Trauma. | |
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MedLine Citation:
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PMID: 20591599 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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BACKGROUND: Blunt laryngeal trauma frequently takes place in the setting of more significant injuries. In the setting of multiple injuries or, more importantly, as an isolated event, missed injuries to the laryngotracheal complex can have devastating results. More importantly, underestimation of the severity of injury can result in an airway that becomes quite difficult to manage. However, early recognition and management of laryngotracheal injuries can result in minimal morbidity and the need for minimal long-term intervention. OBJECTIVES: Our goal is to heighten awareness of the severity of blunt laryngotracheal trauma and reduce both acute and long-term sequelae. CASE REPORT: We present a series of cases representing a spectrum of seemingly benign neck injuries requiring a diversity of interventions. The cases represent worsening gradations of laryngeal trauma, and the differing presentation, work-up, and management scenarios are discussed. CONCLUSIONS: Expedient evaluation, treatment, and management of blunt laryngeal trauma results in favorable outcomes. Awareness of the potential for significant injury in the presence of benign examination based on the history of injury and confirmed by radiographic or endoscopic evaluation is paramount. Although minimal findings on examination and stable patients in the setting of blunt trauma to the neck may be as innocuous as it seems, the severity of injury may "lie beneath." |
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Authors:
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Brett T Comer; Thomas J Gal |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2010-6-28 |
Journal Detail:
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Title: The Journal of emergency medicine Volume: - ISSN: 0736-4679 ISO Abbreviation: - Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-7-1 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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Copyright © 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Otolaryngology, Head & Neck Surgery, University of Kentucky Chandler Medical Center, Lexington, Kentucky. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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