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The Acute Management of External Laryngeal Trauma: A 27-Year Experience

The Acute Management of External Laryngeal Trauma: A 27-Year Experience Abstract • The acute care of 139 consecutive patients with external laryngeal trauma over a 27-year period is reported. This article represents an effort to periodically reevaluate our care of this relatively infrequent injury and to share our changes and refinements in treatment. This series provides the means to test and establish basic principles in the acute care of external laryngeal trauma because (1) the number of years encompassed by the article, (2) most patients were managed by one physician, (3) the relative consistency of management principles throughout the series, and (4) the delivery of trauma care in Dallas County, Texas, reflects a broad sampling of this injury within the geographic area. (Arch Otolaryngol Head Neck Surg. 1992;118:598-604) References 1. Schaefer SD. Primary management of laryngeal trauma . Ann Otol Rhinol Laryngol . 1982;91:399-402. 2. Cohn AM, Larson DL. Laryngeal injury . Arch Otolaryngol . 1976;102:166-170.Crossref 3. Schaefer SD. State of the art: the acute treatment of external laryngeal injuries . Arch Otolaryngol Head Neck Surg . 1991;117:35-39.Crossref 4. Trone TH, Schaefer SD, Carder HM. Blunt and penetrating laryngeal trauma: a 13-year review . Otolaryngol Head Neck Surg . 1980;88:257-261. 5. Schaefer SD, Close LG. The acute management of laryngeal trauma: an update . Ann Otol Rhinol Laryngol . 1989;98:98-104. 6. Gussack GS, Jurkovich GJ, Luterman A, Mobile A. Laryngotracheal trauma: a protocol approach to a rare injury . Laryngoscope . 1986;96:660-665.Crossref 7. Olson NR, Miles WK. Treatment of acute blunt laryngeal injuries . Ann Otol Rhinol Laryngol . 1971;80:704-709. 8. Olson NR. Surgical treatment of acute blunt laryngeal injuries . Ann Otol Rhinol Laryngol . 1978;87:716-721. 9. Pennington CL. External trauma of the larynx and trachea: immediate treatment and management . Ann Otol Rhinol Laryngol . 1972;81:546-554. 10. Harris HH, Tobin HA. Acute injuries of the larynx and trachea in 49 patients . Laryngoscope . 1970;80:1376-1384.Crossref 11. Harris HH, Ainsworth JZ. Immediate management of laryngeal and tracheal injuries . Laryngoscope . 1965;75:1103-1115. 12. Fitz-Hugh GS, Wallenborn WM, McGovern F. Injuries of the larynx and cervical trauma . Ann Otol Rhinol Laryngol . 1962;71:419-442. 13. Stanley RB Jr, Cooper DS, Florman SH. Phonatory effects of thyroid cartilage fractures . Ann Otol Rhinol Laryngol . 1987;96:493-496. 14. Schaefer SD, Brown OE. Selective application of CT in the management of laryngeal trauma . Laryngoscope . 1983;93:1473-1475. 15. Krekorian EA. Laryngopharyngeal injuries . Laryngoscope . 1975;85:2069-2086.Crossref 16. Schaefer SD, Carder HM. 'How I do it'—head and neck: a targeted problem and its solution: fabrication of a simple laryngeal stent . Laryngoscope . 1980;90:1561-1563.Crossref 17. Weigelt JA, Thal ER, Snyder WH, et al. Diagnosis of penetrating cervical esophageal injuries . Am J Surg . 1987;154:619-622.Crossref 18. Harrison DFN. Bullet wounds of the larynx and trachea . Arch Otolaryngol . 1984;110:203-205.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

The Acute Management of External Laryngeal Trauma: A 27-Year Experience

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References (22)

Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1992.01880060046013
Publisher site
See Article on Publisher Site

Abstract

Abstract • The acute care of 139 consecutive patients with external laryngeal trauma over a 27-year period is reported. This article represents an effort to periodically reevaluate our care of this relatively infrequent injury and to share our changes and refinements in treatment. This series provides the means to test and establish basic principles in the acute care of external laryngeal trauma because (1) the number of years encompassed by the article, (2) most patients were managed by one physician, (3) the relative consistency of management principles throughout the series, and (4) the delivery of trauma care in Dallas County, Texas, reflects a broad sampling of this injury within the geographic area. (Arch Otolaryngol Head Neck Surg. 1992;118:598-604) References 1. Schaefer SD. Primary management of laryngeal trauma . Ann Otol Rhinol Laryngol . 1982;91:399-402. 2. Cohn AM, Larson DL. Laryngeal injury . Arch Otolaryngol . 1976;102:166-170.Crossref 3. Schaefer SD. State of the art: the acute treatment of external laryngeal injuries . Arch Otolaryngol Head Neck Surg . 1991;117:35-39.Crossref 4. Trone TH, Schaefer SD, Carder HM. Blunt and penetrating laryngeal trauma: a 13-year review . Otolaryngol Head Neck Surg . 1980;88:257-261. 5. Schaefer SD, Close LG. The acute management of laryngeal trauma: an update . Ann Otol Rhinol Laryngol . 1989;98:98-104. 6. Gussack GS, Jurkovich GJ, Luterman A, Mobile A. Laryngotracheal trauma: a protocol approach to a rare injury . Laryngoscope . 1986;96:660-665.Crossref 7. Olson NR, Miles WK. Treatment of acute blunt laryngeal injuries . Ann Otol Rhinol Laryngol . 1971;80:704-709. 8. Olson NR. Surgical treatment of acute blunt laryngeal injuries . Ann Otol Rhinol Laryngol . 1978;87:716-721. 9. Pennington CL. External trauma of the larynx and trachea: immediate treatment and management . Ann Otol Rhinol Laryngol . 1972;81:546-554. 10. Harris HH, Tobin HA. Acute injuries of the larynx and trachea in 49 patients . Laryngoscope . 1970;80:1376-1384.Crossref 11. Harris HH, Ainsworth JZ. Immediate management of laryngeal and tracheal injuries . Laryngoscope . 1965;75:1103-1115. 12. Fitz-Hugh GS, Wallenborn WM, McGovern F. Injuries of the larynx and cervical trauma . Ann Otol Rhinol Laryngol . 1962;71:419-442. 13. Stanley RB Jr, Cooper DS, Florman SH. Phonatory effects of thyroid cartilage fractures . Ann Otol Rhinol Laryngol . 1987;96:493-496. 14. Schaefer SD, Brown OE. Selective application of CT in the management of laryngeal trauma . Laryngoscope . 1983;93:1473-1475. 15. Krekorian EA. Laryngopharyngeal injuries . Laryngoscope . 1975;85:2069-2086.Crossref 16. Schaefer SD, Carder HM. 'How I do it'—head and neck: a targeted problem and its solution: fabrication of a simple laryngeal stent . Laryngoscope . 1980;90:1561-1563.Crossref 17. Weigelt JA, Thal ER, Snyder WH, et al. Diagnosis of penetrating cervical esophageal injuries . Am J Surg . 1987;154:619-622.Crossref 18. Harrison DFN. Bullet wounds of the larynx and trachea . Arch Otolaryngol . 1984;110:203-205.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Jun 1, 1992

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