Traumatismo laringotraquealDescripción de un caso

  1. PONCELA-BLANCO, María
  2. DÍEZ-GONZÁLEZ, Laura
  3. MARTÍN-PEÑA, Fernando
  4. RODRÍGUEZ-CRESPO, Rosa
  5. ESCAPA-GARRACHÓN, Jose María
Journal:
Revista ORL

ISSN: 2444-7986 2444-7986

Year of publication: 2016

Volume: 7

Volume: 2

Pages: 107-111

Type: Article

DOI: 10.14201/ORL201672.14001 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Revista ORL

Abstract

Introduction and objective: Laryngotracheal deep traumas are uncommon damages that can result in potential fatal injury. Prompt intervention significantly improves patient survival and prevents short- and long-term aerodigestive tract sequelae. The progression of a patient was studied during and after his hospital stay. Case description: We report a clinical patient with a cervical trauma who required tracheotomy to secure the airway and subsequent surgical reconstruction with insertion of an endolaryngeal stent in order to preserve its permeability. Discussion: The diagnosis of cervical trauma is based on clinical history and physical examination. In spite of this, the absence of signs and symptoms do not reject the presence of a major injury. AngioCT is now the method of choice for the diagnosis of cervical trauma. The management of this pathology depends on the severity of the injuries. Conclusions: The main objective in laryngotracheal injuries is to secure the airway. Morbidity and mortality of these lesions are related to prematurity in acting. Hence, early diagnosis is required. Prompt surgical repair decreases the rate of late complications, improving the patient’s quality of life.

Bibliographic References

  • Bell RB, Osborn T, Dierks EJ, Potter BE, Long WB. Management of penetrating neck injuries: a new paradigm for civilian trauma. J Oral Maxillofac Surg. 2007;65:691-705. http://dx.doi.org/10.1016/j.joms.2006.04.044 -- PMid:17368366
  • Butler AP, Wood BP, O'Rourke AK, Porubsky ES. Acute external laryngeal trauma: experience with 112 patients. Ann Otol Rhinol Laryngol. 2005;114:361-8. http://dx.doi.org/10.1177/000348940511400505 -- PMid:15966522
  • Fuhrman GM, Stieg FH, 3rd, Buerk CA. Blunt laryngeal trauma: classification and management protocol. J Trauma. 1990;30:87-92. http://dx.doi.org/10.1097/00005373-199001000-00014 -- PMid:2296072
  • Garcia-Zornoza R, Morales-Angulo C, Gonzalez-Aguado R, Acle-Cervera L, Cortizo-Vazquez E, Obeso-Aguera S. Neck injuries. Acta Otorrinolaringol Esp. 2012;63:47-54. http://dx.doi.org/10.1016/j.otoeng.2012.01.011 -- PMid:22014642
  • Jurkovich GJ, Zingarelli W, Wallace J, Curreri PW. Penetrating neck trauma: diagnostic studies in the asymptomatic patient. J Trauma. 1985;25:819-22. http://dx.doi.org/10.1097/00005373-198509000-00001 -- PMid:4032504
  • O'Mara W, Hebert AF. External laryngeal trauma. J La State Med Soc. 2000;152:218-22. -- PMid:10875208
  • Randall DR, Rudmik LR, Ball CG, Bosch JD. External laryngotracheal trauma. Laryngoscope. 2014;124:E123-E133. http://dx.doi.org/10.1002/lary.24432 -- PMid:24122903
  • Reece GP, Shatney CH. Blunt injuries of the cervical trachea: review of 51 patients. South Med J. 1988;81:1542-8. http://dx.doi.org/10.1097/00007611-198812000-00019
  • Schaefer SD. The acute management of external laryngeal trauma. A 27-year experience. Arch Otolaryngol Head Neck Surg. 1992;118:598-604. http://dx.doi.org/10.1001/archotol.1992.01880060046013 -- PMid:1637537
  • Schaefer SD. The treatment of acute external laryngeal injuries. 'State of the art'. Arch Otolaryngol Head Neck Surg. 1991;117:35-9. http://dx.doi.org/10.1001/archotol.1991.01870130041013 -- PMid:1986758
  • Stanley RB, Jr. Value of computed tomography in management of acute laryngeal injury. J Trauma. 1984;24:359-62. http://dx.doi.org/10.1097/00005373-198404000-00015
  • Steenburg SD, Sliker CW, Shanmuganathan K, Siegel EL. Imaging evaluation of penetrating neck injuries. Radiographics. 2010;30:869-86. http://dx.doi.org/10.1148/rg.304105022 -- PMid:20631357