Acute laryngeal trauma: A review of 77 patients

Bent, John P.; Silver, J R; Porubsky, Edward S.

doi:10.1177/019459989310900309

Cited by 150 publications

(140 citation statements)

References 21 publications

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“…Out of 19 cases, 16 cases (84%) were due to blunt trauma and 3 cases (16%) were due to penetrating trauma. These fi ndings are similar to those reported by Bent III et al [4] and Cohen and Larson et al [5].…”

Section: Discussionsupporting

confidence: 92%

Management of laryngotracheal stenosis — our experience

Parida

Gupta

2009

Indian J Otolaryngol Head Neck Surg

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Objective To describe our experience in the management of laryngotracheal stenosis (LTS).Study design Prospective study. Results There were 21 males and 9 females treated for LTS resulting from trauma (19), intubation (9) and congenital (2). Patients were divided into four groups based on surgical procedures they underwent: group I, endoscopy dilatation group (7 cases); group II, laryngotracheoplasty with Montgomery tube insertion (12 cases); group III, laryngotracheoplasty with Montgomery laryngeal stent insertion (5 cases) and group IV, cricotracheal resection with M-tube insertion (6 cases); The number of patients decannulated in group I, group II, group III and group IV were 4, 10, 0 and 5, respectively. We found statistically signifi cant difference between decannulated and nondecannulated group for site and length of stenosis. Materials and methods ConclusionPatients undergoing dilatation for LTS require multiple procedures. Open surgical exploration with stent has a better outcome than those with repeated dilatation.

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Section: Discussionsupporting

confidence: 92%

Management of laryngotracheal stenosis — our experience

Parida

Gupta

2009

Indian J Otolaryngol Head Neck Surg

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“…As per the study prolonged intubation was found to be commonest cause of tracheal stenosis. This is in contrast to study of Bent III et al [1] and Cohen et al [2] where traumatic injury was the main cause of tracheal stenosis (Table 4).…”

Section: Resultscontrasting

confidence: 75%

“…According to Grillo, Mathesien, Wain study the two most common causes are post intubation and post tracheostomy [5]. Trauma was the most common cause of stenosis was proved in study reported by Bent III [6] and Cohen and Larsen [7].…”

Section: Etiopathogenesismentioning

confidence: 95%

Management of Post-traumatic Laryngotracheal Stenosis: Our Experience

Kandakure

Mishra

Lahane

2014

Indian J Otolaryngol Head Neck Surg

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To describe our experience in management of post-traumatic laryngo-tracheal stenosis by study of various surgical methods. To compare our results with different studies. To find out best surgical procedure. Retrospective study. 13 patients of LTS were analyzed within the period of 2009-2013 highlighting the important causes of stenosis, management based on type and severity of stenosis and outcome following the treatment given. Cases were diagnosed in detail with help of flexible laryngoscopy. Finer details of stenosis like site, length, associated injuries were studied with help of CT scan. Various modalities of treatment were used and outcome was assessed. There were 13 patients 9 males and 4 females. Of these 54 % had iatrogenic stenosis and 46 % had traumatic stenosis. 46 % had true stenosis, remaining cases suffered from either soft stenosis or had associated injuries rendering the stenosis as a complex one. The patients underwent a combined surgical approach which included treatment modalities like T-tube insertion, endoscopic dilatation, laser, and open surgical intervention (tracheal resection and anastomosis). Of all the patient treated 69.2 % were successfully decannulated and recovered well with a satisfactory airway outcome, (23.07 %) cases remained T-tube dependent, 8 % case died due to septicemia. It was evident that prolonged intubation remained most common cause of tracheal stenosis and the management varied depending on the type of stenosis. Simple soft stenosis could be managed well by endoscopic dilatation and laser while complete, complex stenosis required surgical intervention in form of T-tube stenting or open surgical intervention. Tracheal stenosis is a life threatening complication and difficult to manage. It requires multiple approaches and the successful outcome is assessed by patent airway and voice quality.

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“…Hence, barium esophagogram and/or esophagoscopy should be done to rule out esophageal disruption (3,14,15).…”

Section: Discussionmentioning

confidence: 99%

“…These are make use of miniplates, wire or primary suturation for reconstruction of the laryngeal skeleton (14,16,17). We preferred to use primary suturation because there are some reports about fibrous healing especially with wire usage.…”

Section: Discussionmentioning

confidence: 99%