Laryngotracheal Trauma: Up-to-date Report of Two Cases of a Challenging Problem

Abstract

Background: Laryngotracheal trauma is still a challenging problem to the emergency surgeon. Prompt diagnosis and correct classification are mandatory in order to plan the treatment. Methods: Two particular cases of an upper airway trauma are presented. Case 1 refers to a 53-year-old woman with a blunt fracture of the thyroid cartilage. Case 2 is a 43-year-old man with a penetrating tracheal trauma and cervicomediastinal emphysema. Results: Patient 1 was treated conservatively, by intravenous fluid, antibiotics and steroids, and had a good outcome. Patient 2 had a progressive respiratory distress and underwent surgical repair of the tracheal lacerations. Follow-up examination revealed a good healing of the injuries. An up-todate information about the upper airway trauma and its management is given. Conclusion: Upper airway trauma requires a rapid evaluation and establishment of the airway. Subsequent imaging may address the correct treatment by allowing a precise classification of the injury. Long-term results may be good in the majority of the patients.