Penetrating Trauma to the Larynx and the Cervical Trachea

Lisa M. Kodadek, Alicia Kieninger, Elliott R. Haut

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Penetrating neck trauma with laryngotracheal injury carries high mortality secondary to the loss of the airway. While many patients die from these injuries before reaching the hospital, improved prehospital care has increased the number of patients seeking surgical evaluation for penetrating neck trauma. As many as 50% of patients presenting with gunshot wounds and 10-20% of patients with stab wounds will have significant injuries. Injuries to multiple structures in the neck are common given the close proximity of major vascular, aerodigestive, nervous, and endocrine structures (Fig. 33.1). Important aspects of initial care include both hemorrhage control and airway control along with early and thorough diagnosis of all injuries.

Original languageEnglish (US)
Title of host publicationPenetrating Trauma
Subtitle of host publicationA Practical Guide on Operative Technique and Peri-Operative Management, Third Edition
PublisherSpringer International Publishing
Pages281-287
Number of pages7
ISBN (Electronic)9783031470066
ISBN (Print)9783031470059
DOIs
StatePublished - Jan 1 2024

Keywords

  • Airway control
  • Airway injury
  • Cricoid cartilage
  • Nasotracheal intubation
  • Recurrent laryngeal nerve

ASJC Scopus subject areas

  • General Medicine

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