Acute laryngeal trauma

A review of 77 patients

John P. Bent, J. R. Silver, E. S. Porubsky

Research output: Contribution to journalArticle

94 Citations (Scopus)

Abstract

Acute laryngeal trauma is a rare injury. In the past 18 years, 77 patients with acute laryngeal trauma have been evaluated at our institution. Each patient's care was overseen by the senior author (E.S.P.). The 61 patients who were seen within 48 hours of their accident are compared with those treated after 48 hours. All patients are classified by both injury (groups 1 through 5) and treatment (types I through III). Results are reported for voice, airway, and swallowing. Our methods of evaluation and treatment are outlined, and controversial aspects of patient management are addressed. We conclude that conservative treatment of group 1 and 2 injuries is 100% effective, expeditious repair of laryngeal injuries greatly reduces poor outcome, and the type of injury can be used to roughly predict patient outcome. Further, with use of current methods of diagnosis and management, almost all patients will be decannulated (98%) with functional speech (100%) and normal deglutition (100%).

Original languageEnglish (US)
Pages (from-to)441-449
Number of pages9
JournalOtolaryngology - Head and Neck Surgery
Volume109
Issue number3 I
StatePublished - 1993
Externally publishedYes

Fingerprint

Wounds and Injuries
Deglutition
Accidents
Patient Care
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Bent, J. P., Silver, J. R., & Porubsky, E. S. (1993). Acute laryngeal trauma: A review of 77 patients. Otolaryngology - Head and Neck Surgery, 109(3 I), 441-449.

Acute laryngeal trauma : A review of 77 patients. / Bent, John P.; Silver, J. R.; Porubsky, E. S.

In: Otolaryngology - Head and Neck Surgery, Vol. 109, No. 3 I, 1993, p. 441-449.

Research output: Contribution to journalArticle

Bent, JP, Silver, JR & Porubsky, ES 1993, 'Acute laryngeal trauma: A review of 77 patients', Otolaryngology - Head and Neck Surgery, vol. 109, no. 3 I, pp. 441-449.
Bent, John P. ; Silver, J. R. ; Porubsky, E. S. / Acute laryngeal trauma : A review of 77 patients. In: Otolaryngology - Head and Neck Surgery. 1993 ; Vol. 109, No. 3 I. pp. 441-449.
@article{49b952d468ce4273ba9a9bfe12504b1b,
title = "Acute laryngeal trauma: A review of 77 patients",
abstract = "Acute laryngeal trauma is a rare injury. In the past 18 years, 77 patients with acute laryngeal trauma have been evaluated at our institution. Each patient's care was overseen by the senior author (E.S.P.). The 61 patients who were seen within 48 hours of their accident are compared with those treated after 48 hours. All patients are classified by both injury (groups 1 through 5) and treatment (types I through III). Results are reported for voice, airway, and swallowing. Our methods of evaluation and treatment are outlined, and controversial aspects of patient management are addressed. We conclude that conservative treatment of group 1 and 2 injuries is 100{\%} effective, expeditious repair of laryngeal injuries greatly reduces poor outcome, and the type of injury can be used to roughly predict patient outcome. Further, with use of current methods of diagnosis and management, almost all patients will be decannulated (98{\%}) with functional speech (100{\%}) and normal deglutition (100{\%}).",
author = "Bent, {John P.} and Silver, {J. R.} and Porubsky, {E. S.}",
year = "1993",
language = "English (US)",
volume = "109",
pages = "441--449",
journal = "Otolaryngology - Head and Neck Surgery (United States)",
issn = "0194-5998",
publisher = "Mosby Inc.",
number = "3 I",

}

TY - JOUR

T1 - Acute laryngeal trauma

T2 - A review of 77 patients

AU - Bent, John P.

AU - Silver, J. R.

AU - Porubsky, E. S.

PY - 1993

Y1 - 1993

N2 - Acute laryngeal trauma is a rare injury. In the past 18 years, 77 patients with acute laryngeal trauma have been evaluated at our institution. Each patient's care was overseen by the senior author (E.S.P.). The 61 patients who were seen within 48 hours of their accident are compared with those treated after 48 hours. All patients are classified by both injury (groups 1 through 5) and treatment (types I through III). Results are reported for voice, airway, and swallowing. Our methods of evaluation and treatment are outlined, and controversial aspects of patient management are addressed. We conclude that conservative treatment of group 1 and 2 injuries is 100% effective, expeditious repair of laryngeal injuries greatly reduces poor outcome, and the type of injury can be used to roughly predict patient outcome. Further, with use of current methods of diagnosis and management, almost all patients will be decannulated (98%) with functional speech (100%) and normal deglutition (100%).

AB - Acute laryngeal trauma is a rare injury. In the past 18 years, 77 patients with acute laryngeal trauma have been evaluated at our institution. Each patient's care was overseen by the senior author (E.S.P.). The 61 patients who were seen within 48 hours of their accident are compared with those treated after 48 hours. All patients are classified by both injury (groups 1 through 5) and treatment (types I through III). Results are reported for voice, airway, and swallowing. Our methods of evaluation and treatment are outlined, and controversial aspects of patient management are addressed. We conclude that conservative treatment of group 1 and 2 injuries is 100% effective, expeditious repair of laryngeal injuries greatly reduces poor outcome, and the type of injury can be used to roughly predict patient outcome. Further, with use of current methods of diagnosis and management, almost all patients will be decannulated (98%) with functional speech (100%) and normal deglutition (100%).

UR - http://www.scopus.com/inward/record.url?scp=0027375982&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0027375982&partnerID=8YFLogxK

M3 - Article

VL - 109

SP - 441

EP - 449

JO - Otolaryngology - Head and Neck Surgery (United States)

JF - Otolaryngology - Head and Neck Surgery (United States)

SN - 0194-5998

IS - 3 I

ER -