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[Laryngotracheal trauma complex (report of 14 cases)]
1ENT Department, Second Affiliated Hospital, Zhenjiang Medical University, Hangzhou 310009.
Abstract:
During 8-year period 14 patients were treated for laryngotracheal trauma complex (8 of them with blunt injury and 6 with penetrating injury). The most common signs and symptoms were respiratory distress in 85.6%(12 patients), subcutaneous emphysema in 85.6% (12 patients) hoarseness or dysphonia in 64.3%(9 patients) and hemoptysis in 64.3% (9 patients). Tracheostomy was preferred for airway control and was required in 100% of the patients. Laryngotracheal plasty in 9 patients (6 patients within 6-48 hour after injury, 3 patients in 3-8 day after injury). Long-term airway quality was measured in 11 patients (for 2-4 year follow-up): A grade in 5 patients, B in 4 patients, and C in 2 patients.