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Acute external laryngeal trauma: experience with 112 patients
Allen P Butler1, Brennan P Wood, Ashli K O'Rourke
1Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia, Augusta, Georgia 30912, USA.
The Annals of Otology, Rhinology, and Laryngology
|June 22, 2005
Summary
Early recognition and treatment of acute external laryngeal trauma significantly improve voice and airway outcomes. Prompt management ensures better functional speech and airway patency for patients.
Area of Science:
- Otolaryngology
- Trauma Surgery
- Emergency Medicine
Background:
- Acute external laryngeal trauma requires prompt recognition and management.
- Delayed treatment can lead to suboptimal functional outcomes.
- Effective management protocols are crucial for laryngeal injury patients.
Purpose of the Study:
- To promote early recognition, evaluation, and management of acute external laryngeal trauma.
- To analyze the impact of timely intervention on clinical outcomes.
- To identify factors influencing airway, voice, and deglutition results.
Main Methods:
- Retrospective chart review of 112 cases of external laryngeal trauma.
- Classification of patients based on presentation time, injury severity, and treatment protocol.
- Retrospective review of clinical outcomes: airway, voice quality, and deglutition.
Main Results:
- Early treatment group showed significantly better voice outcomes (78.3% good results) compared to the delayed group (27.7%).
- Early intervention also improved airway function (93.3% good function) versus delayed treatment (73.3%).
- Deglutition outcomes were excellent across both groups (99% good results).
Conclusions:
- Expeditious diagnosis and intervention in acute external laryngeal trauma reduce suboptimal clinical outcomes.
- Timely management leads to high rates of successful decannulation (97%), functional speech (100%), and normal deglutition (99%).
- Adherence to diagnostic and management protocols is key to successful patient recovery.