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Evaluation and management of pediatric near-hanging injury

Alyssa M Hackett1, Dennis J Kitsko

  • 1University of Pittsburgh Medical Center, Department of Otolaryngology, United States.

International Journal of Pediatric Otorhinolaryngology
|October 8, 2013
PubMed

Insights

Pediatric near-hanging survivors face airway risks. A review found four of sixteen children had laryngeal injury, with one requiring a tracheotomy, highlighting the need for laryngeal exams.

Area of Science:

  • Pediatric Otolaryngology
  • Emergency Medicine
  • Trauma Surgery

Background:

  • Children surviving strangulation are at risk for airway compromise due to smaller airways.
  • Pediatric near-hanging patients have not been specifically studied for laryngeal findings.
  • Airway management in pediatric strangulation requires specialized consideration.

Purpose of the Study:

  • To evaluate laryngeal findings in pediatric near-hanging patients.
  • To determine the incidence and severity of laryngeal injury in this population.
  • To inform management protocols for pediatric near-hanging survivors.

Main Methods:

  • Retrospective chart review of pediatric near-hanging cases.
  • Inclusion criteria: Patients presenting to a tertiary care children's hospital.
  • Data collected: Demographic information and laryngeal findings.

Main Results:

  • Sixteen pediatric near-hanging cases were identified.
  • Four patients (25%) had documented laryngeal injury.
  • One major laryngeal injury required tracheotomy.

Conclusions:

  • Laryngeal examination is crucial for pediatric near-hanging patients.
  • Early identification of laryngeal injury can guide management.
  • Standardizing laryngeal assessment may improve outcomes.
Abstract

Keywords:
Laryngotracheal injuryNear-hangingPediatric trauma

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