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Management of paediatric laryngotracheal trauma

H Li1,2, Z Li3, J Zhao1,2

  • 1Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China.

The Journal of Laryngology and Otology
|August 10, 2022
PubMed

Insights

This study reviews pediatric laryngotracheal trauma cases, highlighting effective diagnosis and airway management. Prompt intervention ensures good outcomes for most children with this serious airway injury.

Area of Science:

  • Pediatric Otolaryngology
  • Trauma Surgery
  • Pediatric Airway Management

Background:

  • Laryngotracheal trauma in children presents unique challenges in diagnosis and management.
  • Understanding the clinical spectrum is crucial for effective treatment.

Purpose of the Study:

  • To summarize clinical presentations, diagnostic methods, and airway management strategies for pediatric laryngotracheal trauma.
  • To analyze treatment outcomes in affected children.

Main Methods:

  • Retrospective review of clinical data from Beijing Children's Hospital (January 2013 - July 2018).
  • Analysis of disease diagnosis, treatment, management, and patient outcomes.

Main Results:

  • 13 pediatric cases of laryngotracheal trauma were identified.
  • 7 cases involved penetrating trauma, and 6 involved blunt trauma.
  • Most patients achieved good voice, airway, and swallowing outcomes; one had vocal fold paralysis.

Conclusions:

  • Flexible fiber-optic laryngoscopy and computed tomography are vital diagnostic tools for laryngotracheal trauma.
  • Securing the airway via tracheal intubation or tracheostomy is essential.
  • Timely and appropriate airway management leads to favorable outcomes in pediatric laryngotracheal trauma.
Abstract

Keywords:
Airway ManagementLarynxTracheaTracheotomyWounds And Injuries

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