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Updated: Aug 24, 2025

Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
[Management of blunt and penetrating laryngeal trauma]
Christoph Arens1, Andreas H Müller2
1Zentrum für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Gießen, Klinikstraße 33, Ebene 1, 35392, Gießen, Deutschland. christoph.arens@hno.med.uni-giessen.de.
Abstract:
Patients presenting with laryngotracheal trauma can be in a life-threatening situation. Early recognition of the severity of the injury and, if necessary, surgical intervention within the first 24-48 h increases the chance of achieving a good functional late result. Preservation or restoration of voice and swallowing function is the long-term therapeutic goal. Precise assessment of the extent of the injury can be achieved using a combination of computed tomography and flexible laryngotracheoscopy. Symptoms often do not reflect the extent of the injury, which can vary from endolaryngeal hemorrhage to complete laryngotracheal separation. Conservative treatment consists of observation with symptomatic therapy. On the other hand, surgery may include endolaryngeal repair and/or transcervical reconstruction; securing the airways is of utmost importance.
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