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Laryngeal Trauma
Claude Nganzeu1, Antoinette Esce1, Sara Abu-Ghanem2
1Division of Otolaryngology-Head and Neck Surgery, Department of Surgery, University of New Mexico; Department of Surgery ENT 1, University of New Mexico, MSC10, 5610, Albuquerque, NM 87131, USA.
Laryngeal trauma is rare but serious. Prompt evaluation and securing the airway, often with awake tracheostomy, are crucial for optimal voice and breathing outcomes.
Area of Science:
- Otolaryngology
- Trauma Surgery
Background:
- Laryngeal trauma is an uncommon but potentially life-threatening condition.
- Effective management requires a systematic approach to evaluation and treatment.
Purpose of the Study:
- To outline an efficient approach to the evaluation and management of laryngeal trauma.
- To emphasize a patient-centered strategy over sole reliance on trauma classification systems.
Main Methods:
- Initial assessment involves thorough history, physical examination, imaging, and flexible laryngoscopy.
- Bedside and operative endoscopic evaluations may be necessary.
- Consideration of awake tracheostomy over oral intubation for airway security.
Main Results:
- Multiple classification systems exist, but a patient-centered approach is recommended.
- Awake tracheostomy is frequently preferred for airway management in laryngeal trauma.
- Severe injuries often necessitate surgical intervention.
Conclusions:
- Prioritizing airway security is paramount in acute laryngeal trauma management.
- Early and appropriate intervention leads to improved voice and airway function.
- A tailored, patient-focused strategy ensures optimal outcomes for laryngeal trauma.
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