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Related Experiment Videos

Laryngeal war injuries

D Danić1, D Milicić, D Prgomet

  • 1Department of Otorhynolaryngology and Cervicofacial Surgery, Dr Josip Bencević General Hospital, Slavonski Brod, Croatia.

Acta Medica Croatica : Casopis Hravatske Akademije Medicinskih Znanosti
|January 1, 1995
PubMed
Summary

This study evaluated immediate laryngeal reconstruction using cervical fascia in war-wounded patients. Cervical fascia proved effective for treating exogenous laryngeal injuries, ensuring good respiration and phonation in survivors.

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Area of Science:

  • Trauma Surgery
  • Otolaryngology
  • Head and Neck Surgery

Background:

  • War-related injuries pose significant challenges to reconstructive surgery.
  • Laryngeal trauma requires specialized and timely intervention to preserve function.

Purpose of the Study:

  • To assess the efficacy of immediate laryngeal reconstruction using the median layer of the deep cervical fascia (MLDCF) in war-wounded patients.
  • To evaluate functional outcomes, including respiration, phonation, and swallowing, following MLDCF reconstruction.

Main Methods:

  • Surgical exploration and immediate reconstruction of laryngeal injuries using MLDCF.
  • Analysis of patient outcomes, focusing on respiratory, phonatory, and swallowing functions.

Main Results:

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  • Nineteen patients with laryngeal injuries were treated, most due to shrapnel.
  • Immediate reconstruction with MLDCF resulted in good respiration and acceptable phonation in survivors.
  • Eight patients underwent MLDCF reconstruction; four had very good phonation, three satisfactory. Four patients died due to associated injuries.

Conclusions:

  • The median layer of the deep cervical fascia is a suitable material for immediate reconstruction of exogenous war-related laryngeal injuries.
  • Timely reconstruction can restore vital laryngeal functions, improving patient prognosis.