Contemporary assessment of laryngotracheal trauma

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dc.contributor.authorBhojani, Rehal A.
dc.contributor.authorRosenbaum, David H.
dc.contributor.authorDikmen, Erkan
dc.contributor.authorPaul, Michelle
dc.contributor.authorAtkins, B. Zane
dc.contributor.authorZonies, David
dc.contributor.authorDiMaio, J. Michael
dc.date.accessioned2020-06-25T17:40:30Z
dc.date.available2020-06-25T17:40:30Z
dc.date.issued2005
dc.departmentKırıkkale Üniversitesi
dc.description.abstractObjectives: Laryngotracheal trauma is a rare and potentially deadly spectrum of injuries. We sought to characterize the contemporary mechanisms, diagnostic modalities, and outcomes common in laryngotracheal trauma today. Methods: We performed a retrospective analysis of all laryngotracheal trauma cases at 2 major metropolitan hospitals between 1996 and 2004, detailing mechanisms, associated injuries, diagnostic modalities, and outcomes of laryngotracheal trauma. Results: We identified 71 patients with a mean age of 32.8 +/- 13.3 years (range, 15-71 years). In our series penetrating trauma was the cause in 73.2% of patients; however, blunt trauma had a significantly higher mortality (63.2% vs 13.5%, respectively; P < .0001). Blunt mechanisms involved older patients (38.5 +/- 15.2 years vs 30.1 +/- 11.9 years, P = .017), and these patients were more likely to require emergency airways than those with penetrating trauma (78.9% vs 46.2%, P = .017). The requirement of an emergency airway was an independent predictor of mortality (P = .0066). Conclusion: Laryngotracheal trauma is a deadly spectrum of injuries with a mortality of 26.8%. Blunt mechanisms are decreasing in frequency. This might reflect improvements in automobile safety. Additionally, violent crime is on the increase, producing penetrating injuries with increasing frequency. The most fundamental intervention for patients with laryngotracheal injury is airway control. Either routine intubation or a tracheostomy can secure the airway. Blunt trauma and the requirement of an emergency airway are independent predictors of mortality. Laryngotracheal trauma requires prompt recognition, airway protection, and skillful management to lessen the mortality of this deadly spectrum of injuries.en_US
dc.description.sponsorshipNIGMS NIH HHSUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USANIH National Institute of General Medical Sciences (NIGMS) [5T32GM08593]en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1016/j.jtcvs.2004.12.020
dc.identifier.endpage432en_US
dc.identifier.issn0022-5223
dc.identifier.issn1097-685X
dc.identifier.issue2en_US
dc.identifier.pmid16077408
dc.identifier.scopus2-s2.0-23044514047
dc.identifier.scopusqualityQ1
dc.identifier.startpage426en_US
dc.identifier.urihttps://doi.org/10.1016/j.jtcvs.2004.12.020
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3462
dc.identifier.volume130en_US
dc.identifier.wosWOS:000231069700029
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofJournal Of Thoracic And Cardiovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleContemporary assessment of laryngotracheal traumaen_US
dc.typeArticle

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