Hostname: page-component-78c5997874-xbtfd Total loading time: 0 Render date: 2024-11-05T14:17:00.331Z Has data issue: false hasContentIssue false

Isolated laryngotracheal separation following blunt trauma to the neck

Published online by Cambridge University Press:  29 June 2007

C. J. Offiah*
Affiliation:
Department of Trauma, John Radcliffe Hospital, Oxford, UK
D. Endres
Affiliation:
Department of Otolaryngology, Radcliffe Infirmary, Oxford, UK
*
Address for corresopndence: Dr. C. J. Offiah, B.Sc., M.B., Ch.B., Department of Plastic Surgery, Radcliffe Infirmary, Oxford

Abstract

Isolated laryngotracheal separation following blunt trauma to the neck is a very rare subset of laryngeal trauma and has not been previously well characterized. A ‘clothes-line’ type injury is one way in which such an injury may occur in which a cyclist rides into a rope or cable. A case of this kind is presented, followed by a discussion of the relevant clinical symptoms and signs as well as the difficulties in making a diagnosis. The critical role of fibre-optic subglottoscopy and tracheoscopy in reaching this diagnosis is also examined.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Bent, J. B., Silver, J. R., Porubsky, E. S. (1993) Acute laryngeal trauma: a review of 77 patients. Otolaryngology – Head and Neck Surgery 109: 441449.CrossRefGoogle ScholarPubMed
Cherian, T. A., Rupra, V., Raman, R. (1993) External laryngeal trauma: analysis of thirty cases. Journal of Laryngology and Otology 107: 920923.Google Scholar
Fuhrman, G. M., Steig, F. H., Buerk, C. A. (1990) Blunt laryngeal trauma: Classification and management protocol. Journal of Trauma 30: 8792.CrossRefGoogle ScholarPubMed
Gussack, G. S., Jurkovich, G. J. (1988) Treatment dilemmas in laryngotracheal trauma. Journal of Trauma 28: 14391444.Google Scholar
Gussack, G. S., Jurkovich, G. J., Luterman, A. (1986) Laryngotracheal trauma: a protocol approach to a rare injury. Laryngoscope 96: 660665.Google Scholar
Harris, H. H., Ainsworth, J. Z. (1965) Immediate management of laryngeal and tracheal injuries. Laryngoscope 75: 11031115.Google Scholar
Harris, H. H., Tobin, H. A. (1970) Acute injuries of the larynx and trachea in 49 patients. Laryngoscope 80: 13761384.Google Scholar
LeJeune, F. E. (1978) Laryngotracheal separation. Laryngoscope 88: 19561961.CrossRefGoogle ScholarPubMed
Mathisen, D. J., Grillo, H. (1987) Laryngotracheal trauma. Annals of Thoracic Surgery 43: 254262.Google Scholar
O'Keefe, L. J., Maw, A. R. (1992) The dangers of minor blunt laryngeal trauma. Journal of Laryngology and Otology 106: 372373.Google Scholar
Olson, N. R., Miles, W. K. (1971) Treatment of acute blunt laryngeal injuries. Annals of Otology, Rhinology and Laryngology 80: 704709.CrossRefGoogle ScholarPubMed
Schaefer, S. D. (1991) The treatment of acute external laryngeal injuries. Archives of Otolaryngology – Head and Neck Surgery 117: 3539.Google Scholar
Stanley, R. B. (1984) Value of computed tomography in management of acute laryngeal injury. Journal of Trauma 24: 359362.Google Scholar
Yen, P. T., Lee, H. Y., Tsai, M. H., Chan, S. T., Huang, T. S. (1994) Clinical analysis of external laryngeal trauma. Journal of Laryngology and Otology 108: 221225.Google Scholar