Sidell Douglas, Mendelsohn Abie H, Shapiro Nina L, St John Maie
Division of Head and Neck Surgery, David Geffen School of Medicine at the University of California-Los Angeles, Los Angeles, California 90095-1624, USA.
Ann Otol Rhinol Laryngol. 2011 Dec;120(12):787-95. doi: 10.1177/000348941112001204.
Pediatric laryngeal trauma is an uncommon event. The purpose of this study was to identify outcomes following surgical procedures for pediatric laryngeal trauma, and to provide an in-depth review of the literature.
The National Trauma Data Bank was utilized to identify pediatric laryngeal trauma incidents with admission years 2002 through 2006. Patient demographics, injury type, surgical procedures, hospital and intensive care unit durations, ventilator duration, and discharge disposition were abstracted.
There were 69 laryngeal trauma incidents identified, with a median patient age of 12.8 years and an overall mortality rate of 8.7%. Laryngeal injury was frequently blunt-force in nature (82.8%) and often occurred in conjunction with trauma to multiple organ systems (76.8%). Tracheotomy (16 procedures), laryngeal suturing (13 procedures), and laryngeal fracture repair (10 procedures) were the most frequent procedures identified. Laryngeal fracture repair was noted to increase the overall hospital duration (p = 0.040). The communication scores were affected only by tracheotomy (p = 0.013). Surgical intervention did not significantly affect the frequency of home discharge.
Pediatric laryngeal trauma is an uncommon event that can be evaluated with the National Trauma Data Bank. Although patients who undergo laryngeal fracture repair appear to have an increased duration of hospitalization, patients who undergo tracheotomy or laryngeal suturing do not have increased durations of ventilator dependence, stay in an intensive care unit, or hospitalization.
小儿喉外伤是一种罕见的情况。本研究的目的是确定小儿喉外伤手术治疗后的结果，并对文献进行深入综述。
利用国家创伤数据库识别2002年至2006年入院的小儿喉外伤事件。提取患者人口统计学资料、损伤类型、手术操作、住院时间和重症监护病房时间、呼吸机使用时间以及出院处置情况。
共识别出69例喉外伤事件，患者中位年龄为12.8岁，总死亡率为8.7%。喉损伤多为钝性暴力所致（82.8%），常合并多器官系统损伤（76.8%）。最常见的手术操作是气管切开术（16例）、喉缝合术（13例）和喉骨折修复术（10例）。发现喉骨折修复术会增加总体住院时间（p = 0.040）。沟通评分仅受气管切开术影响（p = 0.013）。手术干预对出院回家的频率没有显著影响。
小儿喉外伤是一种罕见的情况，可通过国家创伤数据库进行评估。虽然接受喉骨折修复术的患者住院时间似乎有所延长，但接受气管切开术或喉缝合术的患者呼吸机依赖时间、在重症监护病房的停留时间或住院时间并未增加。
