From the Departments of Anesthesiology.
Otorhinolaryngology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.
Anesth Analg. 2019 Aug;129(2):e52-e54. doi: 10.1213/ANE.0000000000003843.
External laryngeal trauma is a rare but potentially fatal event that presents several management challenges. This retrospective observational case series conducted at a level-1 trauma center over a 12-year period consists of 62 cases of acute external laryngeal trauma. Patient demographics, mode and mechanisms of injury, presenting signs and symptoms, initial imaging results, airway management, time to surgical management, and 6-month outcomes including airway status, deglutition status, and voice quality were investigated. No difference was found in mortality or 6-month outcomes between patients requiring surgical repair and/or tracheostomy versus patients with less severe injuries managed conservatively.
喉外创伤较为罕见,但可能致命,其治疗极具挑战性。本研究回顾性分析了 12 年间某 1 级创伤中心收治的 62 例急性喉外创伤患者。研究内容包括:患者人口统计学特征、损伤方式和机制、临床表现、初始影像学结果、气道管理、手术时机以及包括气道状态、吞咽状态和声音质量在内的 6 个月转归。结果发现,需行手术修复和/或气管切开术的患者与接受保守治疗的损伤较轻的患者之间,在死亡率或 6 个月转归方面无差异。