Department of Otorhinolaryngology, Alexandria Faculty of Medicine, Alexandria, Egypt.
Eur Arch Otorhinolaryngol. 2021 Feb;278(2):471-476. doi: 10.1007/s00405-020-06140-2. Epub 2020 Jun 26.
Laryngeal involvement in neck trauma is quite considerable. The presence of a cricotracheal separation type of injury can be easily missed and overlooked, especially if the neck does not show any external signs. Blunt trauma to the neck affects many anatomical structures inside the intact-looking neck that threatens the victim's life. At exploration, the surgeon must be aware of the full impact of the injury on different neck structures.
Raise the attention on the proper management of laryngeal trauma victims.
This is a retrospective study carried out on 23 patients who suffered from cricotracheal separation as a result of laryngeal trauma.
Cricotracheal separation is a frequent finding in an innocent-looking neck. The mechanism of the trauma itself is an excellent clue to suspect its presence.
This type of laryngeal injury must be kept in mind and must be suspected. Some recommendations and guidelines are presented on the proper handling of such patients.
颈部创伤中喉的受累相当常见。环甲分离型损伤很容易被忽视,尤其是颈部没有任何外部迹象时。颈部钝挫伤会影响到外观完整的颈部内部的许多解剖结构,从而威胁到受害者的生命。在探查时,外科医生必须意识到损伤对不同颈部结构的全面影响。
提高对喉创伤患者的正确处理的重视。
这是一项对 23 例因喉外伤导致环甲分离的患者进行的回顾性研究。
环甲分离在外观正常的颈部中很常见。创伤本身的机制是怀疑其存在的一个很好的线索。
必须牢记并怀疑这种类型的喉损伤。本文就如何正确处理此类患者提出了一些建议和指南。