Mathisen D J, Grillo H
Ann Thorac Surg. 1987 Mar;43(3):254-62. doi: 10.1016/s0003-4975(10)60608-x.
Laryngotracheal trauma can be an immediately life-threatening injury. Failure to recognize such injuries and promptly secure an airway may have fatal consequences. Failure to recognize acute injuries or to observe the principles of management can lead to laryngotracheal stenosis. We have seen 10 patients with acute injuries. Blunt trauma was responsible in 5, penetrating trauma in 4, and iatrogenic injury in 1. Esophageal transection was present in 1 patient. Thoracotomy was required in 2 patients with injury of the carina, and cervical exposure was adequate in 8. All patients underwent successful repair of the injuries. Seventeen patients have been treated for delayed traumatic laryngotracheal stenosis. Vocal cord paralysis was apparent in 14. Concomitant esophageal injury was repaired in 4 patients. Eight patients required intralaryngeal procedures prior to repair of the laryngotracheal stenosis. All patients except 1 have a good airway, and 16 of the 17 have a good voice.
喉气管创伤可能是一种直接危及生命的损伤。未能识别此类损伤并及时确保气道通畅可能会导致致命后果。未能识别急性损伤或未遵循处理原则可能会导致喉气管狭窄。我们诊治了10例急性损伤患者。其中钝性创伤5例，穿透性创伤4例，医源性损伤1例。1例患者存在食管横断。2例隆突损伤患者需要开胸手术，8例患者颈部暴露充分。所有患者的损伤均成功修复。17例患者接受了迟发性创伤性喉气管狭窄的治疗。14例患者出现声带麻痹。4例患者同时修复了食管损伤。8例患者在修复喉气管狭窄之前需要进行喉部手术。除1例患者外，所有患者气道良好，17例患者中有16例声音良好。
