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Management of paediatric laryngotracheal trauma

Published online by Cambridge University Press:  05 July 2022

H Li Open the ORCID record for H Li [Opens in a new window] ,
Z Li ,
J Zhao ,
G Wang ,
H Wang ,
F Zhang ,
N Sun ,
Y Han ,
J Zhang  and
X Ni
H Li
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
Z Li
Affiliation:
Department of Otolaryngology, Beijing First Hospital of Integrated Chinese and Western Medicine, China
J Zhao
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
G Wang
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
H Wang
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
F Zhang
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
N Sun
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
Y Han
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
J Zhang*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
X Ni*
Affiliation:
Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing, China Beijing Key Laboratory for Pediatric Diseases of Otolaryngology Head and Neck Surgery, China
*
Authors for correspondence: Dr Jie Zhang and Xin Ni Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing 100045, China E-mail: stzhangj@263.net (Jie Zhang); nixin@bch.com.cn (Xin Ni) Fax: +86 10 5961 6393
Authors for correspondence: Dr Jie Zhang and Xin Ni Department of Otolaryngology, Head and Neck Surgery, Beijing Children's Hospital Affiliated to Capital Medical University, National Center for Children's Health, Beijing 100045, China E-mail: stzhangj@263.net (Jie Zhang); nixin@bch.com.cn (Xin Ni) Fax: +86 10 5961 6393
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Abstract

Objective

To summarise and describe the clinical presentations, diagnostic approaches and airway management techniques in children with laryngotracheal trauma.

Methods

The clinical data related to laryngotracheal trauma diagnosed and treated at the Beijing Children's Hospital, between January 2013 and July 2018, were retrospectively reviewed. Disease diagnosis, treatment, management and outcomes were analysed.

Results

A total of 13 cases were enrolled, including 7 cases of penetrating laryngotracheal trauma. The six cases of blunt laryngotracheal trauma were caused by collisions with hard objects. In all cases, voice, airway and swallowing outcomes were graded as ‘good’, except for one patient who had residual paralysis of the vocal folds.

Conclusion

Flexible fibre-optic laryngoscopy and computed tomography can play an important role in diagnosing laryngotracheal trauma. The airway should be secured and, if necessary, opened by tracheal intubation or tracheostomy.

Keywords

Airway ManagementLarynxTracheaWounds And InjuriesTracheotomy
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 136 , Issue 11 , November 2022 , pp. 1125 - 1129
Copyright
Copyright © The Author(s), 2022. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

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Footnotes

Dr J Zhang takes responsibility for the integrity of the content of the paper

*

Hongbin Li and Zhuo Li contributed equally to this work.

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