Blunt pediatric laryngotracheal trauma: case reports and review of the literature

Am J Emerg Med. 1994 Mar;12(2):207-11. doi: 10.1016/0735-6757(94)90247-x.

Abstract

Blunt laryngotracheal trauma can be a life-threatening event. Two cases of isolated blunt laryngotracheal trauma in pediatric patients are presented. One case involves a 12-year-old mate who suffered isolated tracheal trauma from a fall. He developed respiratory distress and required a tracheostomy. Intraoperatively he was noted to have a thyroid cartilage fracture. The other case involves a 14-year-old female who was kicked in the neck by a horse. After unsuccessful intubation attempts that completed a tracheal transection, she required an emergency cricothyrotomy and a subsequent tracheostomy. The diagnosis, differential diagnosis, associated injuries, and treatment options for blunt laryngeal trauma are reviewed.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Accidental Falls
  • Adolescent
  • Animals
  • Child
  • Diagnosis, Differential
  • Emergency Service, Hospital
  • Female
  • Fractures, Cartilage / diagnosis
  • Fractures, Cartilage / epidemiology
  • Fractures, Cartilage / etiology
  • Fractures, Cartilage / therapy
  • Horses
  • Humans
  • Larynx / injuries*
  • Male
  • Thyroid Cartilage / injuries
  • Tomography, X-Ray Computed
  • Trachea / injuries*
  • Tracheostomy
  • Wounds, Nonpenetrating / diagnosis*
  • Wounds, Nonpenetrating / epidemiology
  • Wounds, Nonpenetrating / etiology
  • Wounds, Nonpenetrating / therapy*