PMID- 19501418
OWN - NLM
STAT- MEDLINE
DCOM- 20091022
LR  - 20090629
IS  - 1872-8464 (Electronic)
IS  - 0165-5876 (Linking)
VI  - 73
IP  - 8
DP  - 2009 Aug
TI  - Trends in blunt laryngotracheal trauma in children.
PG  - 1071-5
LID - 10.1016/j.ijporl.2009.02.025 [doi]
AB  - OBJECTIVE: To examine the presentation, mechanisms, and management of blunt 
      laryngotracheal trauma in a pediatric population, emphasizing the rise in 
      severity. DESIGN: Retrospective analysis of laryngotracheal trauma evaluated from 
      1995 to 2008. The presentation, mechanism, management and outcomes data are 
      detailed. SETTING: Tertiary medical center. PATIENTS: Thirty-five patients were 
      identified with major laryngotracheal trauma. MAIN OUTCOME MEASURES: Surgical 
      results, airway patency, voicing, swallowing and other residual disabilities are 
      tabulated. RESULTS: Average age was 10.8 years, with boys outnumbering girls 
      22-13. In cases of major trauma, mechanisms were related to motor vehicle 
      accidents (MVAs) in seven patients. Five of 11 major trauma victims were 
      unconscious at presentation. Definitive airway reconstruction involved 
      laryngotracheoplasty and tracheal resection/reanastomosis. Ten of 11 remain 
      decannulated. CONCLUSIONS: In an increasingly mobile society, major 
      laryngotracheal trauma is occurring in a younger population. Victims of major 
      laryngotracheal trauma may be unconscious or have other injuries that obscure 
      airway injury, highlighting the need for vigilance. Once the airway is secured 
      and the patient stabilized, airway reconstruction is undertaken, achieving 
      decannulation in most patients. Hoarseness is often a lasting morbidity.
FAU - Wootten, Christopher T
AU  - Wootten CT
AD  - Otolaryngology Head & Neck Surgery, Cincinnati Children's Hospital Medical 
      Center, Cincinnati, OH 45229-3039, USA. ctwootten@gmail.com
FAU - Bromwich, Matthew A
AU  - Bromwich MA
FAU - Myer, Charles M 3rd
AU  - Myer CM 3rd
LA  - eng
PT  - Journal Article
DEP - 20090605
PL  - Ireland
TA  - Int J Pediatr Otorhinolaryngol
JT  - International journal of pediatric otorhinolaryngology
JID - 8003603
SB  - IM
MH  - Accidents, Traffic
MH  - Adolescent
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Humans
MH  - Larynx/*injuries/surgery
MH  - Male
MH  - Retrospective Studies
MH  - Trachea/*injuries/surgery
MH  - Wounds, Nonpenetrating/*therapy
EDAT- 2009/06/09 09:00
MHDA- 2009/10/23 06:00
CRDT- 2009/06/09 09:00
PHST- 2008/12/02 00:00 [received]
PHST- 2009/02/17 00:00 [revised]
PHST- 2009/02/27 00:00 [accepted]
PHST- 2009/06/09 09:00 [entrez]
PHST- 2009/06/09 09:00 [pubmed]
PHST- 2009/10/23 06:00 [medline]
AID - S0165-5876(09)00121-9 [pii]
AID - 10.1016/j.ijporl.2009.02.025 [doi]
PST - ppublish
SO  - Int J Pediatr Otorhinolaryngol. 2009 Aug;73(8):1071-5. doi: 
      10.1016/j.ijporl.2009.02.025. Epub 2009 Jun 5.