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Airway Management and Clinical Outcomes in External Laryngeal Trauma: A Case Series

DePorre, Alexandra R. MD*; Schechtman, Samuel A. MD*; Hogikyan, Norman D. MD; Thompson, Aleda MS*; Westman, Amanda J. DO*; Sargent, Richard A. MD*; Rosko, Andrew J. MD; Bauer, Ashley MD; Shanks, Amy M. PhD*; Kupfer, Robbi A. MD; Healy, David W. MD*

doi: 10.1213/ANE.0000000000003843
Trauma
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External laryngeal trauma is a rare but potentially fatal event that presents several management challenges. This retrospective observational case series conducted at a level-1 trauma center over a 12-year period consists of 62 cases of acute external laryngeal trauma. Patient demographics, mode and mechanisms of injury, presenting signs and symptoms, initial imaging results, airway management, time to surgical management, and 6-month outcomes including airway status, deglutition status, and voice quality were investigated. No difference was found in mortality or 6-month outcomes between patients requiring surgical repair and/or tracheostomy versus patients with less severe injuries managed conservatively.

From the Departments of *Anesthesiology

Otorhinolaryngology, Michigan Medicine, University of Michigan, Ann Arbor, Michigan.

Published ahead of print 30 August 2018.

Accepted for publication August 30, 2018.

Funding: None.

The authors declare no conflicts of interest.

Institutional review board Number and Contact Information: HUM00125057. 2800 Plymouth Rd, Bldg 520, Room 3214, Ann Arbor, MI 48109. E-mail: irbmed@umich.edu.

Reprints will not be available from the authors.

Address correspondence to Alexandra R. DePorre, MD, Department of Anesthesiology, Michigan Medicine, University of Michigan, 1H247 UH, 1500 E Medical Center Dr, Ann Arbor, MI 48109. Address e-mail to adeporre@med.umich.edu.

Copyright © 2018 International Anesthesia Research Society
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