%0 Journal Article %T Management of Laryngotracheal Trauma: A Five-Year Single Institution Experience %J Iranian Journal of Otorhinolaryngology %I Mashhad University of Medical Sciences (MUMS) %Z 2251-7251 %A Parida, Pradipta-Kumar %A Raja, Kalaiarasi %A Alexander, Arun %D 2018 %\ 09/01/2018 %V 30 %N 5 %P 283-290 %! Management of Laryngotracheal Trauma: A Five-Year Single Institution Experience %K Arytenoid cartilage %K Larynx %K Laryngeal cartilages %K Neck injury %R 10.22038/ijorl.2018.28672.1937 %X Introduction: Laryngotracheal trauma is a rare life-threatening emergency that requires early identification and immediate intervention. Here, we present 26 patients with laryngotracheal trauma from a tertiary hospital in India. The aim was to describe the clinical presentation and management of laryngotracheal trauma patients.   Materials and Methods: This was a retrospective study of laryngotracheal trauma patients treated between January 2011 and March 2016. Patients who presented with a breach in the laryngotracheal framework were included, while those who had penetrating neck injuries superficial to strap muscles/platysma, burn injuries, caustic ingestion, or endotracheal injuries were excluded from the study.   Results: Of 253 patients with neck injury, 26 (23 adults, three children; 21 males, five females; age range, 5-60 years) presented with a breach in the laryngotracheal framework (15 blunt neck-trauma patients and 11 penetrating neck-trauma patients). The most common cause of neck injury was road traffic accidents, seen in 12 patients (46.2%). Computed tomography (CT) was performed in all blunt trauma cases and in four patients with penetrating trauma. All penetrating trauma patients underwent neck exploration. Twelve blunt trauma patients (46.1%) were managed conservatively, while three (11.5%) required surgical intervention. The most common neck exploration finding noted in patients with a penetrating injury was fracture of the thyroid cartilage, which was seen in eight patients (30.8%). Twenty patients (76.9%) had a normal voice, five patients (19.2%) had a hoarse voice, and one patient (3.8%) had a breathy voice post treatment.   Conclusion: Early intervention of laryngotracheal trauma is crucial. The role of a CT scan is essential in decision making in blunt trauma cases. %U https://ijorl.mums.ac.ir/article_11411_075221a93d934d5212cc4f6f64e54474.pdf