Abstract
Pediatric trauma refers to injuries that cause damage in infants, children, and young adolescents, which are an issue that threatens children’s lives and should be carefully evaluated. Often children must be hospitalized and require immediate attention. Due to the severe anatomical and physiological differences between adults and children, trauma intervention must also be different. Due to the small body surface areas, vital organs in children are located very close to each other, so they become more sensitive to trauma than adults. Trauma is the most common cause of death in children in the United States, and it has been reported that 59.5% of child deaths under 18 years old are from trauma in 2004 [1]. The pediatric trauma approach should include the prevention of injury, the fastest transfer of the patient to the pediatric trauma center, the emergency intervention by the educated and related branches, the children’s rehabilitation, and long-term follow-up. This section will discuss pediatric trauma management in terms of ear, nose, and throat.
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References
American Academy of Pediatrics Section on Orthopaedics; American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American Academy of Pediatrics Section on Critical Care; American Academy of Pediatrics Section on Surgery; American Academy of Pediatrics Section on Transport Medicine; American Academy of Pediatrics Committee on Pediatric Emergency Medicine; Pediatric Orthopaedical Society of North America, Krug SE, Tuggle DW. Management of pediatric trauma. Pediatrics. 2008;121(4):849–54. https://doi.org/10.1542/peds.2008-0094.
Mirza S, Richardson H. Otic barotrauma from air travel. J Laryngol Otol. 2005;119:366.
Klingmann C, Praetorius M, Baumann I, Plinkert PK. Barotrauma and decompression illness of the inner ear: 46 cases during treatment and follow-up. Otol Neurotol. 2007;28:447.
Mick P, Moxham P, Ludemann J. Penetrating and blast ear trauma: 7-year review of two pediatric practices. J Otolaryngol Head Neck Surg. 2008;37:774–6.
Ort S, Beus K, Isaacson J. Pediatric temporal bone fractures in a rural population. Otolaryngol Head Neck Surg. 2004;131:433.
Brodie HA, Thompson TC. Management of complications from 820 temporal bone fractures. Am J Otol. 1997;18:188.
Lee D, Honrado C, Har-El G, Goldsmith A. Pediatric temporal bone fractures. Laryngoscope. 1998;108:816.
Zimmerman WD, Ganzel TM, Windmill IM, et al. Peripheral hearing loss following head trauma in children. Laryngoscope. 1993;103:87.
Kim SH, Kazahaya K, Handler SD. Traumatic perilymphatic fistulas in children: etiology, diagnosis and management. Int J Pediatr Otorhinolaryngol. 2001;60:147.
Ameen ZS, Chounthirath T, Smith GA, Jatana KR. Pediatric cotton-tip applicator-related ear injury treated in United States emergency departments, 1990-2010. J Pediatr. 2017;186:124–30. https://doi.org/10.1016/j.jpeds.2017.03.049.
Smith M, Darrat I, Seidman M. Otologic complications of cotton swab use: one institution’s experience. Laryngoscope. 2012;122:409–11.
Marin JR, Trainor JL. Foreign body removal from the external auditory canal in a pediatric emergency department. Pediatr Emerg Care. 2006;22:630–4.
Chiang T, Merz M. Cerebellar abscess resulting from multiple foreign body induced otitis in a pediatric patient. Cincinnati (OH): Society for Ear, Nose, and Throat Advances in Children; 2010.
Goldman SA, Ankerstjerne JK, Welker KB, Chen DA. Fatal meningitis and brain abscess resulting from foreign body-induced otomastoiditis. Otolaryngol Head Neck Surg. 1998;118:6–8.
Neuenschwander MC, Deutsch ES, Cornetta A, Willcox TO. Penetrating middle ear trauma: a report of 2 cases. Ear Nose Throat J. 2005;84:32–5.
Sagiv D, Migirov L, Glikson E, Mansour J, Yousovich R, Wolf M, Shapira Y. Traumatic perforation of the tympanic membrane: a review of 80 cases. J Emerg Med. 2018;54(2):186–90. https://doi.org/10.1016/j.jemermed.2017.09.018.
Kravitz H, Nyhus AI, Dale DO, Laker HI, Gomberg RM, Korach A. The cotton-tipped swab. Clin Pediatr. 1974;13(11):965–70.
Bhindi A, Carpineta L, Al Qassabi B, Waissbluth S, Ywakim R, Manoukian JJ, Nguyen LHP. Hearing loss in pediatric temporal bone fractures: evaluating two radiographic classification systems as prognosticators. Int J Pediatr Otorhinolaryngol. 2018;109:158–63.
Waissbluth S, Ywakim R, Al Qassabi B, Torabi B, Carpineta L, Manoukian J, Nguyen LHP. Pediatric temporal bone fractures: a case series. Int J Pediatr Otorhinolaryngol. 2016;84:106–9. https://doi.org/10.1016/j.ijporl.2016.02.034.
Kang HM, Kim MG, Boo SH, Kim KH, Yeo EK, Lee SK, et al. Comparison of the clinical relevance of traditional and new classification systems of temporal bone fractures. Eur Arch Otorhinolaryngol. 2012;269:1893–9.
Dunklebarger J, Branstetter B 4th, Lincoln A, Sippey M, Cohen M, Gaines B, et al. Pediatric temporal bone fractures: current trends and comparison of classification schemes. Laryngoscope. 2014;124:781–4.
Wexler S, Poletto E, Chennupati SK. Pediatric temporal bone fractures. Pediatr Emerg Care. 2017;33(11):745–7. https://doi.org/10.1097/pec.0000000000000594.
Little SC, Kesser BW. Radiographic classification of temporal bone fractures: clinical predictability using a new system. Arch Otolaryngol Head Neck Surg. 2006;132:1300–4.
Chess MA, Chaturvedi A, Stanescu AL, Blickman JG. Emergency pediatric ear, nose, and throat imaging. Sem Ultrasound, CT MRI. 2012;33(5):449–62. https://doi.org/10.1053/j.sult.2012.06.010.
Kang HM, et al. Comparison of temporal bone fractures in children and adults. Acta Otolaryngol. 2013;133(5):469–74.
Dunklebarger J, Branstetter B, Lincoln A, et al. Pediatric temporal bone fractures: current trends and comparison of classification schemes. Laryngoscope. 2014;124:781–4.
Patel A, Groppo E. Management of Temporal Bone Trauma. Craniomaxillofac Trauma Reconstr. 2010;3:105–13.
Leung J, Levi E. Paediatric petrous temporal bone fractures: a 5-year experience at an Australian paediatric trauma centre. Australian J Otolaryngol. 2020;3:6.
Lee WT, Koltai PJ. Nasal deformity in neonates and young children. Pediatr Clin North Am. 2003;50:459–67.
Munante-Cardenas JL, Olate S, Asprino L, et al. Pattern and treatment of facial trauma in pediatric and adolescent patients. J Craniofac Surg. 2011;22:1251–5.
Imahara SD, Hopper RA, Wang J, et al. Patterns and outcomes of pediatric facial fractures in the United States: a survey of the National Trauma Data Bank. J Am Coll Surg. 2008;207:710–6.
Wright RJ, Murakami CS, Ambro BT. Pediatric nasal injuries and management. Facial Plast Surg. 2011;27:483–90.
Vyas RM, Dickinson BP, Wasson KL, Roostaeian J, Bradley JP. Pediatric facial fractures: current national incidence, distribution, and health care resource use. J Craniofac Surg. 2008;19:339–49.
Desrosiers AE 3rd, Thaller SR. Pediatric nasal fractures: evaluation and management. J Craniofac Surg. 2011;22:1327–9.
Ridder GJ, Boedeker CC, Fradis M, et al. Technique and timing for closed reduction of isolated nasal fractures: a retrospective study. Ear Nose Throat J. 2002;81:49–54.
Rohrich RJ. Adams Jr WP nasal fracture management: minimizing secondary nasal deformities. Plast Reconstr Surg. 2000;106:266–73.
Navaratnam R, Davis T. The role of ultrasound in the diagnosis of pediatric nasal fractures. J Craniofac Surg. 2019 Oct;30(7):2099–101.
Vayisoglu Y, Gorur K, Ozcan C, et al. Pediatric acute external laryngeal trauma: a case report. Turk J Emerg Med. 2007;7:36–9.
Yumusakhuylu AC, Topuz MF, Durgun C, Binnetoglu A, Baglam T, Sari M. Pediatric acute external laryngeal trauma. J Craniofac Surg. 2014;25(1):e70–2.
Butler AP, Wood BP, O’Rourke AK, et al. Acute external laryngeal trauma: experience with 112 patients. Ann Otol Rhinol Laryngol. 2005;114:361–8.
Sidell D, Mendelsohn AH, Shapiro NL, St. John M. Management and outcomes of laryngeal injuries in the pediatric population. Ann Otol Rhinol Laryngol. 2011;120(12):787–95.
Scaglione M, Romano S, Pinto A, Sparano A, Scialpi M, Rotondo A. Acute tracheobronchial injuries: impact of imaging on diagnosis and management implications. Eur J Radiol. 2006;59:336–43.
Jakubowska A, Zawadzka-Gaos L, Brzewski M. Usefulness of ultrasound examination in larynx traumas in children. Pol J Radiol. 2011;76:7–12.
Schaefer SD, Close LG. Acute management of laryngeal trauma. Ann Otol Laryngol Rhinol. 1989;98:98–104.
Shires CB, Preston T, Thompson J. Pediatric laryngeal trauma: a case series at a tertiary children’s hospital. Int J Pediatr Otorhinolaryngol. 2011;75:401–8.
Quesnel AM, Hartnick CJ. A contemporary review of voice and airway after laryngeal trauma in children. Laryngoscope. 2009;119:2226–30.
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Kar, M., Altın, F., Zabolotny, D.I. (2022). Management of Pediatric Trauma: ENT View. In: Cingi, C., Arısoy, E.S., Bayar Muluk, N. (eds) Pediatric ENT Infections. Springer, Cham. https://doi.org/10.1007/978-3-030-80691-0_91
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DOI: https://doi.org/10.1007/978-3-030-80691-0_91
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