External laryngotracheal trauma

  • Davorin Danic
  • Drago Prgomet
  • Alen Sekelj
  • Krunoslav Jakovina
  • Ana Danic
Miscellaneous

Abstract

Differences in acute external injuries of the larynx and cervical trachea between peacetime and war trauma were studied. Twenty-six patients with peacetime injuries and 39 patients with war injuries were retrospectively analyzed. The incidence of peacetime laryngotracheal injuries was 0.91% of the total number of patients hospitalized for head and neck injuries. In the groups of wounded in action (WIA) and killed in action (KIA) with head and neck war injuries, the incidence of laryngotracheal injuries was 4.8 and 6.2%, respectively. According to the type of the wound, blunt injuries were most common among peacetime and penetrating wounds among war injuries. There was no difference between peacetime and war injuries according to the wound localization. War wounds were more severe, caused more extensive local tissue and organ defects, were associated with a greater number of lesions to the neck and other body regions and more often required reconstructive surgical procedures than peacetime injuries. The mortality of war laryngotracheal injuries was two times greater than that of peacetime lesions (9 vs. 3.8%).

Keywords

Trauma Larynx Trachea War 

Notes

Acknowledgements

We wish to express our special thanks to Prof. Dr. Ana Marušić and Prof. Dr. Matko Marušić for assistance with the preparation of the manuscript.

References

  1. 1.
    Banfield GK, Chowdhury CR, Brookstein R (1995) Penetrating laryngeal injury: two case reports from Bosnia. J Laryngol Otol 109:144–146PubMedGoogle Scholar
  2. 2.
    Bellamy RF (1984) The causes of death in conventional land warfare: implications for combat casualty care research. Milit Med 149:55–62Google Scholar
  3. 3.
    Bellamy RF, Maningas PA, Vayer JS (1986) Epidemiology of trauma: military experience. Ann Emerg Med 15:1384–1388CrossRefPubMedGoogle Scholar
  4. 4.
    Đanić D, Miličić D, Prgomet D, Leović D (1996) Acute laryngeal trauma: a comparison between peacetime and war injuries. J Laryngol Otol 110:435–439Google Scholar
  5. 5.
    Flynn AE, Thomas AN, Schecter WP (1989) Acute tracheobronchial injury. J Trauma 29:1326–1330PubMedGoogle Scholar
  6. 6.
    Grewal H, Prakashchandra MR, Mukerij S, Ivatury RR (1995) Management of penetrating laryngotracheal injuries. Head Neck 17:494–502PubMedGoogle Scholar
  7. 7.
    Gussack GS, Jurkovich GJ, Luteman A (1986) Laryngotracheal trauma: a protocol approach to rare injury. Laryngoscope 96:660–665PubMedGoogle Scholar
  8. 8.
    Jewett BS, Shockley WW, Rutledge R (1999) External laryngeal trauma analysis of 392 patients. Arch Otolaryngol Head Neck Surg 125:877–880PubMedGoogle Scholar
  9. 9.
    Jones EL, Peters AF, Gasior RM (1986) Early management of battle causalities in Vietnam. Arch Surg 97:1–15Google Scholar
  10. 10.
    Kleinsasser NH, Priemer FG, Schulze W, Kleinsasser F (2000) External trauma to the larynx: classification, diagnosis, therapy. Eur Arch Otorhinolaryngol 257:439–444CrossRefPubMedGoogle Scholar
  11. 11.
    Mabry RL, Holcomb JB, Baker AM, Cloonan CC, Uhochak JM, Perkins DE, Canfield AJ, Hagmann JH, Cann C, Hirsch EF (2000) United States Army Ranges in Somalia: An analysis of combat causalities on an urban battlefield. J Trauma 49:515–529PubMedGoogle Scholar
  12. 12.
    Minard G, Kudsk KA, Croce MA, Butts JA, Cicala RS, Fabian TC (1992) Laryngotracheal trauma. Am Surg 58:181–187PubMedGoogle Scholar
  13. 13.
    Perdikis G, Schmitt T, Chait D, Richards AT (2000) Blunt laryngeal fracture: another airbag injury. J Trauma 48:544–546PubMedGoogle Scholar
  14. 14.
    Prgomet D, Đanić D, Miličić D, Puntarić D,Soldo-Butković S, Jelić J, Jakovina K, Leović D (1998) Mortality caused by war wounds to the head and neck encountered at the Slavonski Brod Hospital during the 1991–1992 war in Croatia. Milit Med 163:482–485Google Scholar
  15. 15.
    Schaefer SD (1992) The acute management of external laryngeal trauma. Arch Otolaryngol Head Neck Surg 109:598–604Google Scholar
  16. 16.
    Stassen NA, Hoth JJ, Scott MJ, Day CS, Lukan JK, Rodriguez JL, Richardson D (2004) Laryngotracheal injuries: does the injury mechanism matter? Am Surg 70:522–525PubMedGoogle Scholar
  17. 17.
    Zaytoun GM, Shikhani AH, Salaman SD (1986) Head and neck injuries: 10-years experience at the American University of Beirut Medical Center. Laryngoscope 96:899–903PubMedGoogle Scholar
  18. 18.
    Wiegmann DA, Taneja N (2003) Analysis of injuries among pilots involved in fatal general aviation airplane accidents. Accid Anal Prev 35:571–577CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2005

Authors and Affiliations

  • Davorin Danic
    • 1
  • Drago Prgomet
    • 2
  • Alen Sekelj
    • 1
  • Krunoslav Jakovina
    • 3
  • Ana Danic
    • 1
  1. 1.Department of Otorhinolaryngology and Cervicofacial SurgeryGeneral Hospital Dr. Josip BenčevićSlavonski BrodCroatia
  2. 2.Clinic of Otorhinolaryngology and Cervicofacial Surgery KBC ZagrebUniversity School of MedicineZagrebCroatia
  3. 3.Department of Pathology and Forensic MedicineGeneral Hospital Dr. Josip BenčevićSlavonski BrodCroatia

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