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Verletzungen des Larynx und der Trachea

Injuries of the larynx and trachea

  • Standards in der Unfallchirurgie
  • Published:
Trauma und Berufskrankheit

Zusammenfassung

Verletzungen des Larynx und der Trachea sind selten. Aufgrund ihrer Lokalisation können sie jedoch für den Patienten erhebliche Konsequenzen haben. Eine frühzeitige Diagnostik und die Sicherung der Atemwege sind für das Überleben der Patienten von entscheidender Bedeutung. In einer Übersicht werden die Anatomie, die Pathomechanismen und die Klassifizierungen der Verletzungen mit ihren Therapieoptionen dargestellt.

Abstract

 Injuries of the larynx and trachea are rare events, but because of the localization they can have substantial consequences for the patient. An early diagnosis and securing of the airway are of utmost importance for survival of the patient. In this article the anatomy, pathomechanisms and the classification of injuries with the treatment options are reviewed.

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Literatur

  1. Baumgartner F, Sheppard B, De Virgilio C et al. (1990) Tracheal and main bronchial disruptions after blunt chest trauma: presentation and management. Ann Thorac Surg 50: 569–574

    PubMed  CAS  Google Scholar 

  2. Borasio P, Ardissone F, Chiampo G (1997) Post-intubation tracheal rupture. A report on ten cases. Eur J Cardiothorac Surg 12: 98–100

    Article  PubMed  CAS  Google Scholar 

  3. Bryce DP (1972) The surgical management of laryngotracheal injury. J Laryngol Otol 86: 547–587

    PubMed  CAS  Google Scholar 

  4. Cherian TA, Rupa V, Rama R (1993) External laryngeal trauma: analysis of thirty cases. J Laryngol Otol 107: 920–923

    Article  PubMed  CAS  Google Scholar 

  5. Chüden H, Kornmesser HJ (1973) Das stumpfe gedeckte Larynxtrauma – Kehlkopfstruktur und Bruchverhalten. Z Laryngol Rhinol Otol 52: 608–615

    PubMed  Google Scholar 

  6. Denecke HJ (1979) Die oto-rhino-laryngolgischen Operationen im Mund- und Halsbereich. In: Kirschner M, Zenker R (Hrsg) Allgemeine und spezielle Operationslehre, Bd 5. Springer, Berlin Heidelberg New York

  7. Ernst A, Herzog M, Seidl RO (2003) Traumatologie des Kopf-Hals-Bereichs. Thieme, Stuttgart New York

  8. Evagelopoulos N, Tossios P, Wanke W et al. (1999) Tracheobronchial rupture after emergency intubation. Thorac Cardiovasc Surg 47: 395–397

    Article  PubMed  CAS  Google Scholar 

  9. Fuchs D, Todt I, Ernst A et al. (in press) Pseudarthrosen nach Larynxfrakturen – Eine retrospektive Untersuchung. Laryngol Rhinol

  10. Gold SM, Gerber ME, Shott SR et al. (1997) Blunt laryngotracheal trauma in children. Arch Otolaryngol Head Neck Surg 123: 83–87

    PubMed  CAS  Google Scholar 

  11. Gussak GS, Jurkovich GJ, Luterman A (1986) Laryngotracheal trauma: a protocol approach to a rare injury. Laryngoscope 96: 660–665

    Google Scholar 

  12. Hosny A, Bhendwal S, Hosni A (1995) Transection of cervical trachea following blunt trauma. J Laryngol Otol 109: 250–251

    Article  PubMed  CAS  Google Scholar 

  13. Jewett BS, Shockley WW, Rutledge R (1999) External laryngeal trauma analysis of 392 patients. Arch Otolaryngol Head Neck 125: 877–880

    CAS  Google Scholar 

  14. Jougon J, Ballester M, Choukroun E et al. (2000) Conservative treatment for postintubation tracheobronchial rupture. Ann Thorac Surg 69: 216–220

    Article  PubMed  CAS  Google Scholar 

  15. Kaloud H, Smolle-Juettner FM, Prause G et al. (1997) Iatrogenic ruptures of the tracheobronchial tree. Chest 112: 774–778

    Article  PubMed  CAS  Google Scholar 

  16. Kleinsasser NH, Priemer FG, Schulze W et al. (2000) External trauma to the larynx: classification diagnosis therapy. Eur Arch Otorhinolaryngol 257: 439–444

    Article  PubMed  CAS  Google Scholar 

  17. Lobato EB, Risley WP3, Stoltzfus DP (1997) Intraoperative management of distal tracheal rupture with selective bronchial intubation. J Clin Anesth 9: 155–158

    Article  PubMed  CAS  Google Scholar 

  18. Mace SE (1986) Blunt laryngotracheal trauma. Ann Emerg Med 15: 836–842

    Article  PubMed  CAS  Google Scholar 

  19. Massard G, Rouge C, Dabbagh A et al. (1996) Tracheobronchial lacerations after intubation and tracheostomy. Ann Thorac Surg 61: 1483–1487

    Article  PubMed  CAS  Google Scholar 

  20. Maxeiner H (1999) Abgeheilte Frakturen von Kehlkopf und Zungenbein im forensichen Obduktionsgut. Arch Kriminol 5–6: 175–183

  21. Minard G, Kudsk KA, Croce MA et al. (1992) Laryngotracheal trauma. Ann Surg 58: 181–187

    CAS  Google Scholar 

  22. Myer CM, Orbello P, Cotton RT et al. (1987) Blunt laryngeal trauma in children. Laryngoscope 58: 1043–1048

    Google Scholar 

  23. Offiah CJ, Endres D (1997) Isolated laryngotracheal seperation following blunt trauma to the neck. J Laryngol Otol 111: 1079–1081

    Article  PubMed  CAS  Google Scholar 

  24. Pennington CL (1972) External trauma of the larynx and trachea. Immediate treatment and management. Ann Otol Rhinol Laryngol 81: 546–554

    PubMed  CAS  Google Scholar 

  25. Pou AM, Shoemaker DL, Carrau RL et al. (1998) Repair of laryngeal fractures using adaptation plates. Head Neck 20: 707–713

    Article  PubMed  CAS  Google Scholar 

  26. Rollins RJ, Tocino I (1987) Early radiographic signs of tracheal rupture. AJR Am J Roentgenol 148: 695–698

    PubMed  CAS  Google Scholar 

  27. Schäfer SD (1991) The treatment of acute external laryngeal injuries. Arch Otolaryngol Head Neck Surg 117: 35–39

    Google Scholar 

  28. Schedlbauer E, Todt I, Ernst A et al. (in press) Iatrogenic tracheal rupture in children – a retrospective study. Pediatric Anaesth

  29. Seidl RO, Todt I, Nielitz T et al. (2002) Tracheal ruptures in endotracheal intubation. Diagnosis and therapy. HNO 50: 134–138

    Article  PubMed  CAS  Google Scholar 

  30. Seidl RO, Todt I, Westhofen M et al. (2008) Tracheal rupture in burns – a retrospective study. Burns 34: 525–530

    Article  PubMed  Google Scholar 

  31. Shorr RM, Crittenden M, Indeck M et al. (1987) Blunt thoracic trauma. Analysis of 515 patients. Ann Surg 206: 200—205

    Article  PubMed  CAS  Google Scholar 

  32. Taskinen SO, Salo JA, Halttunen PE et al. (1989) Tracheobronchial rupture due to blunt chest trauma: a follow-up study. Ann Thorac Surg 48: 846–849

    Article  PubMed  CAS  Google Scholar 

  33. Yen P, Lee HY, Tsai MH et al. (1994) Clinical analysis of external laryngeal trauma. J Laryngol Otol 108: 221–225

    Article  PubMed  CAS  Google Scholar 

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Seidl, R., Todt, I., Haider, E. et al. Verletzungen des Larynx und der Trachea. Trauma Berufskrankh 10, 201–208 (2008). https://doi.org/10.1007/s10039-008-1436-3

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  • DOI: https://doi.org/10.1007/s10039-008-1436-3

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