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Penetrating Trauma pp 243–248Cite as

Penetrating Trauma to the Larynx and the Cervical Trachea

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Abstract

Penetrating neck trauma with laryngotracheal injury carries high mortality secondary to the loss of the airway. While many patients die from these injuries prior to reaching the hospital, improved prehospital care has increased the number of patients seeking surgical evaluation for penetrating neck trauma. As many as 50 % of patients presenting with gunshot wounds and 10–20 % of patients with stab wounds will have significant injuries. Injuries to multiple structures in the neck are common given the close proximity of major vascular, aerodigestive, nervous, and endocrine structures (Fig. 31.1). Important aspects of initial care include both hemorrhage control and airway control along with early and thorough diagnosis of all injuries.

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Author information

Authors and Affiliations

  1. Department of Surgery, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Zayed Tower, Suite 6107, Baltimore, MD, 21287, USA

    Lisa M. Kodadek

  2. Department of Surgery, St. Joseph Mercy Oakland, 44555 Woodward Ave. Suite 501, Pontiac, MI, 48341, USA

    Alicia Kieninger

  3. Division of Acute Care Surgery, Department of Surgery, The Johns Hopkins Hospital, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Zayed Tower, Suite 6107, Baltimore, MD, 21287, USA

    Elliott R. Haut

Authors
  1. Lisa M. Kodadek
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  2. Alicia Kieninger
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  3. Elliott R. Haut
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Corresponding author

Correspondence to Elliott R. Haut .

Editor information

Editors and Affiliations

  1. Professor of Surgery Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital Harvard University Medical School, Boston, USA

    George C. Velmahos

  2. Professor Emeritus, Department of Surgery, University of the Witwatersrand Medical School, Milpark Hospital Academic Trauma Centre and Leratong Hospital, Johannesburg, South Africa

    Elias Degiannis

  3. Honorary Senior Lecturer, Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, South Africa

    Dietrich Doll

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© 2017 Springer-Verlag Berlin Heidelberg

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Kodadek, L.M., Kieninger, A., Haut, E.R. (2017). Penetrating Trauma to the Larynx and the Cervical Trachea. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_31

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  • DOI: https://doi.org/10.1007/978-3-662-49859-0_31

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49857-6

  • Online ISBN: 978-3-662-49859-0

  • eBook Packages: MedicineMedicine (R0)

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