ABSTRACT
In this article we describe the first case of combined laryngotracheal and esophageal
injury following blunt neck trauma in the otolaryngology literature and delineate
appropriate management considerations. Successful reconstruction requires appropriate
airway management, restoration of esophageal and laryngeal mucosal integrity, and
reduction of tracheal and laryngeal fractures with appropriate stenting. Laryngotracheal
separation following blunt neck trauma is rare and can be initially overlooked. After
the airway is secure, injury severity dictates repair and postoperative care. Immediate
reconstruction with restoration of the laryngotracheal framework and mucosal integrity
enables patients to recover a patent airway, functional voice, and normal swallow.
KEYWORDS
Larynx - cricoid - trachea - trauma
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Edmund A PribitkinM.D.
Department of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University School
of Medicine
925 Chestnut Street, 6th Floor, Philadelphia, Pennsylvania, 19107