{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:17:38Z","timestamp":1792289858821,"version":"4.4.0"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T00:00:00Z","timestamp":1705968000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006390","name":"University of Lausanne","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006390","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur Arch Otorhinolaryngol"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objectives<\/jats:title>\n                <jats:p>External laryngotracheal trauma (ELT), blunt or penetrating, is a rare but potentially life-threatening injury. Immediate care in the emergency department can be challenging because it requires managing a potentially unstable airway and may have associated vascular injuries with massive bleeding. Here, we look at the details of injury, treatment measures, and outcomes in patients following ELT.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We retrospectively analyzed 22 patients treated at our center for ELT from January 2005 up to December 2021 with varying grades of injury. We looked at their status at presentation, management strategy and functional status.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In our report, we include 18 men and 4 women having varying Schaefer injury grades. Eight patients had tracheostomy at presentation and eight had vocal fold immobility. Two patients were treated endoscopically, 12 had open surgery and 8 received no treatment. Of the patients undergoing open surgery, thyroid cartilage fracture was seen in 9 patients, thyroid plus cricoid fracture and cricotracheal separation were seen in 3 patients each. All patients were safely decannulated and spontaneous recovery of vocal cord palsy was seen in some patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The success of managing ELT relies on fast decision-making, correct patient evaluation, securing the airway and maintaining the hemodynamic stability. Early surgical intervention must be aimed at optimally treating the larygotracheal injuries to prevent long-term disastrous consequences.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00405-024-08456-9","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T06:01:36Z","timestamp":1705989696000},"page":"1895-1904","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["External laryngotracheal trauma: a case series and an algorithmic management strategy"],"prefix":"10.1007","volume":"281","author":[{"given":"Laurence","family":"Pincet","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriele","family":"Lecca","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioanna","family":"Chrysogelou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1977-4551","authenticated-orcid":false,"given":"Kishore","family":"Sandu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,1,23]]},"reference":[{"key":"8456_CR1","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2018.03.03","author":"P Moonsamy","year":"2018","unstructured":"Moonsamy P, Sachdeva UM, Morse CR (2018) Management of laryngotracheal trauma. Ann Cardiothorac Surg. https:\/\/doi.org\/10.21037\/acs.2018.03.03","journal-title":"Ann Cardiothorac Surg"},{"issue":"3","key":"8456_CR2","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.coms.2008.03.004","volume":"20","author":"RB Bell","year":"2008","unstructured":"Bell RB, Verschueren DS, Dierks EJ (2008) Management of laryngeal trauma. Oral Maxillofac Surg Clin North Am. 20(3):415\u2013430. https:\/\/doi.org\/10.1016\/j.coms.2008.03.004","journal-title":"Oral Maxillofac Surg Clin North Am."},{"issue":"4","key":"8456_CR3","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1002\/lary.24432","volume":"124","author":"DR Randall","year":"2014","unstructured":"Randall DR, Rudmik LR, Ball CG, Bosch JD (2014) External laryngotracheal trauma: Incidence, airway control, and outcomes in a large Canadian center. 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