{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:02Z","timestamp":1756307402370,"version":"3.44.0"},"reference-count":9,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,3,21]]},"published-print":{"date-parts":[[2020,3]]},"abstract":"<jats:p>A 3-year-old boy had an unwitnessed fall from a highchair. The child had no loss of consciousness, vomiting, stridor or respiratory distress but within a few minutes had significant swelling in the neck, scalp and around the eyes. He was brought immediately to the emergency room where he deteriorated rapidly and was intubated with a cuffed oral endotracheal tube. A clinical diagnosis of blunt laryngeal trauma was made. Imaging showed no laryngeal disruption, but did reveal massive bilateral pneumothoraces, that were managed with chest tube. A multidisciplinary meeting with family led to a watchful waiting approach. The patient was successfully extubated at 1\u2009week and healed with a clear voice.<\/jats:p>","DOI":"10.1136\/bcr-2020-234623","type":"journal-article","created":{"date-parts":[[2020,3,31]],"date-time":"2020-03-31T05:35:20Z","timestamp":1585632920000},"page":"e234623","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Blunt laryngeal trauma presenting as bilateral massive pneumothoraces and subcutaneous emphysema: a multidisciplinary approach to management"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6625-0809","authenticated-orcid":false,"given":"Christopher W","family":"Noel","sequence":"first","affiliation":[{"name":"Otolaryngology - Head and Neck Surgery, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suneel Kumar","family":"Pooboni","sequence":"additional","affiliation":[{"name":"Mafraq Hospital - SEHA, Abu Dhabi, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gamal","family":"Metwalli Metwalli","sequence":"additional","affiliation":[{"name":"Mafraq Hospital - SEHA, Abu Dhabi, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Safeena","family":"Kherani","sequence":"additional","affiliation":[{"name":"Otolaryngology - Head and Neck Surgery, Al Jalila Children's Specialty Hospital, Dubai, United Arab Emirates"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2020,3,30]]},"reference":[{"key":"2025082707383284000_13.3.e234623.1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1177\/014556130608500315","article-title":"Acute external laryngotracheal trauma: diagnosis and management","volume":"85","author":"Lee","year":"2006","journal-title":"Ear Nose Throat J"},{"key":"2025082707383284000_13.3.e234623.2","doi-asserted-by":"publisher","DOI":"10.1177\/000348941112001204"},{"key":"2025082707383284000_13.3.e234623.3","doi-asserted-by":"publisher","DOI":"10.1097\/PEC.0b013e318177a78a"},{"key":"2025082707383284000_13.3.e234623.4","doi-asserted-by":"publisher","DOI":"10.1177\/000992288602500906"},{"key":"2025082707383284000_13.3.e234623.5","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1997.01900010093014"},{"key":"2025082707383284000_13.3.e234623.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijporl.2009.02.025"},{"key":"2025082707383284000_13.3.e234623.7","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880060046013"},{"key":"2025082707383284000_13.3.e234623.8","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1002\/lary.24068","article-title":"Management of acute blunt and penetrating external laryngeal trauma","volume":"124","author":"Schaefer","year":"2014","journal-title":"Laryngoscope"},{"key":"2025082707383284000_13.3.e234623.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.2004.03831.x"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-234623","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:38:38Z","timestamp":1756305518000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-234623"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3]]},"references-count":9,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020,3,30]]},"published-print":{"date-parts":[[2020,3]]}},"alternative-id":["10.1136\/bcr-2020-234623"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-234623","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,3]]}}}