Damage Control of Laryngotracheal Trauma: The Golden Day
larynx laryngotracheal trauma penetrating trauma neck trauma Tracheostomy Cricoid Cartilage Thyroid Cartilage Laryngeal Edema Neck Injuries Subcutaneous Emphysema
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Laryngotracheal trauma is rare but potentially life-threatening as it implies a high risk of compromising airway patency. A consensus on damage control management for laryngotracheal trauma is presented in this article. Tracheal injuries require a primary repair. In the setting of massive destruction, the airway patency must be assured, local hemostasis and control measures should be performed, and definitive management must be deferred. On the other hand, management of laryngeal trauma should be conservative, primary repair should be chosen only if minimal disruption, otherwise, management should be delayed. Definitive management must be carried out, if possible, in the first 24 hours by a multidisciplinary team conformed by trauma and emergency surgery, head and neck surgery, otorhinolaryngology, and chest surgery. Conservative management is proposed as the damage control strategy in laryngotracheal trauma.
Mario Alain Herrera, • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia
https://orcid.org/0000-0002-4526-7636
Luis Fernando Tintinago, Division of Head and Neck Surgery, Department of Surgery, Fundación Valle del Lili. Carrera 98 No. 18-49, Cali 760032, Colombia.
Carlos Alberto Ordoñez, • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. • Universidad Icesi, Cali, Colombia.
https://orcid.org/0000-0003-4495-7405
Michael Parra, Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL – USA
https://orcid.org/0000-0001-6496-6275
Mateo Betancourt-Cajiao, Escuela de Medicina, Facultad de Salud, Universidad del Valle, Cali, Colombia.
https://orcid.org/0000-0002-5318-0397
Yaset Caicedo, Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili. Cali, Colombia
https://orcid.org/0000-0002-6128-0128
Monica Guzman, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile
https://orcid.org/0000-0002-5515-263X
Linda M. Gallego, Facultad Ciencias de la Salud, Universidad ICESI, Cali – Colombia.
https://orcid.org/0000-0001-9081-5016
Adolfo Gonzalez Hadad, • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia. • Centro Médico Imbanaco, Cali, Colombia
https://orcid.org/0000-0001-5862-4906
Luis Fernando Pino, • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia
https://orcid.org/0000-0002-1179-2854
Jose Julian Serna, • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. • Universidad Icesi, Cali, Colombia.
https://orcid.org/0000-0001-9829-8930
Alberto García, • Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Universidad Icesi, Cali, Colombia.
Carlos Serna, Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia
https://orcid.org/0000-0002-1641-0421
Fabian Hernandez, • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia.
https://orcid.org/0000-0002-2974-0649
Herrera, M. A., Tintinago, L. F., Victoria, W., Ordoñez, C. A., Parra, M., Betancourt-Cajiao, M., Caicedo, Y., Guzman, M., Gallego, L. M., Gonzalez Hadad, A., Pino, L. F., Serna, J. J., García, A., Serna, C., & Hernandez, F. (2020). Damage Control of Laryngotracheal Trauma: The Golden Day. Colombia Medica, 51(4), e4124599. https://doi.org/10.25100/cm.v51i4.4599
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Received 2020-10-26
Accepted 2021-01-29
Published 2020-12-19
Accepted 2021-01-29
Published 2020-12-19
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