급성 후두 외상 32예의 분석

Abstract

Background and Objectives：Laryngeal trauma ocurs uncomonly, but when it does, it can cause acute airway obstruction and ases the outcome of the treatment. Materials and Method：We analyzed the medical records of 32 patients with acute laryngeal trauma from 1992 to 2006, retrospectively. Results：The most comon cause of injury was traffic accident. Voice change was the most common symptom. Vocal cord palsy in patients with redistributed in minor injury was improved in all of the group that re-ceived conservative management. If there are significant endolaryngeal laceration or arytenoid disruption, which can occur with major trauma, consideration should be given to placing an endolaryngeal stent. But there was no diference in improvement rates betwen those receiving treatment with stent and those without stent. Thus, consider severity, treatment with stent is likely to yield to significant benefit. Conclusion：Vocal cord palsy in patients with redistributed in minor trauma may be managed conservatively. We conclude that patients with major trauma of endolaryngeal mucosa should use a stent in their treatment. (Korean J Otorhi -nolaryngol-Head Neck Surg 2007 ;50 :800-6)