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Conservative management of laryngeal perforation in a rural setting: case report and review of the literature on penetrating neck injuries

Published online by Cambridge University Press:  11 May 2015

Michael R. Kolber ,
Anne Aspler  and
Richard Sequeira
Michael R. Kolber*
Affiliation:
Department of Family Medicine, University of Alberta, Edmonton, AB and private practice, Peace River, AB
Anne Aspler
Affiliation:
University of Alberta, Edmonton, AB
Richard Sequeira
Affiliation:
Diasnostic Imaging, Peace River Community Health Centre, Peace River, AB
*
Box 7590, Peace River, AB T6R 1L4; mkolber@ualberta.ca

Abstract

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Penetrating neck injuries (PNIs) are infrequent but can result in significant morbidity and mortality. Although surgical management of unstable patients with penetrating neck trauma is the standard of care, management of stable patients remains controversial owing to the possibility of occult injuries. Recent studies suggest that physical examination and ancillary imaging may be sufficiently accurate to diagnose or rule out surgically significant injuries in PNI. We report a patient with a laryngeal perforation who was managed conservatively in a rural hospital without complications and review the literature pertinent to cases of this nature.

Keywords

conservative managementneck injuriespenetrating neck traumarural emergency medicinezone II
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 13 , Issue 2 , March 2011 , pp. 127 - 132
Copyright
Copyright © Canadian Association of Emergency Physicians 2011

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