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Isolated laryngotracheal separation following blunt trauma to the neck

  • C. J. Offiah (a1) and D. Endres (a2)


Isolated laryngotracheal separation following blunt trauma to the neck is a very rare subset of laryngeal trauma and has not been previously well characterized. A ‘clothes-line’ type injury is one way in which such an injury may occur in which a cyclist rides into a rope or cable. A case of this kind is presented, followed by a discussion of the relevant clinical symptoms and signs as well as the difficulties in making a diagnosis. The critical role of fibre-optic subglottoscopy and tracheoscopy in reaching this diagnosis is also examined.


Corresponding author

Address for corresopndence: Dr. C. J. Offiah, B.Sc., M.B., Ch.B., Department of Plastic Surgery, Radcliffe Infirmary, Oxford


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Bent, J. B., Silver, J. R., Porubsky, E. S. (1993) Acute laryngeal trauma: a review of 77 patients. Otolaryngology – Head and Neck Surgery 109: 441449.
Cherian, T. A., Rupra, V., Raman, R. (1993) External laryngeal trauma: analysis of thirty cases. Journal of Laryngology and Otology 107: 920923.
Fuhrman, G. M., Steig, F. H., Buerk, C. A. (1990) Blunt laryngeal trauma: Classification and management protocol. Journal of Trauma 30: 8792.
Gussack, G. S., Jurkovich, G. J. (1988) Treatment dilemmas in laryngotracheal trauma. Journal of Trauma 28: 14391444.
Gussack, G. S., Jurkovich, G. J., Luterman, A. (1986) Laryngotracheal trauma: a protocol approach to a rare injury. Laryngoscope 96: 660665.
Harris, H. H., Ainsworth, J. Z. (1965) Immediate management of laryngeal and tracheal injuries. Laryngoscope 75: 11031115.
Harris, H. H., Tobin, H. A. (1970) Acute injuries of the larynx and trachea in 49 patients. Laryngoscope 80: 13761384.
LeJeune, F. E. (1978) Laryngotracheal separation. Laryngoscope 88: 19561961.
Mathisen, D. J., Grillo, H. (1987) Laryngotracheal trauma. Annals of Thoracic Surgery 43: 254262.
O'Keefe, L. J., Maw, A. R. (1992) The dangers of minor blunt laryngeal trauma. Journal of Laryngology and Otology 106: 372373.
Olson, N. R., Miles, W. K. (1971) Treatment of acute blunt laryngeal injuries. Annals of Otology, Rhinology and Laryngology 80: 704709.
Schaefer, S. D. (1991) The treatment of acute external laryngeal injuries. Archives of Otolaryngology – Head and Neck Surgery 117: 3539.
Stanley, R. B. (1984) Value of computed tomography in management of acute laryngeal injury. Journal of Trauma 24: 359362.
Yen, P. T., Lee, H. Y., Tsai, M. H., Chan, S. T., Huang, T. S. (1994) Clinical analysis of external laryngeal trauma. Journal of Laryngology and Otology 108: 221225.



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