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Larynx Fracture, Emergency Medicine

David Della- Giustina and Katja Goldflam Reviewed 06/2017
 


Basics

Description

  • Direct transfer of severe forces to the larynx

  • Simple mucosal tears to fractured and comminuted cartilage:

    • Epiglottis, thyroid, arytenoid, cricoid, corniculate, and cuneiform cartilage...

Diagnosis

Signs and Symptoms

  • May be delayed for hours

  • Blunt trauma recognition is most challenging

  • Blood, cervical collar, or polytrauma may distract from subtle findings

  • Neck tenderness

  • Bruising or abrasi...

Treatment

Pre-Hospital

  • Cautions:

    • Aggressive airway management may be necessary: Oxygen, suctioning

    • Cervical spine immobilization

    • Injury may be overlooked if patient is intubated pre-hospital for other inj...

Follow-Up

Disposition

Admission Criteria

  • Patients with true laryngeal injuries must be admitted to a monitored setting for observation and airway management; prepare for emergent surgical repair of lary...

Additional Reading

  • Bell  RB, Verschueren  DS, Dierks  EJ. Management of laryngeal trauma. Oral Maxillofac Surg Clin North Am.  2008;20(3):415–430.

  • Comer  BT, Gal  TJ. Recognition and management of...

Codes

ICD9

  • 807.5 Closed fracture of larynx and trachea

  • 807.6 Open fracture of larynx and trachea

ICD10

  • S12.8XXA Fracture of other parts of neck, initial encounter

  • S12.8XXD Fracture of other parts of neck, ...

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