Abstract
Fifty-seven consecutive patients with acute laryngeal trauma were referred to our emergency department for evaluation. On the basis of the physical examination findings, 40 (70%) of the patients were excluded from further diagnostic evaluation, 2 (4%) patients with penetrating laryngeal trauma underwent immediate surgery, and 15 (26%) patients with blunt trauma were submitted to laryngoscopy and computed tomography (CT). Findings at CT and laryngoscopy were independently evaluated before classifying patients as having grade 1 or grade 2 lesions: grade 1 included the presence of minor injuries (mild edema, laryngeal hematomas, or minor laryngeal lacerations); grade 2 included evidence of major injuries (subcutaneous emphysema, mucosal disruption, and/or laryngeal fractures without exposed cartilages).
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