Abstract
Laryngeal trauma is an uncommon but potentially life-threatening injury. Estimates of occurrence range from 1 in 5000 emergency department visits to 1 in 137,000 hospital admissions. The signs and symptoms are variable, and severe injuries may initially appear innocuous. The airway must always be thoroughly evaluated. If the airway is determined to be unstable, an awake tracheotomy should be performed. Intubation should not be attempted in these patients. Each case of laryngeal trauma is unique, and treatment must be individualized. However, in general, cases may be classified into five groups based on the severity of injury using the Schaefer–Fuhrman classification system. This article reviews the management of each group, with a particular emphasis on the most recent literature. Rational, expeditious management will minimize the potentially debilitating and life-threatening complications.
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