Abstract
Laryngotracheal trauma is one of the rarest and most difficult of trauma to reconstruct to normal pre-injury condition. This is because the larynx has complex multiple functions that involve respiration, phonation and swallowing.As our hospital has an emergency center, we have had several cases of laryngotracheal trauma among many cases trauma to the head and neck regions.We reported 6 cases of such trauma during 9 months in 1995. There are two primary cases that produce laryngeal trauma. One is mechanical force from outside that inflicts a range of damage from light to severe. The other is mechanical and/or chemical forces including heat injury from inside that results in the obstruction of and scar formation in the airway. It is most crucial to manage laryngotracheal trauma therefore we must think of not only structural reconstruction but also of functional reconstruction of the larynx to quickly restore the pre-injury life of the patient, even in the case of an emergency operation. Especially in the case of heat injury to the laryngotracheal region, intubation is not a good method but rather immediate tracheotomy is the best first aid treatment to keep the airway open in order to restore laryngeal functions with a minimum of complications.
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