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 I 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). According to the CT findings, 11 of 15 (73%) patients were classified as having grade 1 and 4 of 15 (27%) patients as having grade 2 injuries. At laryngoscopy, owing to local bleeding, findings were nondiagnostic in 2 of 15 (13%) patients (classified as grade 1 at CT); furthermore, 11 of 15 (73%) patients were classified as grade 1 injuries: of these 11 patients, 9 had clinical follow- up confirmation of appropriate grading of lesions, whereas 2 cases were proved to be underestimated by laryngoscopy owing to the absence of indirect signs of laryngeal skeleton fractures. Finally, in 2 of 15 (13%) patients, findings at laryngoscopy were consistent with grade 2 injuries. CT is the imaging modality of choice in cases of laryngeal injuries, giving valuable support to the physical findings and providing useful information for planning appropriate treatment.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 129-131 |
| Number of pages | 3 |
| Journal | Emergency Radiology |
| Volume | 4 |
| Issue number | 3 |
| DOIs | |
| State | Published - 1997 |
| Externally published | Yes |
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Keywords
- CT, emergency
- Larynx, CT
- Larynx, injuries
- Larynx, surgery
ASJC Scopus subject areas
- Radiology Nuclear Medicine and imaging
Cite this
Computed tomographic diagnosis of traumatic laryngeal injuries. / Scaglione, M.; Pinto, F.; Romano, L.; Grassi, R.; Pinto, A.; Lencioni, Riccardo.
In: Emergency Radiology, Vol. 4, No. 3, 1997, p. 129-131.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Computed tomographic diagnosis of traumatic laryngeal injuries
AU - Scaglione, M.
AU - Pinto, F.
AU - Romano, L.
AU - Grassi, R.
AU - Pinto, A.
AU - Lencioni, Riccardo
PY - 1997
Y1 - 1997
N2 - 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 I 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). According to the CT findings, 11 of 15 (73%) patients were classified as having grade 1 and 4 of 15 (27%) patients as having grade 2 injuries. At laryngoscopy, owing to local bleeding, findings were nondiagnostic in 2 of 15 (13%) patients (classified as grade 1 at CT); furthermore, 11 of 15 (73%) patients were classified as grade 1 injuries: of these 11 patients, 9 had clinical follow- up confirmation of appropriate grading of lesions, whereas 2 cases were proved to be underestimated by laryngoscopy owing to the absence of indirect signs of laryngeal skeleton fractures. Finally, in 2 of 15 (13%) patients, findings at laryngoscopy were consistent with grade 2 injuries. CT is the imaging modality of choice in cases of laryngeal injuries, giving valuable support to the physical findings and providing useful information for planning appropriate treatment.
AB - 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 I 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). According to the CT findings, 11 of 15 (73%) patients were classified as having grade 1 and 4 of 15 (27%) patients as having grade 2 injuries. At laryngoscopy, owing to local bleeding, findings were nondiagnostic in 2 of 15 (13%) patients (classified as grade 1 at CT); furthermore, 11 of 15 (73%) patients were classified as grade 1 injuries: of these 11 patients, 9 had clinical follow- up confirmation of appropriate grading of lesions, whereas 2 cases were proved to be underestimated by laryngoscopy owing to the absence of indirect signs of laryngeal skeleton fractures. Finally, in 2 of 15 (13%) patients, findings at laryngoscopy were consistent with grade 2 injuries. CT is the imaging modality of choice in cases of laryngeal injuries, giving valuable support to the physical findings and providing useful information for planning appropriate treatment.
KW - CT, emergency
KW - Larynx, CT
KW - Larynx, injuries
KW - Larynx, surgery
UR - http://www.scopus.com/inward/record.url?scp=0030930603&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0030930603&partnerID=8YFLogxK
U2 - 10.1007/BF01508101
DO - 10.1007/BF01508101
M3 - Article
VL - 4
SP - 129
EP - 131
JO - Emergency Radiology
JF - Emergency Radiology
SN - 1070-3004
IS - 3
ER -