Traumatismo laringotraqueal. Descripción de un caso

Abstract

Introduction and objective: Laryngotracheal deep traumas are uncommon damages that can result in potential fatal injury. Prompt intervention significantly improves patient survival and prevents short- and long-term aerodigestive tract sequelae. The progression of a patient was studied during and after his hospital stay. Case description: We report a clinical patient with a cervical trauma who required tracheotomy to secure the airway and subsequent surgical reconstruction with insertion of an endolaryngeal stent in order to preserve its permeability. Discussion: The diagnosis of cervical trauma is based on clinical history and physical examination. In spite of this, the absence of signs and symptoms do not reject the presence of a major injury. AngioCT is now the method of choice for the diagnosis of cervical trauma. The management of this pathology depends on the severity of the injuries. Conclusions: The main objective in laryngotracheal injuries is to secure the airway. Morbidity and mortality of these lesions are related to prematurity in acting. Hence, early diagnosis is required. Prompt surgical repair decreases the rate of late complications, improving the patient’s quality of life.