Clinical Feature and Initial Treatment Strategy of Laryngeal Obstruction in the Neck

DOI

10.2991/icemct-14.2014.31How to use a DOI?

Keywords

Laryngeal obstruction, neck trauma, tracheotomy

Abstract

Objective To explore the clinical feature and initial treatment strategyof laryngeal obstruction in the neck trauma. And analysis clinical incidence rate and etiological factors for effective remedy and prevention and cure of the disease. Method A total number of 85 cases were seen All were patients whose age range was from 6 years to 72 years with a mean age of 28.2 years.closed 52 cases and opened neck trauma 33cases; combined type 15 cases;road accident 33 cases; lance trauma 18 cases etc. Results About 1.7% of the total patients were neck trauma. within the patients about 61.2% was closed neck trauma;38.8% opened neck trauma;17.6% combined type trauma ;38.8% road accident; complicated laryngeal obstruction in the closed neck trauma was 44 cases; 14 cases in opened neck trauma.the clinical expression of laryngeal obstrucion divided into the acute and lately stage.Treachotomy plays important roles in the treatment of laryngeal obstrucion.but in the lately stage appear the complications of deadth and abscess of neck hemorrhagic shock . Patients with attempted suicide had deep open wounds exposing the pharynx, larynx or both with horizontally positioned incision wounds while homicidal cases had obliquely positioned incision wounds. Restoration of normal neck, pharyngeal and laryngeal architecture was carried out through meticulous surgical repair of various tissue layers with nasogastric tube in situ for 7-9 days. Conclusion Significant proportion of emergencies from anterior neck cut throat injuries in this study. Prompt surgical repair and concurrent psychiatric evaluation in attempted suicide and homicide is required. Treachotomy plays important roles in the treatment of laryngeal obstrucion in the early stage.Doctor takes attention of the laryngeal obstruction which appears in the lately stage.The etiology of death and complications lie in the not obvious clinical expresions and symptoms which cover up the situations of patients and produce diagnostic errors.

Copyright

© 2014, the Authors. Published by Atlantis Press.

Open Access

This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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TY  - CONF
AU  - Shujun Sun
AU  - Limin Zhao
PY  - 2014/06
DA  - 2014/06
TI  - Clinical Feature and Initial Treatment Strategy of Laryngeal Obstruction in the Neck
BT  - Proceedings of the 2014 International Conference on Education, Management and Computing Technology
PB  - Atlantis Press
SP  - 131
EP  - 134
SN  - 1951-6851
UR  - https://doi.org/10.2991/icemct-14.2014.31
DO  - 10.2991/icemct-14.2014.31
ID  - Sun2014/06
ER  -