• Colomb Medica · Dec 2020

    Review

    Damage control of laryngotracheal trauma: the golden day.

    • Mario Alain Herrera, Luis Fernando Tintinago, William Victoria Morales, Carlos A Ordoñez, Michael W Parra, Mateo Betancourt-Cajiao, Yaset Caicedo, Mónica Guzmán-Rodríguez, Linda M Gallego, González HadadAdolfoA0000-0001-5862-4906Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.Hospital Universitario del Valle, Department of Surgery, Division of Tr, Luis Fernando Pino, José Julián Serna, Alberto García, Carlos Serna, and Fabian Hernández-Medina.
    • Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.
    • Colomb Medica. 2020 Dec 30; 51 (4): e4124599.

    AbstractLaryngotracheal trauma is rare but potentially life-threatening as it implies a high risk of compromising airway patency. A consensus on damage control management for laryngotracheal trauma is presented in this article. Tracheal injuries require a primary repair. In the setting of massive destruction, the airway patency must be assured, local hemostasis and control measures should be performed, and definitive management must be deferred. On the other hand, management of laryngeal trauma should be conservative, primary repair should be chosen only if minimal disruption, otherwise, management should be delayed. Definitive management must be carried out, if possible, in the first 24 hours by a multidisciplinary team conformed by trauma and emergency surgery, head and neck surgery, otorhinolaryngology, and chest surgery. Conservative management is proposed as the damage control strategy in laryngotracheal trauma.Copyright © 2020 Colombia Medica.

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