[Laryngo-tracheal trauma. Problems in management]. / Traumatismele laringo-traheale. Probleme de management.

ABSTRACT

It is presented the experience of Department of ENT&HNS from "Santa Maria Hospital" Bucharest in treating 85 patients with laryngo-tracheal trauma during a period of 10 years. The author presents the causes of these kind of trauma and insists on endoscopic and iatrogenic laryngotracheal trauma with an increasing number in the last years. Presenting the lot of patients the author insists on the therapeutic approach which is divided in 4 types of maneuvers depending on the etiology, the localisation and the extension of the lesions. An ancient controversy is debated--that of prolonged orotracheal intubation vs tracheostomy followed by tracheal intubation. The conclusion is that such types of laryngotracheal trauma require a team management (ENT, pneumology and thoracic surgeon) in order to prevent the stenotic and fibrous sequelae which are difficult to treat.