Laryngeal injury from a horse bite to the neck

Susan C. Lee; Elizabeth Rossmann Beel; Jaime Ortiz; Frances Karam Cena; Suman Rajagopalan

doi:10.15761/gapm.1000164

An Animal Model for Endotracheal Tube–Related Laryngeal Injury Using Hypoxic Ventilation

Otolaryngology ◽

10.1177/0194599810392894 ◽

2011 ◽

Vol 144 (2) ◽

pp. 247-251 ◽

Cited By ~ 12

Author(s):

Arie Gordin ◽

Neil K. Chadha ◽

Paolo Campisi ◽

Igor Luginbuehl ◽

Glenn Taylor ◽

...

Keyword(s):

Animal Model ◽

Endotracheal Tube ◽

Laryngeal Injury

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523 Retrospective Outcomes Analysis of Tracheostomy in Paediatric Burn Population

Journal of Burn Care & Research ◽

10.1093/jbcr/irab032.174 ◽

2021 ◽

Vol 42 (Supplement_1) ◽

pp. S108-S109

Author(s):

Nicholas Iglesias ◽

Anesh Prasai ◽

George Golovko ◽

Deepak K Ozhathil ◽

Steven E Wolf

Keyword(s):

Inhalation Injury ◽

Smoke Inhalation ◽

Research Network ◽

Burn Patients ◽

Pulmonary Injury ◽

Smoke Inhalation Injury ◽

Mortality And Morbidity ◽

Laryngeal Injury ◽

Icd 10 ◽

Potential Benefits

Abstract Introduction For decades, controversy has raged regarding the placement of tracheostomy in severe paediatric burns. Numerous variables including extent of smoke inhalation injury, % TBSA burned, age of the patient, and co-morbidities among others complicate reaching consensus. Furthermore, paediatric patients are particularly susceptible to complications including inadvertent loss of airway and long-term swallowing and other anatomic issues. Additionally, previous analysis of the efficacy of tracheostomy in paediatric burn patients appears to be hindered by a lack of nationwide analysis. The aim of this study was to explore the efficacy of tracheostomy in the general paediatric burn patient population. Methods De-identified patient data was obtained from the TriNetX Research Network database. Two cohorts were identified: paediatric burn patients with tracheostomy (cohort A) and paediatric burn patients without tracheostomy (cohort B). Burn patients were identified using the ICD-10 codes T20-T25 & T30-T32. Tracheostomy was identified using the ICD-10 codes 1005887, 1014613, 31600, 31601, 31603, 31604, 31610, and Z93.0. A total of 132 patients were identified in cohort A in 23 HCOs and 83,117 patients were identified in cohort B in 38 HCOs. Infection, hypovolemia, pulmonary injury, laryngeal injury, pneumonia, and death were compared between the cohorts. Results Cohort A had a mean age of 11 (SD=5) and Cohort B had a mean age of 9 (SD=5). Paediatric burn patients with tracheostomy had a higher risk for death, infection, hypovolemia, pulmonary injury, laryngeal injury, and pneumonia when compared to their non-tracheostomy counterparts. The risk ratios for these outcomes were 62.452, 4.713, 9.267, 26.483, 116.163, and 18.154, respectively. Conclusions The analysis of the longitudinal outcomes of pediatric burn patients with tracheostomy as compared to those without tracheostomy demonstrated the tracheostomy cohort suffered much worse mortality and morbidity across several metrics. The potential benefits of tracheostomy placement in pediatric burn patients should be weighed against these outcomes.

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Laryngopharyngeal Reflux and GERD

10.2310/ot.7061 ◽

2021 ◽

Author(s):

Shumon Ian Dhar ◽

Lee Akst

Keyword(s):

Key Words ◽

Laryngopharyngeal Reflux ◽

Evidence Based ◽

Mechanism Of Injury ◽

Esophageal Reflux ◽

Laryngeal Injury

Since the early 1990s, the consequences of extra-esophageal reflux in the larynx have been recognized to be related to a variety of laryngeal symptoms with certain endoscopic manifestations. The paper by Dr. Koufman described various types of laryngeal injury which were attributed to extra-esophageal reflux also known as laryngopharyngeal reflux (LPR). The mechanism of injury was postulated to be a consequence of acid refluxate as well as from pepsin. Since that time there has been a surge of literature devoted to the topic of LPR seeking to refine its diagnosis, elucidate its pathophysiology, and treat its symptoms and sequelae. Our goal in this chapter is to provide a balanced, evidence-based framework for identifying LPR and providing treatment while balancing the benefits versus the risks of overtreatment and escalating therapy. This review contains 13 figures, 7 tables and 49 references. Key Words: LPR, GERD, PPI, RSI, TLESR

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Acidic Pharyngeal Reflux Does Not Correlate with Symptoms and Laryngeal Injury Attributed to Laryngopharyngeal Reflux

Digestive Diseases and Sciences ◽

10.1007/s10620-018-5372-1 ◽

2018 ◽

Vol 64 (5) ◽

pp. 1270-1280 ◽

Cited By ~ 4

Author(s):

Martin Duricek ◽

Peter Banovcin ◽

Tatiana Halickova ◽

Rudolf Hyrdel ◽

Marian Kollarik

Keyword(s):

Laryngopharyngeal Reflux ◽

Laryngeal Injury ◽

Pharyngeal Reflux

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Endoscopic diagnosis of laryngeal injury following endotracheal intubation

Minimally Invasive Therapy & Allied Technologies ◽

10.3109/13645709909153132 ◽

1999 ◽

Vol 8 (1) ◽

pp. 55-58 ◽

Cited By ~ 2

Author(s):

S. F. Kahveci ◽

L. Erisen ◽

B. Ozcan ◽

O. Kutlay ◽

I. Tezel

Keyword(s):

Endotracheal Intubation ◽

Endoscopic Diagnosis ◽

Laryngeal Injury

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Response of an ovine laryngeal injury model to a novel fibrosis inhibitor

ANZ Journal of Surgery ◽

10.1111/ans.13852 ◽

2016 ◽

Vol 87 (4) ◽

pp. 266-270 ◽

Cited By ~ 2

Author(s):

Jacqueline Allen

Keyword(s):

Laryngeal Injury ◽

Injury Model

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To Be or Knot to Be: A Rare Case of Nasogastric Tube Knotting

Journal of Rawalpindi Medical College ◽

10.37939/jrmc/vol24.iss1.19 ◽

2020 ◽

pp. 97-99

Author(s):

Muzna Iftikhar ◽

Shahbaz Bakhat Kayani ◽

Atiq Ur Rehman

Keyword(s):

Respiratory Distress ◽

Young Patient ◽

Nasogastric Tube ◽

Tracheoesophageal Fistula ◽

Rare Case ◽

Rare Complication ◽

Clinical Care ◽

Nasogastric Intubation ◽

Laryngeal Injury ◽

Gastric Decompression

Nasogastric intubation is a frequent practice in clinical care used for administering enteral feed, gastric decompression, and lavage. The knotting of a nasogastric tube is a rare complication with only a few incidences of narrow bore nasogastric tube knotting and even fewer wide-bore tubes reported [1-4]. Unrecognized knotting of the nasogastric tube with inadvertent removal may cause catastrophic consequences like epistaxis, respiratory distress’ severe laryngeal injury, and tracheoesophageal fistula [5-7]. Tubes have been found to be kinked and less commonly knotted. Cases of knotting have previously been identified during insertion or blockage of the tubes post-insertion. Ours is a case of nasogastric tube knotting identified in a young patient with a working tube that knotted over itself during removal.

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