2017-18 HSC Section 3 Green Book

B. Management of laryngeal and tracheal injuries Chatterjee D, Agarwal R, Bajaj L, et al. Airway management in laryngotracheal injuries from blunt neck trauma in children. Paediatr Anaesth . 2016; 26(2):132-138. EBM level 4...........................................................................................................................28-34 Summary : This article presents a case report and literature review. A review of the mechanisms of injury, clinical presentation, initial airway management, and anesthetic considerations in laryngotracheal injuries from blunt neck trauma in children is presented. Most helpful is a treatment algorithm for these patients. Strychowsky JE, Adil E, Licameli G, Rahbar R. Vocal fold avulsion in the pediatric population: presentation and management. Int J Pediatr Otorhinolaryngol . 2015; 79(7):959-964. EBM level 4........................................................................................35-40 Summary : This article presents a case report and literature review. The authors feel that accurate and timely diagnosis of pediatric vocal fold avulsion is important. CT imaging without sedation should be considered in stable patients. The endoscopic approach is the preferred method of repair when it is amenable to the extent of injury and availability of expertise from both surgeon and anesthesiologist. C. Management of penetrating head and neck injuries Ghadersohi S, Ference EH, Detwiller K, Kern RC. Presentation, workup, and management of penetrating transorbital and transnasal injuries: a case report and systematic review. Am J Rhinol Allergy . 2017; 31(2):29-34. EBM level 1..............41-46 Summary : This study reviews the presentation, workup, and management of transnasal or transorbital penetrating foreign body injury. This study emphasizes the importance of interdisciplinary management to prevent acute and delayed complications. Madsen AS, Oosthuizen G, Laing GL, et al. The role of computed tomography angiography in the detection of aerodigestive tract injury following penetrating neck injury. J Surg Res . 2016; 205(2):490-498. EBM level 4............................................47-55 Summary : Data from a 4-year trauma registry were reviewed. All findings of deep surgical emphysema were correlated for aerodigestive tract injury based on the results of clinical examination, surgical neck exploration, endoscopy, or contrasted swallow. This study found that CT angiography for penetrating neck injuries has a high sensitivity and specificity for demonstrating vascular injury. The absence of deep surgical emphysema in the deep cervical fascial planes virtually excludes surgically significant aerodigestive tract injury.