• Can J Emerg Med · Mar 2011

    Review Case Reports

    Conservative management of laryngeal perforation in a rural setting: case report and review of the literature on penetrating neck injuries.

    • Michael R Kolber, Anne Aspler, and Richard Sequeira.
    • Department of Family Medicine, University of Alberta, Edmonton, AB. mkolber@ualberta.ca
    • Can J Emerg Med. 2011 Mar 1;13(2):127-32.

    AbstractPenetrating neck injuries (PNIs) are infrequent but can result in significant morbidity and mortality. Although surgical management of unstable patients with penetrating neck trauma is the standard of care, management of stable patients remains controversial owing to the possibility of occult injuries. Recent studies suggest that physical examination and ancillary imaging may be sufficiently accurate to diagnose or rule out surgically significant injuries in PNI. We report a patient with a laryngeal perforation who was managed conservatively in a rural hospital without complications and review the literature pertinent to cases of this nature.

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