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1.

Give us a grading system of laryngeal fractures.

2.

Discuss the role of imaging in decision making of laryngeal trauma.

Reference(s):

Becker, M., Leuchter, I., Platon, A., Becker, C. D., Dulguerov, P., & Varoquaux, A. (2014). Imaging of laryngeal trauma. European Journal of Radiology, 83(1), 142–154.

3.

Discuss the role of stents and keels in operative management of laryngeal fractures.

4.

An 18-year old female presents to the Trauma Unit after a clothes line injury to the neck (she and her girlfriend were joy riding on a moped at 2AM and ran into a metal chain).  She is stable, but appears to be having increasing respiratory distress.  What do you look for on physical exam and how will you work this up?  Does she need to go to the OR stat?

5.

Role of steroids in acute management of laryngeal fractures.

6.

Would you use plates to fixate a laryngeal fracture?

7.

Manage inhalation injury to the larynx; steam vs. fire.

8.

Describe laryngeal injuries associated with prolonged intubation.

Reference(s):

Colton House, J., Noordzij, J. P., Murgia, B., & Langmore, S. (2011). Laryngeal injury from prolonged intubation: a prospective analysis of contributing factors. The Laryngoscope, 121(3), 596–600.

9.

Describe the zones of the neck and zones of the face. Are zone classifications relevant anymore?

Reference(s):

Shiroff, A. M., Gale, S. C., Martin, N. D., Marchalik, D., Petrov, D., Ahmed, H. M., … Gracias, V. H. (2013). Penetrating neck trauma: a review of management strategies and discussion of the “No Zone” approach. The American Surgeon, 79(1), 23–29.

10.

An adult male presents to the Trauma Unit with a knife lodged in the neck.  What imaging modalities would you use to detect aerodigestive tract injury?

Reference(s):

Madsen, A. S., Oosthuizen, G., Laing, G. L., Bruce, J. L., & Clarke, D. L. (2016). The role of computed tomography angiography in the detection of aerodigestive tract injury following penetrating neck injury. The Journal of Surgical Research, 205(2), 490–498.

11.

What is the proper work-up of a patient with a GSW to the neck?

Reference(s):

Mohammed, G. S., Pillay, W. R., Barker, P., & Robbs, J. V. (2004). The role of clinical examination in excluding vascular injury in haemodynamically stable patients with gunshot wounds to the neck. A prospective study of 59 patients. European Journal of Vascular and Endovascular Surgery : The Official Journal of the European Society for Vascular Surgery, 28(4), 425–430.

van As, A. B., van Deurzen, D. F. P., & Verleisdonk, E. J. M. M. (2002). Gunshots to the neck: selective angiography as part of conservative management. Injury, 33(5), 453–456.

12.

Pediatric penetrating neck trauma.

Reference(s):

Chatterjee, D., Agarwal, R., Bajaj, L., Teng, S. N., & Prager, J. D. (2016). Airway management in laryngotracheal injuries from blunt neck trauma in children. Pediatric Anaesthesia, 26(2), 132–138.

Tessler, R. A., Nguyen, H., Newton, C., & Betts, J. (2017). Pediatric penetrating neck trauma: Hard signs of injury and selective neck exploration. The Journal of Trauma and Acute Care Surgery, 82(6), 989–994.