Penetrating injuries of the larynx

In reviewing our experience with 17 cases of penetrating laryngeal injuries, we feel that treatment is best based on the following principles: Full examination of non-anesthetized and anesthetized patients is necessary to determine the extent of injury. Complete radiographic examination (including CAT scanning) aids in diagnosis and documentation. Further documentation of injuries using photographs and voice recordings, when available, is useful. Prompt repair of injuries is urged whenever possible because delay may lead to adverse scarring. Repair of mucosal, sub-mucosal, and cartilaginous injuries is performed in a controlled manner, avoiding unnecessary foreign bodies and needless exploration. The first attempt at repair is the most important because secondary procedures are generally less successful.