Laryngeal morphologic changes and epidemiology in patients with inhalation injury: a retrospective study

Burns : Journal of the International Society for Burn Injuries
Ning Fang-gangZhang Guo-an

Abstract

Laryngeal morphologic changes are important in risk assessment of upper airway obstruction (UAO) after inhalation injury. This retrospective study evaluates the clinical application of laryngeal burn classification system. Clinical data from January 1999 to June 2013 were analyzed retrospectively. The following data collected: age, gender, total burned surface area (TBSA), third-degree burn surface area, co-morbid injuries and complications, proportion of patients with tracheotomy, interval between tracheotomy and injury, incidence and mortality of UAO, and reasons for death. Four hundred and forty-three patients were included; 405 patients underwent multiple fibro-laryngoscopic observation, of which I, II and III types of laryngeal burns were present in 49.9, 38.0, and 12.1% patients, respectively. Laryngeal burn severity was related to TBSA and third-degree burn surface area. Overall tracheotomy rate (n=443) was 37.02%. The mean interval between tracheotomy and injury was 10.0±12.17h. Over 75% patients underwent tracheotomy within 12h. Compared with moderate inhalation burn group, the severe inhalation burn group showed a significantly higher tracheotomy rate within 12h and a significantly shorter interval between tracheotomy...Continue Reading

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Aug 6, 2011·Burns : Journal of the International Society for Burn Injuries·Yan-hua RongGuo-an Zhang
Nov 21, 2012·Burns : Journal of the International Society for Burn Injuries·Ran ZhaoGuo-an Zhang
Mar 26, 2013·Burns : Journal of the International Society for Burn Injuries·Ran ZhaoGuo-an Zhang

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Citations

Oct 29, 2015·Critical Care : the Official Journal of the Critical Care Forum·Patrick F WalkerKevin K Chung
Oct 17, 2020·Current Opinion in Anaesthesiology·Rolf Kristian GigengackStephan Alexander Loer
Apr 17, 2018·Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine·Kapil GuptaJoseph Arnold Fisher
Apr 6, 2021·Burns : Journal of the International Society for Burn Injuries·Jessica A TangGregory R Dion

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