Cervical pharyngoesophageal and laryngotracheal injuries

Aerodigestive tract injuries in the neck are found in about 7% of penetrating neck injuries and are very rare in blunt trauma. A combination of a good physical examination with endoscopy and esophagography can reliably diagnose all significant injuries. Airway control in laryngotracheal trauma is the most urgent priority and is often a difficult procedure. Although selected small pharyngeal and laryngotracheal injuries may be managed nonoperatively, all other aerodigestive tract injuries should be managed with early operation.