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or trachea for injury, and to identify subcutaneous air from related injuries CT scans provide more details regarding the laryngeal structures in the setting of trauma Penetrating trauma may require MRA/MRV to evaluate the vasculature of the neck Surgical exploration should be considered for patients with penetrating injuries to zone of the neck, even if clinically stable Any patients with distress or penetrating injury should be admitted either directly to the operating room for airway management and exploration, or after complete work up in consultation with appropriate surgical specialists Mildly symptomatic children with blunt trauma but who are otherwise stable and are determined not to have clinically significant injury by history and examination, and possibly with additional imaging and/or surgical specialty consultation, may be observed in the ED and discharged home if there is no worsening of symptoms over time Suggested Readings and Key References Ear Greywoode JD, Pribitkin EA, Krein H Management of auricular hematoma and the cauliflower ear Facial Plast Surg 2010;26:451–455 Karimnejad K, Nelson EJ, Rohde RL, et al External auditory canal foreign body extraction outcomes Ann Otol Rhinol Laryngol 2017;126(11):755–761 Olson MD, Saw J, Visscher SL, et al Cost comparison and safety of emergency department conscious sedation for the removal of ear foreign bodies Int J Pediatr Otorhinolaryngol 2018;110:140–143 Schuldt T, Großmann W, Weiss NM, et al Aural and nasal foreign bodies in children—Epidemiology and correlation with hyperkinetic disorders, developmental disorders and congenital malformations Int J Pediatr Otorhinolaryngol 2019;118:165–169 Svider PF, Vong A, Sheyn A, et al What are we putting in our ears? A consumer product analysis of foreign bodies Laryngoscope 2015;125(3):709–714 Nose and Sinuses Cakabay T, Ustun Bezgin S Pediatric nasal traumas: contribution of epidemiological features to detect the distinction between nasal fractures and nasal soft tissue injuries J Craniofac Surg 2018;29(5):1334–1337 Hwang K, Yeom SH, Hwang SH Complications of nasal bone fractures J Craniofac Surg 2017;28(3):803–805 Perkins V, Vijendren A, Egan M, et al Optimal timing for nasal fracture manipulation—Is a 2-week target really necessary? A single-centre

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