#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Laryngeal fracture – a case report


Authors: T. Valenta 1 ;  Michal Černý 1,2 ;  Viktor Chrobok 1,2
Authors‘ workplace: Klinika otorinolaryngologie a chirurgie hlavy a krku, FN Hradec Králové 1;  Univerzita Karlova, LF v Hradci Králové 2
Published in: Otorinolaryngol Foniatr, 71, 2022, No. 2, pp. 86-90.
Category: Case Reports
doi: https://doi.org/10.48095/ccorl202286

Overview

Laryngeal injury is a rare condition that may threaten the patient’s life with airway obstruction. Early dia­gnostics is the key management factor. Schaefer’s classification is the most commonly used classification to assess the extent of the injury. Based on this classification, a recommended management of therapy has been developed. There are several opinions on securing the airway by the orotracheal intubation. The authors present a case report of a 40-year-old male with thyroid cartilage fracture caused by a punch to the neck. The patient did not show signs of dyspnoea, had swollen neck and subcutaneous emphysema. Imaging by computed tomography showed a laryngeal fracture. A reconstruction of the thyroid cartilage and a tracheostomy in general anaesthesia were performed. Postoperative course was propitious, and the patient could be decannulated. It is important to consider a laryngeal injury in patients with external neck trauma. The key elements are early dia­gnosis and therapy, in which securing the airway is the crucial step. Further an effort should be made to create conditions for preserving laryngeal functions (respiration, phonation, and swallowing).

Keywords:

Larynx – tracheostomy – laryngeal injury – laryngeal fracture


Sources

1. Lee WT, Eliashar R, Eliachar I. Acute external laryngotracheal trauma: dia­gnosis and management. Ear Nose Throat J 2006; 85 (3): 179–184. Doi: 10.1177/014556130608500 315.

2. Ribeiro-Costa N, Carneiro Sousa P, Abreu Pereira D et al. Laryngeal Fracture after Blunt Cervical Trauma in Motorcycle Accident and Its Management. Case Rep Otolaryngol 2017; 2017: 9321975. Doi: 10.1155/2017/9321975.

3. Jalisi S, Zoccoli M. Management of laryngeal fractures – a 10-year experience. J Voice 2011; 25 (4): 473–479. Doi: 10.1016/j.jvoice.2009.12. 008.

4. Moonsamy P, Sachdeva UM, Morse CR. Management of laryngotracheal trauma. Ann Cardiothorac Surg 2018; 7 (2): 210–216. Doi: 10.21037/acs.2018.03.03.

5. Balai E, Bhamra N, Gupta KK et al. A Case of Laryngeal Fracture Precipitated by Swallowing. Cureus 2020; 12 (9): e10303. Doi: 10.7759/ cureus.10303.

6. Schaefer SD. Management of acute blunt and penetrating external laryngeal trauma. Laryngoscope 2014; 124 (1): 233–244. Doi: 10.1002/lary.24068.

7. Schaefer N, Griffin A, Gerhardy B et al. Early recognition and management of laryngeal fracture: a case report. Ochsner J 2014; 14 (2): 264–265.

8. Anniko M, Bernal-Sprekelsen M, Bonkow-sky V et al. Otorhinolaryngology, Head and Neck Surgery. Berlin, Heidelberg: Springer 2010.

9. Moser F, Dieroff HG, Kessler L et al. Oto-Rhino-Laryngologie: Erkrankungen der Nase, der Nasennebenhöhlen, des Rachens, des Kehlkopfes und der oberen Luft- und Speisewege / von 11 Fachautoren. Jena: Fischer; 1986.

10. Omakobia E, Micallef A. Approach to the Patient with External Laryngeal Trauma: The Schaefer Classification. Otolaryngol (Sunnyvale) 2016; 6 (2): 230. Doi: 10.4172/2161- 119X.1000230.

11. Graham DB, Eastman AL, Aldy KN et al. Outcomes and long term follow-up after emergent cricothyroidotomy: is routine conversion to tracheostomy necessary? Am Surg 2011; 77 (12): 1707–1711. Doi: 10.1177/000313481107701248.

12. Francois B, Clavel M, Desachy A et al. Complications of tracheostomy performed in the ICU: subthyroid tracheostomy vs surgical cricothyroidotomy. Chest 2003; 123 (1): 151–158. Doi: 10.1378/chest.123.1.151.

Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#