Laryngeal fracture – a case report


Authors: T. Valenta 1;  M. Černý 1,2;  V. 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: 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


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Labels
Audiology Paediatric ENT ENT (Otorhinolaryngology)
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