An isolated hyoid fracture secondary to sport injury

Chowdhury, Ryan; Crocco, Anthony; El‐Hakim, Hamdy

doi:10.1016/j.ijporl.2004.10.003

Cited by 35 publications

(48 citation statements)

References 14 publications

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“…Fractures of the hyoid bone are exceedingly rare [1][2][3][4] and account for 0,002% of all fractures [5]. This type of fractures is more frequent in young men than in women and is very rare in children.…”

Section: Discussionmentioning

confidence: 99%

“…The most common finding on clinical examination is tenderness during palpation of the anterior neck, visible swelling of the neck, and inability to completely rotate the head [5]. Standard fibre-optic endoscopy usually reveals pharyngeal lacerations, haematomas, oedema, and fragments of the hyoid bone protruding through the pharyngeal mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnosis is usually confirmed the use of CT scans [1,2,5,8]. There is no consensus on the management of hyoid bone fractures in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…There is no consensus on the management of hyoid bone fractures in the literature. Cases are managed individually with decisions made on the basis of associated injuries, symptoms, and potential or actual complications [5]. Management decisions can be made according to the classification of the fracture.…”

Section: Discussionmentioning

confidence: 99%

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Unsuspected Hyoid Bone Fracture Following a Sport Laryngeal Trauma

Aless

Marcocci

Schiraldi

et al. 2017

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A 39 years old man sustained a fracture of the hyoid bone following closed neck injury while weight-lifting in the gym. Though commonly occurring in association of other neck fractures of the laryngeal skeleton, the fracture was isolated. Isolated hyoid bone fractures resulting from trauma other than strangulation are very rare, and occur more frequently in young men more than in women. These fractures are usually managed conservatively with good results, as indeed our case was.A 39 year-old man was struck by a barbell at the cervico-facial junction while exercising at gym. He was referred to our ENT department after a assessment in the Emergency Department. The patient was alert and cooperative and his presenting symptoms were dysphonia, neck pain, odynophagia and dysphagia. He did not complain of shortness of breath, cough or gagging. Examination of the neck did not reveal swelling or surgical emphysema. He underwent flexible nasolaryngoscopy which showed significant swelling of the left side of larynx (left arytenoid, left aryepiglottic fold and left piriform recess). The mobility of the left vocal fold was impaired however there were no signs of compromise of the supra-glottic airway nor injury of the hypo pharynx nor bleeding. A Computerized Tomography with contrast showed isolated fracture of the hyoid bone in the right para-median region ( Figure 1) and oedema of the left larynx (Figure 2).The patient was therefore admitted to ENT department where he was started on high-dose IV Steroids (Beclometasone 4 mg twice a day for three days) to reduce pain and swelling. The dose of Steroids was then gradually reduced and after a week it was suspended. We administered prophylactic IV antibiotics (Ampicillin/Sulbactam 1.5 g 8 hourly) and Paracetamol (1g 8 hourly) as pain relief. Since the patient had a high risk of aspiration and swallowing was difficult because of pain and oedema, we kept him Nil Per Os for three days, supplementing him with IV Normal Saline and 5% Glucose solutions. After three days we repeated a nasopharyngoscopy and we observed an improvement of the laryngeal haematoma and oedema as well as a reduction of dysphagia. The patient steadily improved and he was discharged a week later. A follow up endoscopy was performed two weeks after discharge and demonstrated a complete healing of the laryngeal trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Diagnosis is usually confirmed the use of CT scans [1,2,5,8]. There is no consensus on the management of hyoid bone fractures in the literature.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Unsuspected Hyoid Bone Fracture Following a Sport Laryngeal Trauma

Aless

Marcocci

Schiraldi

et al. 2017

JOENTR

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“…Dalati [2] has reviewed the references regarding isolated fractures of the hyoid bone and concluded that this fracture is very rare, as between 1954 and 2003, only 31 cases were published. Chowdhury et al [11] presented a case of isolated injury obtained during sport activity by ice hockey puck. Kuo et al1presented a case of isolated hyoid bone fracture caused by helmet strap during the crash of two motorcycles.…”

Section: Discussionmentioning

confidence: 99%

Isolated fracture of hyoid bone as a result of bicycle injury

et al. 2012

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AbstractAuthors present a rare case of isolated hyoid bone fractures as a result of a traffic accident. Ten hours before the exam, the patient injured his neck by hitting it against a metal pole which he did not notice while riding a bicycle. Immediately afterwards he felt the pain, and came for an examination due to pain with swallowing. ENT examination discovered no signs of trauma in the oral cavity, oropharynx, hypopharynx, larynx and visible part of trachea. Computed tomography discovered an isolated fracture of hyoid bone. After 24 hour observation, patient was discharged for home care, and was shown a swallowing technique which significantly reduces swallowing pain. At control ENT examination 10 days later patient had no complaints. Control CT examination was not performed, as patient refused it.

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Editorial: From plant biotechnology to bio‐based products

Stöger

2013

Biotechnology Journal

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An isolated hyoid fracture secondary to sport injury

Cited by 35 publications

References 14 publications

Unsuspected Hyoid Bone Fracture Following a Sport Laryngeal Trauma

Unsuspected Hyoid Bone Fracture Following a Sport Laryngeal Trauma

Isolated fracture of hyoid bone as a result of bicycle injury

Editorial: From plant biotechnology to bio‐based products

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