Laryngeal fractures: clinical findings and considerations on suboptimal outcome

Juutilainen, Marko; Vintturi, Juha; Robinson, Andrew; Bäck, Leif; Lehtonen, Hannu; Mäkitie, Antti

doi:10.1080/00016480701477636

Cited by 37 publications

(27 citation statements)

References 20 publications

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“…2 The most common presenting symptom in these patients is hoarseness. 3 Airway control in these patients should be a priority. 4 Cervical spine control should be maintained.…”

Section: Discussionmentioning

confidence: 99%

Unusual airway injury following a motor vehicle collision

Sampson¹

2015

CJEM

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“…2 The most common presenting symptom in these patients is hoarseness. 3 Airway control in these patients should be a priority. 4 Cervical spine control should be maintained.…”

Section: Discussionmentioning

confidence: 99%

Unusual airway injury following a motor vehicle collision

Sampson¹

2015

CJEM

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“…Bunu sağlamak için trakeotomi mutlaka göz önünde bulundurulmalıdır. 7 Larenks fraktürleri önceleri künt travma sonucu gelişmekte iken son yıllarda belirgin olarak penetran travmalar larenks fraktürlerinde etkendir. 7 Semptomları çok çeşitli olmakla beraber genellikle ses değişiklikleri, dispne ve disfaji ile kendini belli eder.…”

Section: Discussionunclassified

“…7 Larenks fraktürleri önceleri künt travma sonucu gelişmekte iken son yıllarda belirgin olarak penetran travmalar larenks fraktürlerinde etkendir. 7 Semptomları çok çeşitli olmakla beraber genellikle ses değişiklikleri, dispne ve disfaji ile kendini belli eder. 8 Larenks fraktürlerinin ikinci en sık sebebi maksillofasiyal travmalardır.…”

Section: Discussionunclassified

A rare cause of tracheotomy: foreign body lodged in vocal cords, the broken piece of dental prosthesis

2013

Turk Arch Otolaryngol

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Trakeotominin nadir bir sebebi: Her iki vokal kord arasında takılmış yabancı cisim, diş protezi ÖzetTrakeotomi yüzyıllardır bilinen ve trakeadan boyun cildine açılan delik ile üst solunum yolunun by-pass edildiği ve daha emniyetli bir solunum yolunun sağlandığı cerrahi işlemdir. Sık endikasyonları arasında üst solunum yollarında darlığa neden olabilecek durumlar ve uzamış entübasyonda akciğer sekresyonlarının temizlenmesi ve ölü havayolu boşluğunun azalması sayılabilir. Bu sunumda trakeotominin nadir bir endikasyonu olan yabancı cisim aspirasyonlu bir vaka takdim ediyoruz. Tracheotomy is a well-known procedure for ages which is a stoma between skin and trachea to make by-pass the rest of the upper airway and to provide a safer breath. Common indications are situations like upper airway obstructions and to clear respiratory secretions during the elongated entubation or to decrease the inactive airway. We present a case of a rare indication for tracheostomy, an aspirated foreign body inside the larynx.

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“…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%

Unsuspected Hyoid Bone Fracture Following a Sport Laryngeal Trauma

Aless

Marcocci

Schiraldi

et al. 2017

JOENTR

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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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Laryngeal fractures: clinical findings and considerations on suboptimal outcome

Cited by 37 publications

References 20 publications

Unusual airway injury following a motor vehicle collision

Unusual airway injury following a motor vehicle collision

A rare cause of tracheotomy: foreign body lodged in vocal cords, the broken piece of dental prosthesis

Unsuspected Hyoid Bone Fracture Following a Sport Laryngeal Trauma

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