A Rare Case of Post-Traumatic Open Laryngeal Fracture

Rajkumari P. Khatri

doi:doi:10.11648/j.ijo.20230902.19

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A Rare Case of Post-Traumatic Open Laryngeal Fracture

Rajkumari P. Khatri

Published in International Journal of Otorhinolaryngology (Volume 9, Issue 2)

Received: 15 September 2023 Accepted: 7 October 2023 Published: 18 December 2023

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Abstract

Laryngeal fracture is a rare and potentially fatal traumatic injury, with an estimated incidence of 1 in 30,000 patients admitted to severe trauma centres. This is usually seen in multiple-trauma patients and is often undiagnosed or poorly managed leading to significant problems with airway patency, voice production, and swallowing; and the overall mortality rate being as high as 17.9%. This paper reports a case of a 28-year-old male patient, whose motorcycle accidentally hit a truck. The patient presented with a lacerated open neck wound with multiple small lacerated wounds on the skin over the neck and chin. The CT scan revealed a severe burst injury of the anterior larynx with fractured thyroid laminae, and the larynx was exposed to the external surface. Method: A series of investigations followed, including assessing patient’s medical records, performing medical and surgical interventions and lastly taking patient feedback. Results: Early intervention with an open reduction and internal fixation of the thyroid cartilage helped restore the near-normal anatomy of the larynx. Post-operatively, he had no problems in swallowing or breathing; except for some hoarseness of voice, which improved considerably within six months post-surgery. Conclusions: Because of the rarity of this injury, physicians may not be aware of its occurrence, leading to a late diagnosis of this entity. Early diagnosis of the laryngeal injury is indispensable. The most important goal in management initially is to secure and reconstruct the airway; thereafter; the long-term goal of treatment is to restore the voice and swallowing mechanism.

Published in	International Journal of Otorhinolaryngology (Volume 9, Issue 2)
DOI	10.11648/j.ijo.20230902.19
Page(s)	35-39
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Laryngeal Trauma, Laryngeal Fracture, Thyroid Cartilage Fracture, Cut-Throat Injury, Blunt Neck Injury

References

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APA Style

P. Khatri, R. (2023). A Rare Case of Post-Traumatic Open Laryngeal Fracture. International Journal of Otorhinolaryngology, 9(2), 35-39. https://doi.org/10.11648/j.ijo.20230902.19

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ACS Style

P. Khatri, R. A Rare Case of Post-Traumatic Open Laryngeal Fracture. Int. J. Otorhinolaryngol. 2023, 9(2), 35-39. doi: 10.11648/j.ijo.20230902.19

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AMA Style

P. Khatri R. A Rare Case of Post-Traumatic Open Laryngeal Fracture. Int J Otorhinolaryngol. 2023;9(2):35-39. doi: 10.11648/j.ijo.20230902.19

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@article{10.11648/j.ijo.20230902.19,
  author = {Rajkumari P. Khatri},
  title = {A Rare Case of Post-Traumatic Open Laryngeal Fracture},
  journal = {International Journal of Otorhinolaryngology},
  volume = {9},
  number = {2},
  pages = {35-39},
  doi = {10.11648/j.ijo.20230902.19},
  url = {https://doi.org/10.11648/j.ijo.20230902.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20230902.19},
  abstract = {Laryngeal fracture is a rare and potentially fatal traumatic injury, with an estimated incidence of 1 in 30,000 patients admitted to severe trauma centres. This is usually seen in multiple-trauma patients and is often undiagnosed or poorly managed leading to significant problems with airway patency, voice production, and swallowing; and the overall mortality rate being as high as 17.9%. This paper reports a case of a 28-year-old male patient, whose motorcycle accidentally hit a truck. The patient presented with a lacerated open neck wound with multiple small lacerated wounds on the skin over the neck and chin. The CT scan revealed a severe burst injury of the anterior larynx with fractured thyroid laminae, and the larynx was exposed to the external surface. Method: A series of investigations followed, including assessing patient’s medical records, performing medical and surgical interventions and lastly taking patient feedback. Results: Early intervention with an open reduction and internal fixation of the thyroid cartilage helped restore the near-normal anatomy of the larynx. Post-operatively, he had no problems in swallowing or breathing; except for some hoarseness of voice, which improved considerably within six months post-surgery. Conclusions: Because of the rarity of this injury, physicians may not be aware of its occurrence, leading to a late diagnosis of this entity. Early diagnosis of the laryngeal injury is indispensable. The most important goal in management initially is to secure and reconstruct the airway; thereafter; the long-term goal of treatment is to restore the voice and swallowing mechanism.
},
 year = {2023}
}

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TY - JOUR
T1 - A Rare Case of Post-Traumatic Open Laryngeal Fracture
AU - Rajkumari P. Khatri
Y1 - 2023/12/18
PY - 2023
N1 - https://doi.org/10.11648/j.ijo.20230902.19
DO - 10.11648/j.ijo.20230902.19
T2 - International Journal of Otorhinolaryngology
JF - International Journal of Otorhinolaryngology
JO - International Journal of Otorhinolaryngology
SP - 35
EP - 39
PB - Science Publishing Group
SN - 2472-2413
UR - https://doi.org/10.11648/j.ijo.20230902.19
AB - Laryngeal fracture is a rare and potentially fatal traumatic injury, with an estimated incidence of 1 in 30,000 patients admitted to severe trauma centres. This is usually seen in multiple-trauma patients and is often undiagnosed or poorly managed leading to significant problems with airway patency, voice production, and swallowing; and the overall mortality rate being as high as 17.9%. This paper reports a case of a 28-year-old male patient, whose motorcycle accidentally hit a truck. The patient presented with a lacerated open neck wound with multiple small lacerated wounds on the skin over the neck and chin. The CT scan revealed a severe burst injury of the anterior larynx with fractured thyroid laminae, and the larynx was exposed to the external surface. Method: A series of investigations followed, including assessing patient’s medical records, performing medical and surgical interventions and lastly taking patient feedback. Results: Early intervention with an open reduction and internal fixation of the thyroid cartilage helped restore the near-normal anatomy of the larynx. Post-operatively, he had no problems in swallowing or breathing; except for some hoarseness of voice, which improved considerably within six months post-surgery. Conclusions: Because of the rarity of this injury, physicians may not be aware of its occurrence, leading to a late diagnosis of this entity. Early diagnosis of the laryngeal injury is indispensable. The most important goal in management initially is to secure and reconstruct the airway; thereafter; the long-term goal of treatment is to restore the voice and swallowing mechanism.

VL - 9
IS - 2
ER -

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Rajkumari P. Khatri

ENT & Head and Neck Oncology Center, Indore, India

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APA Style

P. Khatri, R. (2023). A Rare Case of Post-Traumatic Open Laryngeal Fracture. International Journal of Otorhinolaryngology, 9(2), 35-39. https://doi.org/10.11648/j.ijo.20230902.19

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ACS Style

P. Khatri, R. A Rare Case of Post-Traumatic Open Laryngeal Fracture. Int. J. Otorhinolaryngol. 2023, 9(2), 35-39. doi: 10.11648/j.ijo.20230902.19

Copy | Download

AMA Style

P. Khatri R. A Rare Case of Post-Traumatic Open Laryngeal Fracture. Int J Otorhinolaryngol. 2023;9(2):35-39. doi: 10.11648/j.ijo.20230902.19

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@article{10.11648/j.ijo.20230902.19,
  author = {Rajkumari P. Khatri},
  title = {A Rare Case of Post-Traumatic Open Laryngeal Fracture},
  journal = {International Journal of Otorhinolaryngology},
  volume = {9},
  number = {2},
  pages = {35-39},
  doi = {10.11648/j.ijo.20230902.19},
  url = {https://doi.org/10.11648/j.ijo.20230902.19},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20230902.19},
  abstract = {Laryngeal fracture is a rare and potentially fatal traumatic injury, with an estimated incidence of 1 in 30,000 patients admitted to severe trauma centres. This is usually seen in multiple-trauma patients and is often undiagnosed or poorly managed leading to significant problems with airway patency, voice production, and swallowing; and the overall mortality rate being as high as 17.9%. This paper reports a case of a 28-year-old male patient, whose motorcycle accidentally hit a truck. The patient presented with a lacerated open neck wound with multiple small lacerated wounds on the skin over the neck and chin. The CT scan revealed a severe burst injury of the anterior larynx with fractured thyroid laminae, and the larynx was exposed to the external surface. Method: A series of investigations followed, including assessing patient’s medical records, performing medical and surgical interventions and lastly taking patient feedback. Results: Early intervention with an open reduction and internal fixation of the thyroid cartilage helped restore the near-normal anatomy of the larynx. Post-operatively, he had no problems in swallowing or breathing; except for some hoarseness of voice, which improved considerably within six months post-surgery. Conclusions: Because of the rarity of this injury, physicians may not be aware of its occurrence, leading to a late diagnosis of this entity. Early diagnosis of the laryngeal injury is indispensable. The most important goal in management initially is to secure and reconstruct the airway; thereafter; the long-term goal of treatment is to restore the voice and swallowing mechanism.
},
 year = {2023}
}

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VL - 9
IS - 2
ER -

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