Laryngeal fractures management - A 10 years series of Centro Hospitalar Lisboa Norte
DOI:
https://doi.org/10.34631/sporl.597Keywords:
trauma, laryngeal fracture, laryngotomyAbstract
Objectives: Larynx trauma is rare and their approach is a challenge. This paper aims to review and share our experience with this kind of trauma.
Study Design, Materials and Methods: We conducted a retrospective study of cases of laryngeal trauma with cartilage fracture and / or laryngotomy, evaluated in the Emergency Room of Centro X, between January 2004 and October 2014.
Results: 9 cases were found with laryngeal fracture and / or laryngotomy. There were performed different surgical techniques like reduction of fractures and fixation with osteosynthesis plates, endolaryngeal stents placement, cricothyroidopexy and a supracricoid laryngectomy with cricohyoidoepiglottopexy. Better outcomes in terms of decannulation, vocal quality and swallowing ability were achieved mainly in patients submitted to an earlier intervention.
Conclusions: An early and appropriate intervention is crucial to a better recovery of laryngeal function.
References
Kim JP, Cho SJ, Son HY, Park JJ et al. Analysis of Clinical Feature and Management of Laryngeal Fracture: Recent 22 Case Review. Younsei Medical Journal (Online Ed). 2012; 53(5): 992-998. www.ncbi.nlm.nhi.gov/pmc/articles/PMC3423852/
Jalisi S, Zoccoli M. Management of Laryngeal Factures – A 10-Year Experience. Journal of Voice (Online Ed). 2009; 25(4): 473-479. www.sciencedirect.com/science/article/pii/S0892199709002550
Flint P et al. Cummings Otolaryngology, Head and Neck Surgery. Saunders. Sixth Edition. 2015. Volume 1
Schaefer SD. Management of Acute Blunt and Penetrating External Laryngeal Trauma. Laryngoscope. 2014. 124: 233–244
Francis S, Gaspard DJ, Rogers N, Stain SC, Diagnosis and management of Laryngotracheal Trauma. Journal of the National Medical Association. 2002;94:21-24.
Jewett S, Shockley WW, Rutledge R. External Laryngeal Trauma Analysis of 392 Patients. Arch Otolaryngol Head Neck Surg (Online Ed). 1999; 125(8): 877-880. http://archotol.jamanetwork.com/article.aspx?articleid=509698
Pelosi P, Severgnini P. Tracheostomy must be individualized! Critical Care (Online Ed). 2004; 8: 322-324. http://ccforum.com/content/8/5/322
Lim IR, Aw CY. Penetrating Laryngotracheal Trauma Resulting in Vocal Cord Avulsion. Med J Malaysia. 2013. 58: 613-616
Bhojani RA, Rosenbaum DH, Dikmen E, Paul M et al. Contemporary assessment of laryngotracheal trauma. J Thorac Cardiovasc Surg
;130:426-32
Jewett BS1, Shockley WW, Rutledge R. External laryngeal trauma analysis of 392 patients. Arch Otolaryngol Head Neck Surg. 1999;125(8):877-80. http://archotol.jamanetwork.com/article.aspx?articleid=509698
Malliari H, Ntasenos E, Chatziavramidis A, Printza A et al. Cricotracheal separation with multiple cricoid fractures after blunt neck injury: a case report. HIPPOKRATIA (Online Ed). 2014, 18, 1: 65-66. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103045/
Schaefer N, Griffin A, Gerhardy B, Gochee P. Early Recognition and Management of Laryngeal Fracture: A Case Report. The Ochsner Journal (Online Edition). 2014; 14:264–265. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4052596/
