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Severe laryngeal fracture treated by supracricoid laryngectomy

Published online by Cambridge University Press:  11 June 2010

R Consalici  and
D Dall'Olio
R Consalici*
Affiliation:
Department of Otorhinolaryngology, Ospedale Maggiore, Bologna, Italy
D Dall'Olio
Affiliation:
Department of Otorhinolaryngology, Ospedale Maggiore, Bologna, Italy
*
Address for correspondence: Dr Roberto Consalici, Department of Otorhinolaryngology, Ospedale Maggiore, Largo B.Nigrisoli 2, 40133 Bologna, Italy. Fax: +39 051 6478382 E-mail: roberto.consalici@ausl.bologna.it
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Abstract

Objective:

To report a rare case of severe laryngeal fracture treated by supracricoid laryngectomy. Previously, a few cases of major laryngeal trauma treated by reconstructive laryngectomy have been briefly described. This paper aims to comprehensively document a rare case of severe laryngeal fracture for which this difficult treatment choice represented an acceptable option.

Methods:

A 33-year-old woman sustained very serious blunt laryngeal trauma. The complexity of the laryngeal injuries led us to opt for supracricoid laryngectomy, rather than to attempt laryngeal repair.

Results:

The post-operative course was normal. The patient's post-operative voice was breathy but functional. No airway stenoses occurred.

Conclusion:

For severe laryngeal fractures, reparative procedures and stenting constitute the standard treatment. However, in selected and especially critical cases, a primary partial or reconstructive laryngectomy is justifiable.

Keywords

LarynxWound And InjuriesFracturesCartilageLaryngectomy
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 124 , Issue 11 , November 2010 , pp. 1239 - 1241
Copyright
Copyright © JLO (1984) Limited 2010

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