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Blunt laryngeal trauma secondary to sporting injuries

  • D Mendis (a1) and J A Anderson (a1)
Abstract
Abstract Background:

Laryngeal injury after blunt trauma is uncommon, but can cause catastrophic airway obstruction and significant morbidity in voice and airway function. This paper aims to discuss a case series of sports-related blunt laryngeal trauma patients and describe the results of a thorough literature review.

Method:

Retrospective case-based analysis of laryngeal trauma referrals over six years to a tertiary laryngology centre.

Results:

Twenty-eight patients were identified; 13 (46 per cent) sustained sports-related trauma. Most were young males, presenting with dysphonia, some with airway compromise (62 per cent). Nine patients were diagnosed with a laryngeal fracture. Four patients were managed conservatively and nine underwent surgery. Post-treatment, the majority of patients achieved good voice outcomes (83 per cent) and all had normal airway function.

Conclusion:

Sports-related neck trauma can cause significant injury to the laryngeal framework and endolaryngeal soft tissues, and most cases require surgical intervention. Clinical presentation may be subtle; a systematic approach along with a high index of suspicion is essential, as early diagnosis and treatment have been reported to improve airway and voice outcome.

Copyright
Corresponding author
Address for correspondence: Dr Jennifer Anderson, Department of Otolaryngology – Head and Neck Surgery, St Michael's Hospital, 30 Bond Street, Toronto, Ontario M5B 1W8, Canada Fax: +1 416 864 5367 E-mail: andersonj@smh.ca
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This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

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The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
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