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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

Information

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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References

1 Schaefer, SD. Primary management of laryngeal trauma. Ann Otol Rhinol Laryngol 1982;91:399–402CrossRefGoogle ScholarPubMed
2 Schaefer, SD, Close, LG. Acute management of laryngeal trauma. Update. Ann Otol Rhinol Laryngol 1989;98:98–104CrossRefGoogle Scholar
3 Gussack, GS, Jurkovich, GJ. Treatment dilemmas in laryngotracheal trauma. J Trauma 1988;28:1439–44CrossRefGoogle ScholarPubMed
4 Fuhrman, GM, Stieg, FH, Buerk, CA. Blunt laryngeal trauma: classification and management protocol. J Trauma 1990;30:87–92Google Scholar
5 Hwang, SY, Keak, SCL. Management dilemmas in laryngeal trauma. J Laryngol Otol 2004;118:325–8CrossRefGoogle ScholarPubMed
6 Schaefer, SD. The acute management of external laryngeal trauma. A 27-year experience. Arch Otolaryngol Head Neck Surg 1992;118:598–604Google Scholar
7 Gussack, GS, Jurkovich, GJ, Luterman, A. Laryngotracheal trauma: a protocol approach to a rare injury. Laryngoscope 1986;96:660–5Google Scholar
8 Bent, JP, Silver, JR, Porubsky, ES. Acute laryngeal trauma: a review of 77 patients. Otolaryngol Head Neck Surg 1993;119:441–9CrossRefGoogle Scholar
9 Leopold, DA. Laryngeal trauma. A historical comparison of treatment methods. Arch Otolaryngol 1983;109:106–11Google Scholar
10 Butler, AP, Wood, BP, O'Rourke, AK, Porubsky, ES. Acute external laryngeal trauma: experience with 112 patients. Ann Otol Rhinol Laryngol 2005;114:361–8Google Scholar
11 Schaefer, SD. The treatment of acute external laryngeal injuries. “State of the art”. Arch Otolaryngol Head Neck Surg 1991;117:35–9Google Scholar
12 Cherian, TA, Rupa, V, Raman, R. External laryngeal trauma: analysis of thirty cases. J Laryngol Otol 1993;107:920–3Google Scholar
13 Bertrand, B, Benouada, A, Devars, F, Traissac, L. External laryngeal traumas of the adult: a particular case [In French]. Rev Laryngol Otol Rhinol 1995;116:355–8Google Scholar