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A Rare Case of Post-Traumatic Open Laryngeal Fracture

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.

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

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

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

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

Copyright © 2023 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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