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Management of Post-Traumatic Subglottic Stenosis and Pharyngosubglottic Fistula

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Abstract

Injury to the aerodigestive tract following external laryngeal trauma is rare. Reports of acquired laryngopharyngeal fistula are very few. We report a very rare presentation of penetrating neck trauma presenting with fracture of the cricoid cartilage, subglottic stenosis and pharyngosubglottic fistula. The term ‘pharyngosubglottic fistula’ is used here for the first time to describe a communication tract between hypopharynx and subglottis. The successful surgical management of this case is discussed.

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References

  1. Schaefer SD (2014) Management of acute blunt and penetrating external laryngeal trauma. The Laryngoscope 124:233–244. https://doi.org/10.1002/lary.24068

    Article  PubMed  Google Scholar 

  2. Schaefer SD (1992) Acute management of external laryngeal trauma: a 27 year experience. Arch Otolaryngol Head Neck Surg 118:598–604

    Article  CAS  Google Scholar 

  3. Oh JH, Min HS, Park TU, Lee SJ, Kim SE (2007) Isolated cricoid fracture associated with blunt neck trauma. Emerg Med J 24:505–506. https://doi.org/10.1136/emj.2007.048355

    Article  PubMed  PubMed Central  Google Scholar 

  4. Vassiliu P, Baker J, Henderson S, Alo K, Velmahos G, Demetriades D (2001) Aerodigestive injuries of the neck. Am Surg 67(1):75–79 PubMed PMID: 11206903

    CAS  PubMed  Google Scholar 

  5. Grewal H, Rao PM, Mukerji S, Ivatury RR (1995) Management of penetrating laryngotracheal injuries. Head Neck 17(6):494–502

    Article  CAS  Google Scholar 

  6. Demetriades D, Velmahos GG, Asensio JA (2001) Cervical pharyngoesophageal and laryngotracheal injuries. World J Surg 25(8):1044–1048

    Article  CAS  Google Scholar 

  7. Hirano M, Ohkubo H (1986) Acquired laryngo-pharyngeal fistula. J Laryngol Otol 100(6):719–722

    Article  CAS  Google Scholar 

  8. Tiwari R, Mahieu H (1999) Surgical management of acquired laryngopharyngeal fistulae. Eur Arch Otorhinolaryngol 256(7):361–365

    Article  CAS  Google Scholar 

  9. Saito N, Hito R, Burke PA, Sakai O (2014) Imaging of penetrating injuries of the head and neck: current practice at a level I trauma center in the United States. Keio J Med 63(2):23–33

    Article  Google Scholar 

  10. Juutilainen M, Vintturi J, Robinson S, Back L, Lehtonen H, Makitie AA (2008) Laryngeal fractures: clinical findings and considerations on suboptimal outcome. Acta Otolaryngol 128(2):213–218

    Article  Google Scholar 

  11. Noorizan Y, Chew YK, Khir A, Brito-Mutunayagam S (2009) A complete transection of larynx. Med J Malays 64(2):179–180

    CAS  Google Scholar 

  12. De Mello-Filho FV, Carrau RL (2000) The management of laryngeal fractures using internal fixation. The Laryngoscope 110:2143–2146. https://doi.org/10.1097/00005537-200012000-00032

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of ENT, Head and Neck Surgery, Sri Ramachandra Medical College and Research Institute, Porur, Chennai, 600038, India

    Prasanna Kumar Saravanam & Ravikumar Arunachalam

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  1. Prasanna Kumar Saravanam
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  2. Ravikumar Arunachalam
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Correspondence to Prasanna Kumar Saravanam.

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Saravanam, P.K., Arunachalam, R. Management of Post-Traumatic Subglottic Stenosis and Pharyngosubglottic Fistula. Indian J Otolaryngol Head Neck Surg 71 (Suppl 1), 537–541 (2019). https://doi.org/10.1007/s12070-018-1390-8

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  • DOI: https://doi.org/10.1007/s12070-018-1390-8

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