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A Neglected Open Laryngeal Wound: A Rare Presentation of Neck Trauma

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

Laryngotracheal trauma can be potentially lethal. Improper healing can have long term sequelae such as permanent voice change, laryngotracheal stenosis and impaired swallowing severely affecting an individual’s quality of life. Thus early identification and prompt treatment is paramount to achieve good outcomes in laryngotracheal trauma. A 45 year old male presented with an open laryngeal wound 12 days after sustaining the injury. Surgical closure of the wound was done. A suprahyoid drop was done to achieve tension free repair of the laryngeal rent. Chin to chest sutures were used to maintain neck flexion in the post-operative period. We were able to achieve a good surgical outcome with regards to the patients voice, airway and swallowing in spite of the delayed presentation.

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References

  1. Moonsamy P, Sachdeva UM, Morse CR (2018) Management of laryngotracheal trauma. Ann Cardiothorac Surg 7(2):210

    Article  PubMed  PubMed Central  Google Scholar 

  2. Pandurangarao SU, Basavaraj P, Yempalle SB, Karnam L (2017) Primary management and outcome–open laryngotracheal trauma. J Clinic Diagn Res JCDR 11(2):01

    Google Scholar 

  3. Butler AP, O’Rourke AK, Wood BP, Porubsky ES (2005) Acute external laryngeal trauma: experience with 112 patients. Ann Otol Rhinol Laryngol 114(5):361–368

    Article  PubMed  Google Scholar 

  4. Schaefer SD (2014) Management of acute blunt and penetrating external laryngeal trauma. Laryngoscope 124(1):233–244

    Article  PubMed  Google Scholar 

  5. Kirschbaum A, Teymoortash A, Suárez C, Shah JP, Silver CE, Nixon I, Rinaldo A, Kowalski LP, Robbins KT, Ferlito A (2016) Treatment of large tracheal defects after resection: laryngotracheal release and tracheal replacement. Auris Nasus Larynx 43(6):602–608

    Article  PubMed  PubMed Central  Google Scholar 

  6. El-Fattah AMA, Kamal E, Amer HE, Fouda M, Elwahab AEMA, Tawfik A (2011) Cervical tracheal resection with cricotracheal anastomosis: experience in adults with grade III–IV tracheal stenosis. J Laryngol Otol 125(6):614–619

    Article  CAS  PubMed  Google Scholar 

  7. Gozen ED, Yener M, Erdur ZB, Karaman E (2017) End-to-end anastomosis in the management of laryngotracheal defects. J Laryngol Otol 131(5):447–454

    Article  CAS  PubMed  Google Scholar 

  8. Marques P, Leal L, Spratley J, Cardoso E, Santos M (2009) Tracheal resection with primary anastomosis: 10 years experience. Am J Otolaryngol 30(6):415–418

    Article  PubMed  Google Scholar 

  9. Allen MS (2015) Surgery of the trachea. Korean J Thorac Cardiovasc Surg 48(4):231

    Article  PubMed  PubMed Central  Google Scholar 

  10. Mueller DK, Becker J, Schell SK, Karamchandani KM, Munns JR, Jaquet B (2004) An alternative method of neck flexion after tracheal resection. Ann Thorac Surg 78(2):720–721

    Article  PubMed  Google Scholar 

  11. Aydinyan KK, Day JD, Troiano GM, Digoy GP (2017) Non-invasive methods to maintain cervical spine position after pediatric tracheal resections. Int J Pediatr Otorhinolaryngol 98:121–125

    Article  PubMed  Google Scholar 

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Correspondence to Sunil Sam Varghese.

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Varghese, S.S., Kumar, N. A Neglected Open Laryngeal Wound: A Rare Presentation of Neck Trauma. Indian J Otolaryngol Head Neck Surg 75, 921–923 (2023). https://doi.org/10.1007/s12070-022-03227-6

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  • DOI: https://doi.org/10.1007/s12070-022-03227-6

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