Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone
Emergency physicians in the field are sometimes confronted with cases wherein patients cannot be intubated and ventilated. In some cases, cricothyrotomy, the method of choice for securing an emergency airway, may not have a successful outcome. We report a rare case of a 35-yearold male patient with...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
The Korean Society of Emergency Medicine
2019-06-01
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| Series: | Clinical and Experimental Emergency Medicine |
| Subjects: | |
| Online Access: | http://www.ceemjournal.org/upload/pdf/ceem-18-016.pdf |
| _version_ | 1797895599502131200 |
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| author | Holger Rupprecht Katharina Gaab |
| author_facet | Holger Rupprecht Katharina Gaab |
| author_sort | Holger Rupprecht |
| collection | DOAJ |
| description | Emergency physicians in the field are sometimes confronted with cases wherein patients cannot be intubated and ventilated. In some cases, cricothyrotomy, the method of choice for securing an emergency airway, may not have a successful outcome. We report a rare case of a 35-yearold male patient with avulsion of the larynx and a comminuted fracture of the jawbone, due to entrapment in a dung excavator. Prehospital tracheotomy was successfully performed. In cases with crush injuries to the larynx, anatomic structures, including the ligamentum conicum, are destroyed. In addition, massive subcutaneous emphysema blurs the anatomical key structures; hence, only a tracheotomy can prevent a lethal outcome. |
| first_indexed | 2024-04-10T07:28:25Z |
| format | Article |
| id | doaj.art-21c97a853844409a96ae0231472d1cff |
| institution | Directory Open Access Journal |
| issn | 2383-4625 |
| language | English |
| last_indexed | 2024-04-10T07:28:25Z |
| publishDate | 2019-06-01 |
| publisher | The Korean Society of Emergency Medicine |
| record_format | Article |
| series | Clinical and Experimental Emergency Medicine |
| spelling | doaj.art-21c97a853844409a96ae0231472d1cff2023-02-24T02:14:43ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252019-06-016217317610.15441/ceem.18.016224Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawboneHolger Rupprecht0Katharina Gaab1Surgical Department, Clinical Center Fuerth, Fuerth, GermanySurgical Department, Clinical Center Fuerth, Fuerth, GermanyEmergency physicians in the field are sometimes confronted with cases wherein patients cannot be intubated and ventilated. In some cases, cricothyrotomy, the method of choice for securing an emergency airway, may not have a successful outcome. We report a rare case of a 35-yearold male patient with avulsion of the larynx and a comminuted fracture of the jawbone, due to entrapment in a dung excavator. Prehospital tracheotomy was successfully performed. In cases with crush injuries to the larynx, anatomic structures, including the ligamentum conicum, are destroyed. In addition, massive subcutaneous emphysema blurs the anatomical key structures; hence, only a tracheotomy can prevent a lethal outcome.http://www.ceemjournal.org/upload/pdf/ceem-18-016.pdffractures, cartilageemergency medical servicestracheotomy |
| spellingShingle | Holger Rupprecht Katharina Gaab Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone Clinical and Experimental Emergency Medicine fractures, cartilage emergency medical services tracheotomy |
| title | Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone |
| title_full | Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone |
| title_fullStr | Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone |
| title_full_unstemmed | Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone |
| title_short | Prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone |
| title_sort | prehospital tracheotomy in a case of avulsion of the larynx with a comminuted fracture of the jawbone |
| topic | fractures, cartilage emergency medical services tracheotomy |
| url | http://www.ceemjournal.org/upload/pdf/ceem-18-016.pdf |
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