Traumatic laryngeal fracture: A case report

Background: The blunt laryngotracheal trauma is a potentially life-threatening infrequent cause of injury that can present with subtle symptoms which often lead to delay in diagnosis if not suspected. Case presentation: The authors report a case of a 16-year-old adolescent admitted to the emergency...

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Main Authors: Filipa Jalles, Marta Janeiro, Miroslava Gonçalves
Format: Article
Language:English
Published: Elsevier 2021-12-01
Series:Trauma Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352644021001448
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author Filipa Jalles
Marta Janeiro
Miroslava Gonçalves
author_facet Filipa Jalles
Marta Janeiro
Miroslava Gonçalves
author_sort Filipa Jalles
collection DOAJ
description Background: The blunt laryngotracheal trauma is a potentially life-threatening infrequent cause of injury that can present with subtle symptoms which often lead to delay in diagnosis if not suspected. Case presentation: The authors report a case of a 16-year-old adolescent admitted to the emergency room after a bicycle accident with isolated blunt cervical trauma subsequent to headphones use. The patient presented with odynophagia, hemoptysis, edema, tenderness, linear ecchymosis in the anterior cervical area and no signs of respiratory distress. Cervical computed tomography scan revealed an aligned left side thyroid cartilage fracture. The patient progressed with a complete clinical recovery and at 3 month-follow-up reported no symptoms. Conclusions: Laryngeal fracture is a rare entity in patients with blunt cervical trauma. A high level of suspicion along with a systematic approach is essential for rapid recognition and early treatment, regardless of the severity of the presenting symptoms, in order to preserve airway and voice functions and improve outcomes.
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spelling doaj.art-6ddfefa0611a4ae79f77d063efba10382022-12-21T22:42:53ZengElsevierTrauma Case Reports2352-64402021-12-0136100539Traumatic laryngeal fracture: A case reportFilipa Jalles0Marta Janeiro1Miroslava Gonçalves2Corresponding author.; Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, PortugalHospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, PortugalHospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, PortugalBackground: The blunt laryngotracheal trauma is a potentially life-threatening infrequent cause of injury that can present with subtle symptoms which often lead to delay in diagnosis if not suspected. Case presentation: The authors report a case of a 16-year-old adolescent admitted to the emergency room after a bicycle accident with isolated blunt cervical trauma subsequent to headphones use. The patient presented with odynophagia, hemoptysis, edema, tenderness, linear ecchymosis in the anterior cervical area and no signs of respiratory distress. Cervical computed tomography scan revealed an aligned left side thyroid cartilage fracture. The patient progressed with a complete clinical recovery and at 3 month-follow-up reported no symptoms. Conclusions: Laryngeal fracture is a rare entity in patients with blunt cervical trauma. A high level of suspicion along with a systematic approach is essential for rapid recognition and early treatment, regardless of the severity of the presenting symptoms, in order to preserve airway and voice functions and improve outcomes.http://www.sciencedirect.com/science/article/pii/S2352644021001448Laryngeal fractureUpper airway injuryBlunt neck traumaBicycle accident
spellingShingle Filipa Jalles
Marta Janeiro
Miroslava Gonçalves
Traumatic laryngeal fracture: A case report
Trauma Case Reports
Laryngeal fracture
Upper airway injury
Blunt neck trauma
Bicycle accident
title Traumatic laryngeal fracture: A case report
title_full Traumatic laryngeal fracture: A case report
title_fullStr Traumatic laryngeal fracture: A case report
title_full_unstemmed Traumatic laryngeal fracture: A case report
title_short Traumatic laryngeal fracture: A case report
title_sort traumatic laryngeal fracture a case report
topic Laryngeal fracture
Upper airway injury
Blunt neck trauma
Bicycle accident
url http://www.sciencedirect.com/science/article/pii/S2352644021001448
work_keys_str_mv AT filipajalles traumaticlaryngealfractureacasereport
AT martajaneiro traumaticlaryngealfractureacasereport
AT miroslavagoncalves traumaticlaryngealfractureacasereport