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Updated: Jun 17, 2026
07:30
Learning Modern Laryngeal Surgery in a Dissection Laboratory
Published on: March 18, 2020
A complete transection of larynx.
1Department of Otorhinolaryngology, Head and Neck Surgery, University Kebangsaan Malaysia Medical Centre, Jalan Yaakob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. noorizan_yahya@yahoo.com
The Medical Journal of Malaysia
|January 12, 2010
Summary
A rare penetrating neck injury caused complete cricoid cartilage transection, complicating airway management. Surgical reconstruction successfully restored both breathing and voice in this case of acute laryngeal injury.
Area of Science:
- Otolaryngology
- Trauma Surgery
- Emergency Medicine
Background:
- Acute laryngeal injury is a rare but life-threatening condition.
- Airway management is often challenging in patients with laryngeal trauma.
- Penetrating neck injuries are less common causes of laryngeal injury compared to blunt trauma.
Observation:
- A case of a penetrating neck injury involving a deep slash wound from a knife.
- Complete transection of the cricoid cartilage and laryngotracheal separation were observed.
- Initial management included securing the airway and performing a tracheostomy.
Findings:
- Surgical exploration revealed the cricoid cartilage was horizontally divided into two parts.
- Anastomosis of the cartilaginous framework was performed.
- Post-operatively, fibreoptic laryngoscopy showed bilateral vocal cord paralysis, which resolved over two months.
Implications:
- Meticulous surgical reconstruction is crucial for optimal outcomes in severe laryngeal trauma.
- Successful surgical repair can restore both respiratory and phonatory functions.
- This case highlights the possibility of recovery from complete cricoid cartilage transection with prompt surgical intervention.
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