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Published on: March 18, 2020
Severe laryngeal fracture treated by supracricoid laryngectomy
1Department of Otorhinolaryngology, Ospedale Maggiore, Bologna, Italy. roberto.consalici@ausl.bologna.it
Objective:
To report a rare case of severe laryngeal fracture treated by supracricoid laryngectomy. Previously, a few cases of major laryngeal trauma treated by reconstructive laryngectomy have been briefly described. This paper aims to comprehensively document a rare case of severe laryngeal fracture for which this difficult treatment choice represented an acceptable option.
Methods:
A 33-year-old woman sustained very serious blunt laryngeal trauma. The complexity of the laryngeal injuries led us to opt for supracricoid laryngectomy, rather than to attempt laryngeal repair.
Results:
The post-operative course was normal. The patient's post-operative voice was breathy but functional. No airway stenoses occurred.
Conclusion:
For severe laryngeal fractures, reparative procedures and stenting constitute the standard treatment. However, in selected and especially critical cases, a primary partial or reconstructive laryngectomy is justifiable.
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