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Traumatic laryngeal fracture: A case report.
Filipa Jalles1, Marta Janeiro1, Miroslava Gonçalves1
1Hospital de Santa Maria, Avenida Professor Egas Moniz, 1649-035 Lisboa, Portugal.
Blunt cervical trauma can cause rare laryngeal fractures, even with subtle symptoms. Early diagnosis and treatment are crucial for preserving airway and voice functions.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Otolaryngology
Background:
- Blunt laryngotracheal trauma is an uncommon but potentially fatal injury.
- Subtle symptoms can delay diagnosis if not specifically suspected.
- Headphones use during trauma may increase risk of cervical injury.
Observation:
- A 16-year-old presented with odynophagia, hemoptysis, and neck bruising after a bicycle accident.
- Initial assessment revealed no respiratory distress despite cervical trauma.
- A CT scan identified an isolated thyroid cartilage fracture.
Findings:
- The patient experienced a complete clinical recovery.
- No symptoms were reported at the 3-month follow-up.
- Laryngeal fracture is a rare consequence of blunt cervical trauma.
Implications:
- High clinical suspicion is vital for prompt diagnosis of laryngeal fractures.
- A systematic approach ensures early recognition and treatment.
- Timely intervention preserves airway and voice, improving patient outcomes.
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