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[Case report on traumatic complete laryngotracheal separation with a positive outcome]
Ulrich Kisser1, Friedemann Pabst2, Sylva Bartel3
1Universitätsklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland. ulrich.kisser@uk-halle.de.
History:
A 21-year-old female was injured by accidental strangulation. Dyspnea and stridor occurred with delay, and led to emergency intubation.
Findings:
Physical examination showed strangulation marks and neck emphysema. Computed tomography confirmed laryngotracheal separation and revealed misplacement of the ventilation tube.
Diagnosis:
Further surgical exploration revealed complete laryngotracheal (cricotracheal) separation.
Treatment:
After initial emergency tracheotomy, cricotracheal reanastomosis was achieved by a two-stage surgical approach.
Conclusion:
Laryngotracheal separation is associated with high mortality. In the case presented herein, the patient survived and was discharged from hospital without a tracheostomy tube despite bilateral recurrent laryngeal nerve palsy.
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