Laryngeal Trauma Managed with Titanium Mesh Fixation: A Rare Case Report
Gunjan Dwivedi1, Daljinder Singh2, Naman Surya3
1Department of ENT CHSC, AFMC, Pune, India.
Summary
Laryngeal fractures, though rare, can be life-threatening. This case study highlights successful management of a comminuted thyroid cartilage fracture using titanium mesh fixation, restoring good laryngeal function.
Area of Science:
- Trauma Surgery
- Otolaryngology
- Biomaterials in Medicine
Background:
- Laryngeal fractures are uncommon but pose significant risks, potentially leading to airway compromise.
- Comminuted laryngeal cartilage fractures present complex management challenges.
- Existing fixation techniques yield varied outcomes.
Purpose of the Study:
- To report a case of laryngeal cartilage fracture.
- To evaluate the efficacy of titanium mesh fixation for thyroid cartilage fractures.
- To assess the functional recovery following surgical intervention.
Main Methods:
- A 27-year-old male with a laryngeal cartilage fracture from an accidental fall underwent emergency tracheostomy.
- Early surgical repair of the fractured thyroid cartilage was performed using titanium mesh fixation.
- Postoperative management included monitoring and eventual tracheostomy tube removal.
Main Results:
- Titanium mesh fixation provided immediate and effective stabilization of the laryngeal fracture.
- The patient recovered good laryngeal function after the procedure.
- Tracheostomy tube was successfully removed one month post-surgery.
Conclusions:
- Titanium mesh fixation is a viable and effective technique for managing comminuted laryngeal cartilage fractures.
- This method offers immediate stability and contributes to favorable functional outcomes.
- Early surgical intervention with advanced fixation techniques can lead to successful patient recovery.
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