Isolated Cricoid Fracture After Intubation.

Area of Science:

• Otolaryngology
• Emergency Medicine
• Trauma Surgery

Background:

• Isolated cricoid fractures are rare, potentially life-threatening laryngeal injuries.
• They can result from minor neck trauma, external laryngeal manipulation, or improper endotracheal tube cuff inflation.
• Symptoms may include voice changes, respiratory distress, or swallowing difficulties, and can be immediate or delayed.

Observation:

• A case is presented of a 28-year-old woman with a history of recurrent dysphonia and respiratory distress.
• Symptoms arose after voluntary drug intoxication necessitating orotracheal intubation and mechanical ventilation.
• Initial workup was unremarkable, and conservative treatment failed to alleviate symptoms.

Findings:

• Progressive stridor episodes led to the diagnosis of a posterior cricoid fracture and abscess.
• The patient's airway was secured with a temporary tracheostomy.
• The fracture was successfully managed conservatively, resulting in no long-term complications.

Implications:

• A high index of suspicion is crucial for early identification of cricoid fractures, especially in cases lacking obvious neck trauma.
• Timely diagnosis and appropriate management can minimize morbidity and mortality associated with these injuries.
• Conservative treatment can be effective for cricoid fractures, even in the presence of complications like abscesses.