Abstract
Laryngeal trauma is a rare but life threatening injury. In cut throat, laryngeal injury should be suspected and investigated. The first priority in management is to secure airway. Associated injuries should be searched for. Treatment may be conservative or surgical depending upon the site, magnitude of injury and stability of laryngeal framework. Here we present a rare form of penetrating laryngeal injury with complete disruption between cricoid and thyroid cartilages
Highlights
Laryngeal trauma is a rare but life threatening injury
After stitches were cut we found the wound extending to larynx cutting cricothyroid membrane and completely separating the thyroid from cricoid cartilage
Reconstruction of airway was achieved by taking simple, interrupted sutures using 3/0 vicryl and starting from posterior to anterior approximating the cricoid cartilage to thyroid cartilage and endolarynx
Summary
Laryngeal trauma is a rare but life threatening injury. In cut throat, laryngeal injury should be suspected and investigated. We present a rare form of penetrating laryngeal injury with complete disruption between cricoid and thyroid cartilages. A 28 years male patient did a suicidal attempt cutting his throat with a razor He was urgently intubated in a peripheral hospital and referred to King Abdullah Hospital, Bishah, KSA as a suspected case of laryngeal trauma within the first 12 hours after the insult. On clinical examination he was intubated, on mechanical ventilation, with SO2 100% and hemodynamically stable. Flexible laryngoscopy was done 3 days postoperatively It revealed slight movement of vocal cords (bilateral recurrent laryngeal nerve lesions). The patient was discharged in a stable condition after 7 days (Figure 2)
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