嚥下障害をきたした咽喉頭外傷例

Abstract

Trauma to the pharynx and larynx often leads to dysfunctions of phonation and deglutition. In the case of an old injury, the treatment is always particularly difficult due to the subsequent formation of scar or granulation tissues. We recently encountered a case of trauma to the pharynx associated with open injury of the neck by a power shovel. The patient was referred to our clinic more than 2 months after the initial wound closure for reconstruction of air and food passages. Through a careful revision of the pharyngeal stenosis due to scar formations, we succeeded in reestablishing his vocal and swallowing functions.