Abstract
A 30-year-old motorcyclist was referred to our emergency department after he struck his neck on a rope at night. Apart from mild dyspnea and hoarseness, his vital signs were stable. There was a 7-cm shallow laceration across the lower neck with erythematous welt (Fig. 1A). Subcutaneous emphysema from the lower neck to the upper chest wall with palpable crepitus was also found. Fiberoptic laryngoscope revealed bilateral vocal folds palsy with intact endolaryngeal structures. Plain radiographs of chest and neck revealed subcutaneous emphysema mainly at the left lower neck without pneumomediastinum or pneumothorax. Language: en
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