Transcervical gun shot wound with laryngotracheal injury : a case report and review literatures
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Abstract
Background: Transcervical penetrated laryngotracheal injury from gun shot wound was rarely report. Nowaday the management of penetrating neck injury and laryngotracheal injury is controversy between mandatory neck exploration and selective neck exploration
Objective: To report patient who was transcervical gun shot wound with laryngotracheal injury in Buriram Hospital and review literatures
Design: Case report
Case report: A 17-year-old Thai male was shot at neck from the right through the left zone
Iand II anterior to sternocleidomastoid muscle. The vital signs is stable, hoarsness, odynophagia , no dyspnea and no stridor. CT scan shown subcutaneous emphysema, Laryngoscopy Shown vocal cord swelling and impair movement and esophagoscopy revealed normal finding. The Patient was operated bilateral neck exploration and trachea was penetrated from right to left. The patient was treated by debridement and primary repair with prolen 3/0 interrupt without trachesotomy.
Conclusion: Transcervical gun shot wound with laryngotracheal injury is potential to air way obstruction and life threatening. The management is rapidly airway assessment and corrected airway patented. The injury site is managed with debridement and primary repair
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References
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