Experience in caring for patients with laryngeal fracture Experience in caring for patients with laryngeal fracture

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Published: Mar 14, 2022
Keywords:
Laryngeal fracture, management

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kunkanya chansomboon
Department of Otorhinolaryngology, Chumphon Khet Udomsak Hospital, Chumphon

Abstract

Experience in caring for patients with laryngeal fracture
Kunkanya Chansomboon, MD.1*























 



Abstract


Purpose: The aim of this study was to present the clinical findings and management of laryngeal fracture in Chumphon Khet Udomsakdi Hospital, Chumphon, Thailand.


Study design: Retrospective chart review


Method: Researcher collected and analyzed data from the patients who were diagnosed with laryngeal fracture and were treated by a single-surgeon at Chumphon Khet Udomsakdi Hospital from October 2016 to March 2020


Results: Of the patients who were admitted to Chumphon Khet Udomsak Hospital for laryngeal trauma from October 2016 to March 2020, Five patients were diagnosed with laryngeal fracture (2 women and 3 men) with a mean age of 40.4 years. The injury was classified into 2 cases of blunt injury and 3 cases of penetrating injury. Pain, hoarseness, dyspnea and subcutaneous emphysema or air bubble from penetrated wound were common presenting symptoms and signs. Thyroid cartilage and supraglottis were the most common area of injury. After undergoing tracheostomy, one of the patients was referred to super tertiary care while the others underwent repair and stabilization of the fractured larynges by mean of non-absorbable suture and wire at Chumphon Khet Udomsak Hospital within 24 hours. All of these 4 patients succeeded in decannulation during admission. They also had good airway outcomes. The subjective voice outcomes were good for 3 (75%) patients and fair for 1 (25%) patient.


Conclusion: Airway patency must be first priority for initial care in patient diagnosed laryngeal injury. Early surgical repair for laryngeal fracture seem to optimize the outcome of the airway and voice. Cartilage fixation with sutures or wires especially when the cartilage is not completely calcified is able to provide laryngeal framework stability and contribute satisfied outcome.


Keywords: Laryngeal fracture, management


 




















 


 






 







 




 




 




 





 



 



 



 



 



 



 



 




 




 




 




 





 



 




 




 





 


 










 

 
 



 
 



 

 

 
 
 
 
 
 
 
 
 
 
 
 


 









 




 




 




 





 



 



 



 



 



 



 



 




 




 




 




 





 



 




 




 





 


 










 

 
 



 
 



 

 

 
 
 
 
 
 
 
 
 
 
 


 

















 






 







 




 




 




 





 



 



 



 



 



 














 








 







 




 




 




 





 



 



 



 



 



 



 



 




 




 




 




 





 



 




 




 





 


 










 

 
 



 
 



 

 

 
 
 
 
 
 
 
 
 
 
 


 

Article Details

How to Cite
chansomboon, kunkanya. (2022). Experience in caring for patients with laryngeal fracture: Experience in caring for patients with laryngeal fracture. Thai Journal of Otolaryngology Head and Neck Surgery, 22(2). Retrieved from https://he02.tci-thaijo.org/index.php/rcotJ/article/view/254528
Issue
Vol. 22 No. 2 (2021): July - December
Section
Reseach Articles
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

ต้นฉบับที่ส่งมาพิจารณายังวารสารหู คอ จมูก และใบหน้า จะต้องไม่อยู่ในการพิจารณาของวารสารอื่น ในขณะเดียวกันต้นฉบับที่จะส่งมาจะผ่านการอ่านโดยผู้ทรงคุณวุฒิ หากมีการวิจารณ์หรือแก้ไขจะส่งกลับไปให้ผู้เขียนตรวจสอบแก้ไขอีกครั้ง ต้นฉบับที่ผ่านการพิจารณาให้ลงตีพิมพ์ถือเป็นสมบัติของวารสารหู คอ จมูกและใบหน้า ไม่อาจนำไปลงตีพิมพ์ที่อื่นโดยไม่ได้รับอนุญาต
ตารางแผนภูมิ รูปภาพ หรือข้อความเกิน 100 คำที่คัดลอกมาจากบทความของผู้อื่น จะต้องมีใบยินยอมจากผู้เขียนหรือผู้ทรงลิขสิทธิ์นั้นๆ และใหร้ะบุกำกับไว้ในเนื้อเรื่องด้วย

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