Latoo Manzoor, Lateef Mohammed, Nawaz Imtiyaz, Ali Ihsan
Department of ENT HNS Govt., Medical College, Srinagar, India ; Registrar Deptt. of ENT &HNS, SMHS hospital, Room no 26 Doctors hostel, Srinagar, 190 010 J&K India.
Indian J Otolaryngol Head Neck Surg. 2007 Sep;59(3):298-9. doi: 10.1007/s12070-007-0087-1. Epub 2007 Oct 5.
Blunt trauma neck to larynx is an uncommon injury that results in a wide spectrum of damage to endolaryngeal soft tissues as well as underlying cartilaginous skeleton leading to upper airway obstruction requiring emergency tracheostomy. A case report of blunt trauma neck anterior is presented who developed upper airway obstruction necessitating tracheostomy. Indirect Laryngoscopy and fibre optic examination identified vocal cord paralysis as primary cause of upper airway obstruction although X ray soft tissue neck and CT neck revealed fracture hyoid as well as hematoma surrounding the laryngeal frame work. Emergency tracheostomy was done and patient recovered uneventfully.
颈部钝性创伤累及喉部是一种罕见的损伤,可导致喉内软组织以及下方软骨骨架的广泛损伤,进而导致上呼吸道梗阻,需要紧急气管切开术。本文报告一例颈部前方钝性创伤患者,该患者出现上呼吸道梗阻,需要进行气管切开术。间接喉镜检查和纤维喉镜检查确定声带麻痹是上呼吸道梗阻的主要原因,尽管颈部X线软组织片和颈部CT显示舌骨骨折以及喉框架周围有血肿。患者接受了紧急气管切开术,术后恢复顺利。