Erdoğan Mehmet Ozgür, Koşargelir Mehmet, Yorulmaz Rasim, Meriç Kaan, Erdoğan Barış
Department of Emergency Medicine, Haydarpaşa Numune Training and Research Hospital, İstanbul, Turkey.
Ulus Travma Acil Cerrahi Derg. 2013 May;19(3):282-4. doi: 10.5505/tjtes.2013.64436.
Fractures of the hyoid bone are very rare. Diagnosis of hyoid fracture is difficult and can be made only with a strong degree of suspicion. We report a case of isolated hyoid bone fracture due to blunt trauma to the neck. A 26-year-old woman was admitted to emergency department for motor vehicle accident. She complained of dysphagia and anterior neck discomfort. Physical examination showed hyperemia and tenderness of neck. A tomographic scan of neck was performed. The findings demonstrated hyoid fracture. Patient was observed with medical therapy for 24 hours and discharged with recommendation of outpatient control.Emergency physician has to be aware of the possibility of hyoid fractures in blunt traumas. Patients with hyoid fracture should be observed for 24 hours. Generally, medical treatment is satisfactory in isolated hyoid fractures.
舌骨骨折非常罕见。舌骨骨折的诊断困难,只有在高度怀疑的情况下才能做出诊断。我们报告一例因颈部钝器伤导致的孤立性舌骨骨折病例。一名26岁女性因机动车事故被送往急诊科。她主诉吞咽困难和颈部前方不适。体格检查显示颈部充血和压痛。进行了颈部断层扫描。结果显示舌骨骨折。患者接受了24小时的药物治疗观察,出院时建议门诊随访。急诊医生必须意识到钝器伤中舌骨骨折的可能性。舌骨骨折患者应观察24小时。一般来说,孤立性舌骨骨折的药物治疗效果令人满意。