Sheikh Erin, Keh Siew, Vallamkondu Vamsidhar, Khan Imran, Shakeel Muhammad
Medical Student, University of Aberdeen, UK.
Department of Otolaryngology, Head and Neck Surgery, Ninewells Hospital, Dundee, UK.
J Coll Physicians Surg Pak. 2014 Nov;24 Suppl 3:S235-7.
Isolated vocal cord haemorrhage secondary to blunt neck trauma is rare. It can lead to compromised airway in a patient with otherwise minimal clinical findings. The authors report a patient with traumatic haemorrhage in the supraglottis and vocal cords. A 24 years old Caucasian male presented with acute hoarseness, dysphagia, and a tender anterior neck swelling 3 hours after he was punched in his neck. There was no stridor or surgical emphysema. Flexible pharyngolaryngoscopy revealed no endolaryngeal mucosal tear but evidence of bleeding into his true vocal cords. The patient was successfully treated with dexamethasone, analgesia and voice rest. The patient refused to stay in hospital for overnight airway monitoring. The authors believe that all patients presenting with a blunt neck trauma should undergo laryngoscopy for assessment and monitoring of the airway.
钝性颈部创伤继发的孤立性声带出血很少见。在临床症状轻微的患者中，它可能导致气道受损。作者报告了一名声门上区和声带创伤性出血的患者。一名24岁的白种男性在颈部被击打3小时后出现急性声音嘶哑、吞咽困难和颈部前方压痛性肿胀。没有喘鸣或手术性气肿。可弯曲喉镜检查未发现喉内粘膜撕裂，但有证据表明其真声带出血。该患者接受地塞米松、镇痛和禁声治疗后成功康复。患者拒绝住院进行过夜气道监测。作者认为，所有颈部钝性创伤患者都应接受喉镜检查，以评估和监测气道。
