Erdogan Baris, Erdogan Mehmet Ozgur, Colak Sahin, Kibici Ozge, Bozan Korkut, Alper Baris
Department of Otolaryngology, Medipol University Esenler Training and Research Hospital, Istanbul, Turkey.
Department of Emergency Medicine, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.
J Pak Med Assoc. 2015 Nov;65(11):1233-4.
Hyoid bone fractures due to blunt trauma are exceedingly rare. Here, we present an isolated hyoid bone fracture caused by blunt trauma as well as a detailed discussion of the injury and treatment options. A 32-year-old male was admitted to emergency department with odynophagia and severe neck pain. He had been hit in the neck with a metal rod during a fight. Computed tomography scan revealed a fracture on hyoid bone and local swelling of adjacent soft tissues. The patient's head was elevated, and ice packs were used to reduce the swelling. Diclofenac sodium and prednisolone were administered. Patient was discharged with a recommendation of out-patient control. Odynophagia, dysphagia and dyspnoea should alert the physician to possible hyoid or laryngeal damage. Fibre optic laryngoscopy and neck CT are important diagnostic steps to reveal a possible life-threatening injury. Conservative treatment is usually adequate, and patients rarely require surgical intervention.
钝器伤导致的舌骨骨折极为罕见。在此,我们呈现一例由钝器伤引起的孤立性舌骨骨折,并对该损伤及治疗方案进行详细讨论。一名32岁男性因吞咽疼痛和颈部剧痛被送往急诊科。他在一场打斗中被金属棒击中颈部。计算机断层扫描显示舌骨骨折及相邻软组织局部肿胀。患者头部抬高,使用冰袋减轻肿胀。给予双氯芬酸钠和泼尼松龙治疗。患者出院时建议门诊随访。吞咽疼痛、吞咽困难和呼吸困难应提醒医生注意可能存在的舌骨或喉部损伤。纤维喉镜检查和颈部CT是揭示可能危及生命损伤的重要诊断步骤。保守治疗通常足够,患者很少需要手术干预。