Department of Otolaryngology-Head and Neck Surgery, Stanford University, Stanford, CA, USA.
Stanford University Pediatric Aerodigestive Center, Palo Alto, CA, USA.
Ear Nose Throat J. 2021 May;100(4):NP185-NP188. doi: 10.1177/0145561319866821. Epub 2019 Sep 26.
Laryngotracheal disruption in children is rare but life-threatening, and endolaryngeal injuries may go overlooked. We present the case of a 10-year-old boy who sustained near-complete laryngotracheal separation, multiple laryngeal fractures, and arytenoid and vocal fold avulsion following blunt cervical trauma. These injuries were not identified radiographically and only became apparent intraoperatively. Following surgical repair, the patient was successfully decannulated, eating a normal diet, and had a serviceable speaking voice within 2 months. In children, the diagnosis of severe endolaryngeal injuries may be elusive and therefore require high degree of clinical suspicion. Surgical success requires accurate diagnosis and prompt intervention.
儿童喉气管断裂较为罕见，但危及生命，且可能会漏诊喉内损伤。我们报告了一例 10 岁男孩，其因颈部钝性创伤而遭受近乎完全的喉气管分离、多处喉骨折、杓状软骨和声带撕脱。这些损伤在影像学上未被识别，仅在术中才变得明显。手术后，患者成功拔管，2 个月内可正常进食和使用可接受的嗓音。在儿童中，严重喉内损伤的诊断可能难以捉摸，因此需要高度的临床怀疑。手术成功需要准确的诊断和及时的干预。
