Feng Allen L, Parikh Ayush, Gadkaree Shekhar K, Naunheim Matthew R, Song Phillip C
Department of Otolaryngology Massachusetts Eye and Ear, Harvard Medical School Boston Massachusetts USA.
Laryngoscope Investig Otolaryngol. 2020 Oct 16;5(6):1110-1116. doi: 10.1002/lio2.474. eCollection 2020 Dec.
Injuries in professional ice hockey players are common, however significant laryngeal trauma is rare. Here, we present a case series of professional and semiprofessional ice hockey players to demonstrate the mechanism and nature of laryngeal injuries they sustain during play, and to recommend best practices for treatment, prevention, and return to the ice.
A retrospective case review was done of hockey-related laryngeal injuries between 2016 and 2019 at a tertiary laryngology practice. Only semiprofessional and professional hockey players were included.
In total, four cases were included. All cases involved trauma from a hockey puck to the neck. No cases were the result of punching, fighting, high sticks or routine checking. Notably, 1 of 4 presented with severe airway compromise, requiring urgent intubation, whereas most presented with pain or a significant voice complaint. Two patients required operative intervention with open reduction and internal fixation of significantly displaced fractures. One patient experienced significant mucosal disruption with cartilaginous exposure at the posterior vocal complex requiring microflap. The average return to ice was 6 weeks for those who required operative intervention and 4 weeks for those who were managed conservatively. One patient had persistent mild dysphonia and all others had a return to baseline phonation. None were wearing neck guards or other protective equipment at the time of injury.
Though voice and airway injuries are rarely sustained by ice hockey players, they may require urgent intervention. We recommend that protective equipment be worn and improved to prevent laryngeal trauma.
职业冰球运动员受伤情况较为常见，但严重的喉部创伤却较为罕见。在此，我们展示一组职业和半职业冰球运动员的病例系列，以阐述他们在比赛中喉部受伤的机制和性质，并推荐治疗、预防及重返冰场的最佳做法。
对一家三级喉科学诊所2016年至2019年期间与曲棍球相关的喉部损伤进行回顾性病例分析。仅纳入半职业和职业曲棍球运动员。
共纳入4例病例。所有病例均为冰球撞击颈部所致创伤。无一例是由拳击、斗殴、高杆击球或常规身体检查导致的。值得注意的是，4例中有1例出现严重气道受损，需要紧急插管，而大多数患者表现为疼痛或明显的声音问题。2例患者需要进行手术干预，对明显移位的骨折进行切开复位和内固定。1例患者在后侧声带复合体处出现严重黏膜破裂并伴有软骨暴露，需要进行显微皮瓣手术。需要手术干预的患者平均重返冰场时间为6周，保守治疗的患者为4周。1例患者持续存在轻度发音障碍，其他患者均恢复至基线发声水平。受伤时无一例佩戴颈部护具或其他防护装备。
尽管冰球运动员很少遭受声音和气道损伤，但这些损伤可能需要紧急干预。我们建议佩戴并改进防护装备以预防喉部创伤。
4级。
