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剧烈喷嚏:喉骨折的罕见病因。

Forceful sneeze: An uncommon cause of laryngeal fracture.

作者信息

Tsur Nir, Amitai Nimrod, Shoffel-Havakuk Hagit, Abuhasira Shlomi, Hamzany Yaniv

机构信息

Department of Otolaryngology Head and Neck Surgery, Rabin Medical Center, Petach Tikva, Israel.

Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

出版信息

Radiol Case Rep. 2021 Jan 20;16(3):742-743. doi: 10.1016/j.radcr.2021.01.002. eCollection 2021 Mar.

Abstract

Laryngeal fractures are generally induced by direct blunt or penetrating trauma to the neck. Coughing vigorously or sneezing forcefully is extremely rare causes of laryngeal fractures, with only 4 cases found after thorough literature search. Herein we present a case of a 34-year-old male presenting to the ENT emergency room with throat pain, odynophagia, dysphagia, and hoarseness. Following primary evaluation, through physical examination and imaging he was diagnosed with thyroid cartilage fracture and treated conservatively. The triad of odynophagia, dysphagia, and dysphonia after a severe episode of coughing or sneezing in a young adult male patient should prompt suspicion of a laryngeal fracture.

摘要

喉骨折通常由颈部直接钝性或穿透性创伤引起。剧烈咳嗽或强力打喷嚏是极其罕见的喉骨折原因,经全面文献检索仅发现4例。在此,我们报告1例34岁男性患者,因咽痛、吞咽痛、吞咽困难和声音嘶哑就诊于耳鼻喉科急诊室。经过初步评估,通过体格检查和影像学检查,他被诊断为甲状软骨骨折并接受了保守治疗。对于年轻成年男性患者,在剧烈咳嗽或打喷嚏后出现吞咽痛、吞咽困难和声音嘶哑三联征时,应怀疑喉骨折。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d29e/7820294/2d1ece744f3b/gr1.jpg

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