Qiu Zi-Han, Zeng Jin, Zuo Qiang, Liu Zhong-Qi
Department of Otolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China.
Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing 100191, China.
World J Clin Cases. 2022 Feb 6;10(4):1394-1400. doi: 10.12998/wjcc.v10.i4.1394.
Although external penetrating laryngeal trauma is rare in the clinic, such cases often result in a high mortality rate. The early recognition of injury, protection of the airway, one-stage laryngeal reconstruction with miniplates and interdisciplinary cooperation are important in the treatment of such patients.
A 58-year-old male worker sustained a penetrating injury in the left neck. After computed tomography scanning at a local hospital, he was transferred to our hospital, where he underwent tracheotomy, neck exploration, extraction of the foreign object, debridement and repair of the thyroid cartilage using titanium miniplates. An endo laryngeal stent was inserted, which was removed 12 days later. The patient recovered well and his voice rapidly improved after surgery.
Penetrating laryngeal trauma is uncommon. We successfully treated a patient with early laryngeal reconstruction and management by interdisciplinary cooperation.
尽管临床上外部穿透性喉外伤较为罕见,但此类病例往往导致较高的死亡率。早期识别损伤、保护气道、使用微型钢板进行一期喉重建以及多学科合作在这类患者的治疗中至关重要。
一名58岁男性工人左颈部遭受穿透伤。在当地医院进行计算机断层扫描后,他被转至我院,在我院接受了气管切开术、颈部探查、异物取出、清创以及使用钛微型钢板修复甲状软骨。插入了一个喉内支架,12天后取出。患者术后恢复良好,声音迅速改善。
穿透性喉外伤并不常见。我们通过早期喉重建和多学科合作成功治疗了一名患者。