[创伤性完全喉气管离断术成功病例报告]

[Case report on traumatic complete laryngotracheal separation with a positive outcome].

作者信息

Kisser Ulrich, Pabst Friedemann, Bartel Sylva, Schramm Dominik, Glien Alexander, Plontke Stefan K, Ebert Daniel, Wittlinger Jan

机构信息

Universitätsklinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.

Klinik für Hals-Nasen-Ohrenheilkunde, Kopf-Hals-Chirurgie, Plastische Operationen, Städtisches Klinikum Dresden, Dresden, Deutschland.

出版信息

HNO. 2022 Oct;70(10):765-768. doi: 10.1007/s00106-022-01159-9. Epub 2022 Apr 1.

DOI:10.1007/s00106-022-01159-9

PMID:35362726

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9512726/

Abstract

HISTORY

A 21-year-old female was injured by accidental strangulation. Dyspnea and stridor occurred with delay, and led to emergency intubation.

FINDINGS

Physical examination showed strangulation marks and neck emphysema. Computed tomography confirmed laryngotracheal separation and revealed misplacement of the ventilation tube.

DIAGNOSIS

Further surgical exploration revealed complete laryngotracheal (cricotracheal) separation.

TREATMENT

After initial emergency tracheotomy, cricotracheal reanastomosis was achieved by a two-stage surgical approach.

CONCLUSION

Laryngotracheal separation is associated with high mortality. In the case presented herein, the patient survived and was discharged from hospital without a tracheostomy tube despite bilateral recurrent laryngeal nerve palsy.

摘要