Soni Annanya, Kapoor Dhruv, Jotdar Arijit, Kushwaha Pranabh, Gupta Amit Kumar
Department of Otorhinolaryngology AIIMS, Raebareli, Uttar Pradesh India.
Department of General Surgery AIIMS, Raebareli, Uttar Pradesh India.
Indian J Otolaryngol Head Neck Surg. 2025 Mar;77(3):1673-1677. doi: 10.1007/s12070-025-05382-y. Epub 2025 Feb 13.
Survival from laryngotracheal separation injuries depends on appropriate airway treatment, these injuries are uncommon but dangerous. consequently, expert opinion and brief case studies have served as the foundation for managerial recommendations. In the present case, the airway was first obtained by awake tracheostomy followed by urgent neck exploration and repair of cricotracheal defect and esophageal laceration under general anaesthesia. at four months after surgery, patient had an occluded tracheostomy with cords in paramedian position, eating a regular diet, and had a decent voice quality. patients can regain a patent airway, a functional voice, and normal swallowing with a high index of suspicion and prompt reconstruction that restores the laryngotracheal framework and mucosal integrity.
喉气管离断伤的存活取决于适当的气道处理,这些损伤虽不常见但很危险。因此,专家意见和简短的病例研究一直是管理建议的基础。在本病例中,首先通过清醒气管切开术建立气道,随后在全身麻醉下进行紧急颈部探查并修复环状气管缺损和食管裂伤。术后四个月,患者气管切开处堵塞,声带处于旁正中位,能正常饮食,嗓音质量尚可。对于此类患者,高度怀疑并及时进行重建以恢复喉气管结构和黏膜完整性,患者就能够重新获得通畅的气道、功能性嗓音和正常吞咽功能。