Laryngeal Fracture after Blunt Cervical Trauma in Motorcycle Accident and Its ManagementReport as inadecuate

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Case Reports in Otolaryngology - Volume 2017 2017, Article ID 9321975, 3 pages -

Case ReportHospital Pedro Hispano, Rua Dr. Eduardo Torres, Senhora da Hora, 4464-513 Matosinhos, Portugal

Correspondence should be addressed to Nuno Ribeiro-Costa

Received 25 October 2016; Accepted 4 January 2017; Published 2 February 2017

Academic Editor: Andrea Gallo

Copyright © 2017 Nuno Ribeiro-Costa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Laryngeal fracture is a rare traumatic injury, potentially fatal, with an estimated incidence of 1 in 30,000 patients admitted to severe trauma centers. Because of the rarity of this injury, physician may be not aware of its existence, leading to a late diagnosis of this entity. We report a case of a 59-year-old woman admitted to the emergency room after a motorcycle accident with cervical trauma. The patient presented with dysphonia, hemoptysis, cervical subcutaneous emphysema, and increasing respiratory distress that led to the intubation of the patient. CT-scan demonstrated displaced fracture of the cricoid and thyroid cartilage. The patient was submitted to tracheostomy and the fracture was surgically repaired. Tracheostomy was removed in third postoperative month. The patient presented a good recovery, reporting only hoarseness but without swallowing or breathing problems at 6-month follow-up.

Author: Nuno Ribeiro-Costa, Pedro Carneiro Sousa, Diogo Abreu Pereira, Paula Azevedo, and Delfim Duarte



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