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Órgano Oficial del Hospital Ángeles Health System
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2026, Number 4

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Acta Med 2026; 24 (4)

Spontaneous fracture of the thyroid cartilage

Ramírez HF, Hernández MA, Arreola ME, Castillo CPI, Pérez TFE, Delgadillo QKV
Full text How to cite this article 10.35366/123519

DOI

DOI: 10.35366/123519
URL: https://dx.doi.org/10.35366/123519

Language: Spanish
References: 5
Page: 469-471
PDF size: 1435.04 Kb.


Key words:

non-traumatic thyroid cartilage fracture, crepitus, dysphonia, pneumomediastinum, thyroid chondroplasty.

ABSTRACT

Non-traumatic fractures of the thyroid cartilage are rare and account for less than 1% of all traumatic injuries. Their etiology is unknown, and they can occur in middle-aged men. These fractures are significant because they affect respiratory, swallowing, and speech functions. Treatment options include both conservative and surgical approaches, depending on the location, type, and severity of the injury, as well as the patient’s overall health. We present the case of a 35-year-old man who presented with pain, dysphonia, dysphagia, and subcutaneous emphysema with cervical crepitus following a hyperextension neck movement due to a snezze. Computed tomography revealed a thyroid cartilage fracture and secondary anterior pneumomediastinum, which was treated with thyroid chondroplasty. This case demonstrates that non-traumatic fractures of the thyroid cartilage are possible and require a high index of suspicion for timely diagnosis and individualized treatment planning.


REFERENCES

  1. Khalid N, Bilal M, Umer M. Non-traumatic laryngeal fractures: asystematic review. Turk Arch Otorhinolaryngol. 2021; 59 (1): 65-75.

  2. Fenig M, Strasberg S, Cohen JC, Almadi R, Gold M. Laryngeal fractureafter coughing. Am J Emerg Med. 2013; 31 (9): 1421.e1-3.

  3. Ates MS, Turhal G, Aysel A, Durusoy D, Oztürk K. A case with thyroidcartilage fracture after sneezing. Turk Arch Otorhinolaryngol. 2020;58 (3): 197-199.

  4. Sbeih F, Tierney WS, Bryson PC, Kominsky AH. Considerations andmanagement of a laryngeal fracture after sneezing. Am J Otolaryngol.2021; 42 (5): 103036.

  5. Balai E, Bhamra N, Gupta KK, Jolly K, Barraclough J. A case of laryngealfracture precipitated by swallowing. Cureus. 2020; 12 (9): e10303.




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Acta Med. 2026;24