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2020, Number 2

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Mul Med 2020; 24 (2)

Open laryngeal trauma. Report of a case

Pérez AR, Fuentes LEE, Tamayo BBC
Full text How to cite this article

Language: Spanish
References: 5
Page: 443-453
PDF size: 340.08 Kb.


Key words:

laryngeal nerve injuries, laryngoscopy, gunshot wounds.

ABSTRACT

Introduction: the superficial situation of the larynx makes it vulnerable to various external injuries, which can be attenuated thanks to great mobility. Open laryngeal trauma is one of the emergencies in otorhinolaryngology.
Presentation of the case: we present a case with the objective of describing the behavior to be followed when faced with open laryngeal trauma. A 37-year-old black male, urban origin, with no history of disease, was shot in the back of the neck.
Discussion: he was promptly taken to the operating room where he underwent flexible direct laryngoscopy in which a fracture of the thyroid cartilage and edema of the epiglottis were observed as the most relevant findings. Then she undergoes tracheotomy and exploratory cervicotomy. After several days of satisfactory evolution, he was discharged, leaving only functional dysphonia as a sequel.
Conclusions: in the event of any neck trauma and, in particular, of this case, of the larynx, the need for an adequate anamnesis, an exhaustive general and specialty physical examination, and the indicated laboratory and imaging supplements.


REFERENCES

  1. Alcántara Morales MA, García-Arreola D. Trauma traqueal en paciente pediátrico. Rev Mexicana de Anestesiología. 2014; 37(Supl 1): 85-91.

  2. Castillo Lamas L, Cabrera Reyes J, Fernández Serrat Y, Fernández Vázquez D, Alfonzo Álvarez D. Manejo de las lesiones vasculares en zona I del cuello. Presentación de casos. Rev. Med. Electrón [Internet]. 2018 [citado 23/4/2020]; 40(2). Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1684-18242018000200023

  3. Ortiz L, Barahona L, Araya P, Zamorano R. Trauma laríngeo externo y fractura de cartílago Tiroides: Revisión de la literatura. Rev. Otorrinolaringol. Cir. Cabeza Cuello 2019; 79: 465-472.

  4. Valls Puig JC, Urra E, Vramonde G, Torbello J, Serrano A, Hinojosa M. Manejo Contemporáneo del Trauma cervical penetrante. DialnetPlus [Internet]. 2017 [citado 20/5/2019]; (71). Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6431291

  5. Pacheco MA, Aldana GE, Granados AE, Martínez LE, Santacoloma J, Baquero JL, et al. Manejo del Trauma penetrante de cuello en dos hospitales de Bogotá, Colombia. Rev. Colomb. Cir. 2018; 133: 37-46.




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C?MO CITAR (Vancouver)

Mul Med. 2020;24