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Severe laryngeal fracture treated by supracricoid laryngectomy.
MedLine Citation:
PMID:  20537209     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To report a rare case of severe laryngeal fracture treated by supracricoid laryngectomy. Previously, a few cases of major laryngeal trauma treated by reconstructive laryngectomy have been briefly described. This paper aims to comprehensively document a rare case of severe laryngeal fracture for which this difficult treatment choice represented an acceptable option.
METHODS: A 33-year-old woman sustained very serious blunt laryngeal trauma. The complexity of the laryngeal injuries led us to opt for supracricoid laryngectomy, rather than to attempt laryngeal repair.
RESULTS: The post-operative course was normal. The patient's post-operative voice was breathy but functional. No airway stenoses occurred.
CONCLUSION: For severe laryngeal fractures, reparative procedures and stenting constitute the standard treatment. However, in selected and especially critical cases, a primary partial or reconstructive laryngectomy is justifiable.
Authors:
R Consalici; D Dall'Olio
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Publication Detail:
Type:  Journal Article     Date:  2010-06-11
Journal Detail:
Title:  The Journal of laryngology and otology     Volume:  124     ISSN:  1748-5460     ISO Abbreviation:  J Laryngol Otol     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8706896     Medline TA:  J Laryngol Otol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1239-41     Citation Subset:  AIM; IM    
Affiliation:
Department of Otorhinolaryngology, Ospedale Maggiore, Bologna, Italy. roberto.consalici@ausl.bologna.it
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