A case of laryngeal fracture fixed using titanium plates and cyanoacrylate glue

Abstract

A 56-year-old man suffered a bruise to his larynx during a scuffle and presented with hoarseness 1.5 months later. Laryngoscopy revealed a slight intralaryngeal hematoma and decreased tension of the vocal folds without any immobilization. Three-dimensional computed tomography (3D-CT) showed fracture lines near the midline of the thyroid cartilage and in the left cricoid cartilage. Two and a half months after the injury, rigid internal fixation of the thyroid cartilage fracture was performed using titanium miniplates and cyanoacrylate glue under local anesthesia. The fixation was successfully performed, and an improvement in his voice was confirmed during the surgery. Laryngoscopy, 3D-CT, and an acoustic analysis showed that the improved voice and well-fixed cartilage were maintained even after at one year after the surgery. Laryngeal fixation using titanium miniplates and cyanoacrylate glue can facilitate the fixation procedure and contribute to the long-term outcomes.