A case of open laryngeal trauma

Abstract

Open laryngeal trauma is a rare condition, but it requires prompt airway clearance and appropriate treatment to preserve the laryngeal function. We herein report a case of successful two-stage repair for open laryngeal trauma treatment. A 43-year-old man sustained an injury while at work when an iron rod from a concrete crusher pierced his throat. He was transferred to our hospital with median separation of the thyroid cartilage and transverse process fractures of the cervical vertebrae. The mucosa was extensively damaged from the anterior wall of the larynx to the posterior wall of the hypopharynx. Following the creation of a laryngocutaneous fistula, two-stage repair was performed. The tracheostomy was closed after surgery, and he regained his voice and a normal swallowing function.