Forceful sneeze: An uncommon cause of laryngeal fracture

Tsur, Nir; Amitai, Nimrod; Shoffel‐Havakuk, Hagit; Abuhasira, Shlomi; Hamzany, Yaniv

doi:10.1016/j.radcr.2021.01.002

Cited by 4 publications

(2 citation statements)

References 5 publications

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“…In this case, CT findings helped us make the primary diagnosis and determine the surgical plan. CT is more sensitive than flexible laryngoscopy for identifying laryngeal injury because it can show minimal cartilage fracture and other details[ 14 , 15 ]. In addition, distorted anatomy, bleeding and poor visualization may result in difficulties in laryngoscopy[ 7 ].…”

Section: Discussionmentioning

confidence: 99%

External penetrating laryngeal trauma caused by a metal fragment: A Case Report

Qiu¹,

Zeng²,

Zuo³

et al. 2022

WJCC

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BACKGROUND Although external penetrating laryngeal trauma is rare in the clinic, such cases often result in a high mortality rate. The early recognition of injury, protection of the airway, one-stage laryngeal reconstruction with miniplates and interdisciplinary cooperation are important in the treatment of such patients. CASE SUMMARY A 58-year-old male worker sustained a penetrating injury in the left neck. After computed tomography scanning at a local hospital, he was transferred to our hospital, where he underwent tracheotomy, neck exploration, extraction of the foreign object, debridement and repair of the thyroid cartilage using titanium miniplates. An endo laryngeal stent was inserted, which was removed 12 days later. The patient recovered well and his voice rapidly improved after surgery. CONCLUSION Penetrating laryngeal trauma is uncommon. We successfully treated a patient with early laryngeal reconstruction and management by interdisciplinary cooperation.

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Section: Discussionmentioning

confidence: 99%

External penetrating laryngeal trauma caused by a metal fragment: A Case Report

Qiu¹,

Zeng²,

Zuo³

et al. 2022

WJCC

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“…Non-traumatic laryngeal injuries or fracturing following an attempt to suppress a cough or sneeze is extremely rare, with only 13 patients on record in the PubMed/Medline database (Table 1). [5][6][7][8][9][10][11][12][13][14][15][16] That such injuries have exclusively affected young to middle-aged men can be explained by their higher pulmonary capacity. Congenital anomalies and focal demineralisation could be the predisposing factors, but evidence is inconclusive in light of inadequate case strength.…”

Section: Discussionmentioning

confidence: 99%

Laryngeal injury in a coronavirus disease 2019 caregiver following voluntary cough-holding within an inappropriately sized personal protective equipment suit

Dutta

Raghu

2022

J. Laryngol. Otol.

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Objective To document laryngeal framework rupture following voluntary cough-holding as an airway complication of donning a personal protective equipment suit that was too small in size. Methods Clinical record and literature review, with proposition of plausible aerodynamics of the airway injury. Results Whilst carrying out his duty in the coronavirus disease ward, a resident attempted to stifle a paroxysm of cough when wearing a personal protective equipment suit that was too small with his neck flexed and restricted. There was a sudden release of pressure, intense pain and swelling in the neck with crepitus. Imaging revealed a non-displaced fracture in the lower end of the partially ossified right thyroid lamina, a cricothyroid membrane tear and subcutaneous emphysema. The symptoms resolved gradually on conservative management. Conclusion This report underlines the importance of donning appropriately sized personal protective equipment and encouraging its proper use amongst coronavirus disease 2019 caregivers. Non-traumatic laryngeal injury, itself a rare event, has never been reported as a posture-related complication of wearing personal protective equipment.

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