A Case of Total Laryngectomy after Severe Penetrating Laryngeal Trauma

Abstract

Laryngeal trauma is rare but life-threatening emergency. Main cause of the trauma includes traffic accident, fall down, machinery injury, and stab. This type of injury not only makes tremendous bleeding and hemodynamic instability, but also intimidates a patency of upper airway which leads to acute respiratory failure. If acute complication be resolved, laryngeal destruction would prospectively result in dysphagia, chronic aspiration, and dysphonia. In many previous cases, severe laryngotracheal trauma have been treated via primary approximation followed by conservative care and rehabilitation. We present a case of total laryngectomy, a rare strategy for laryngeal trauma on a patient with severe laryngeal framework destruction after stabbing.