Conservative Treatment of Isolated Cricoid Cartilage Fractures From Blunt Trauma

Abstract

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Isolated Cricoid Cartilage Fracture After Blunt Thoracocervical Trauma: A Case Report

“…Falcon et al In the case report, although the patients had symptoms such as hoarseness and hemoptysis, airway safety was followed closely as extubated, and isolated displaced cricoid cartilage fracture was treated conservatively (12).…”

“…In cricoid injuries, the severity of the damage is essential in terms of treatment management and prognosis (8,11). How to ensure emergent airway safety in treating laryngeal traumas, classification of fractures, and surgical indications are still controversial (12). The literature shows that early surgical treatment is the method of choice, especially in cases of massive edema, mucosal tears, exposed cartilage, cord paralysis, or multiple displaced fractures (8,11,12).…”

“…How to ensure emergent airway safety in treating laryngeal traumas, classification of fractures, and surgical indications are still controversial (12). The literature shows that early surgical treatment is the method of choice, especially in cases of massive edema, mucosal tears, exposed cartilage, cord paralysis, or multiple displaced fractures (8,11,12). In our case, a displaced isolated cricoid fracture was observed, and since the patient did not have dyspnea or significant hoarseness, the airway was followed closely and extubated.…”

“…Although there is no generally accepted scheme in the conservative treatment approach, various patients were treated with intravenous steroids, non-steroidal antiinflammatory, anti-reflux therapy, cold steam application, and absolute sound therapy (10)(11)(12).…”

Isolated comminuted fracture of the cricoid cartilage and narrowing of the airway after a traumatic blunt injury of the neck: a case report

“…Larynx trauma is rare, but it may cause airway obstruction [ 2 ]. Isolated cricoid fractures are very rare and life threatening because the cricoid is the only circumferential cartilage in the larynx and is essential for the stability and integrity of the airway [ 3 ]. For a surgeon, the most important factor for the diagnosis of a laryngeal injury is having a high index of suspicion [ 2 , 4 ].…”