Pseudarthroses of the cornu of the thyroid cartilage

Knopke, S; Todt, Ingo; Ernst, Arneborg; Seidl, Rainer

doi:10.1016/j.otohns.2010.04.011

Cited by 5 publications

(2 citation statements)

References 6 publications

(15 reference statements)

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“…8 An isolated thyroid cartilage fracture is very rare. [1][2][3][4][5] More interestingly, an isolated thyroid cartilage fracture from a wrestling injury, especially in a non-sports competition context, such as horseplay, has not been previously reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

Thyroid Cartilage Fracture in Context of Noncompetitive "Horseplay" Wrestling

Lucerna¹,

Espinosa²,

Hertz³

2017

Emerg Med

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A n isolated thyroid cartilage fracture is very rare. 1-5 More interestingly, an isolated thyroid cartilage fracture from a wrestling injury, especially in a non-sports competition context, such as horseplay, has not been previously reported in the literature. Sports-related injuries to the larynx and related structures are uncommon. 6,7 Case A 38-year-old man presented with a complaint of throat pain after wrestling at home, in horseplay, with his 15-year-old son. He reported that when his son placed a choke hold on him, he felt a "crack" in the area of his neck, and soon afterwards felt throat pain with swallowing, along with discomfort with breathing. He also felt a sensation of "fluid building up in his throat." There were no changes noted with his voice and the patient was speaking in full sentences. There was no wheezing or stridor. He de

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Section: Discussionmentioning

confidence: 99%

Thyroid Cartilage Fracture in Context of Noncompetitive "Horseplay" Wrestling

Lucerna¹,

Espinosa²,

Hertz³

2017

Emerg Med

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“…If injuries to the cartilaginous larynx are rare disorders that usually undergo good spontaneous healing, pseudarthrosis of the cornu of the thyroid cartilage can occur. 20 Such injuries are generally caused by trivial accidents, for example traffic road accidents. The patient presents odynophagia.…”

Section: Review Of the Literaturementioning

confidence: 99%

Laryngeal anomalies: Pitfalls in adult forensic autopsies

et al. 2013

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Changes in occurrence and management of laryngeal fractures at the Helsinki University Hospital during 25 years

Mäkitie,

Nyman,

Ilmarinen

et al. 2023

Eur Arch Otorhinolaryngol

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Purpose Laryngeal fracture is a rare but potentially life-threatening trauma. Fractures vary from mild to dislocated and extensive with risk of severe complications. This study investigated the occurrence, clinical characteristics and management of laryngeal fractures in the last 15 years. Material and methods A retrospective population-based cohort study reviewing all laryngeal fractures at the Helsinki University Hospital in 2005–2019. Patient records and imaging studies were systematically reviewed for mode of injury, fracture type, secondary complications, treatment modality, possible airway management, length of stay, and mortality. Results were compared with corresponding data from 1995 to 2004. Results Overall 80 fracture patients were recorded (5.3/year); 79% were men and mean age was 42 years (range 18–78). Altogether 91% were closed and 9% open. While unintentional traumas were most common (54%), an increasing proportion were from intentional injury (10%) or Schaefer Gr IV in severity (35%). Altogether 46% had compromised airway and 21% needed airway intervention; airway narrowing was more common with cricoid (p = 0.042) and multiple fractures (p = 0.07) and correlated positively with amount of dislocation (p = 0.001) and number of fracture lines (p = 0.006). Surgery was performed for 33%, of which 46% were Schaefer Gr IV and 62% from intentional trauma. Mortality was 1.4%. Conclusions Deliberate and violence-related laryngeal fractures have increased. These often result in more extensive injuries predisposing to compromised airway and requiring surgical intervention and longer treatment. Most fractures are still treated conservatively with good long-term outcomes. An observation period of 24 h is recommended to detect any delayed complications. Mortality remains low.

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Pseudarthroses of the cornu of the thyroid cartilage

Abstract: Pseudarthrosis of the cornu of the thyroid cartilage is a previously undescribed condition. Pseudarthrosis of the laryngeal skeleton should be excluded in patients with odynophagia.

Cited by 5 publications

References 6 publications

Thyroid Cartilage Fracture in Context of Noncompetitive "Horseplay" Wrestling

Thyroid Cartilage Fracture in Context of Noncompetitive "Horseplay" Wrestling

Laryngeal anomalies: Pitfalls in adult forensic autopsies

Changes in occurrence and management of laryngeal fractures at the Helsinki University Hospital during 25 years

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