Surgical management for isolated cricoid fracture causing arytenoid immobility

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

“…In various case reports, there are cases in which airway safety was provided by emergent tracheotomy, tracheostomy, or cricotracheostomy after the first diagnosis. Still, there are cases where initial airway safety was achieved with orotracheal intubation (8)(9)(10). In this study, orotracheal intubation was preferred first to ensure airway safety.…”

“…In cricoid fractures, tracheotomy is the preferred method primarily to protect the airway. Still, after the airway stabilization, there are various methods, from the conservative close follow-up to follow-up with tracheostomy or surgical restoration (8)(9)(10). In this case, the patient with an isolated cricoid fracture was treated conservatively without sequelae.…”

Conservative Treatment of Isolated Cricoid Cartilage Fractures From Blunt Trauma

“…They conclude that all but the most mild trauma, as evidenced by minor vocal fold edema, hematoma, or nondisplaced cartilage, be treated with a surgical approach ranging from intubation to panendoscopy, neck exploration, and tracheostomy . Regarding isolated cricoid cartilage fractures, the literature reports that surgical intervention is typically required …”

Open Laryngeal Fracture: A Case Report and Review of the Literature

“…On the contrary, fractures of the larynx are more likely to be ''open'' internally, where the defect may be through the mucosa rather than the skin, and therefore missed 307 by external examination alone. These injuries may ultimately require endoscopic or open repair, or tracheotomy (16).…”

“…These are make use of miniplates, wire or primary suturation for reconstruction of the laryngeal skeleton (14,16,17). We preferred to use primary suturation because there are some reports about fibrous healing especially with wire usage.…”