Qiu ZH, Zeng J, Zuo Q, Liu ZQ. External penetrating laryngeal trauma caused by a metal fragment: A Case Report. World J Clin Cases 2022; 10(4): 1394-1400 [PMID: 35211575 DOI: 10.12998/wjcc.v10.i4.1394]
Corresponding Author of This Article
Zhong-Qi Liu, MD, Chief Doctor, Professor, Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, No. 49 North Huayuan Road, Haidian District, Beijing 100191, China. zhongqiliu@126.com
Research Domain of This Article
Otorhinolaryngology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Feb 6, 2022; 10(4): 1394-1400 Published online Feb 6, 2022. doi: 10.12998/wjcc.v10.i4.1394
External penetrating laryngeal trauma caused by a metal fragment: A Case Report
Zi-Han Qiu, Jin Zeng, Qiang Zuo, Zhong-Qi Liu
Zi-Han Qiu, Department of Otolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Shantou University Medical College, Shantou 515041, Guangdong Province, China
Jin Zeng, Qiang Zuo, Zhong-Qi Liu, Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, Beijing 100191, China
Author contributions: Qiu ZH, Zeng J and Liu ZQ conceived the study and carried out the clinical research; Qiu ZH drafted the manuscript; Qiu ZH, Zeng J and Liu ZQ participated in the design of the manuscript; all authors participated in revision of the manuscript and figure; all authors have read and approved the final manuscript.
Informed consent statement: The patient provided written informed consent for publication of this case report and accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Zhong-Qi Liu, MD, Chief Doctor, Professor, Department of Otolaryngology Head and Neck Surgery, Peking University Third Hospital, No. 49 North Huayuan Road, Haidian District, Beijing 100191, China. zhongqiliu@126.com
Received: September 5, 2021 Peer-review started: September 5, 2021 First decision: December 1, 2021 Revised: December 8, 2021 Accepted: December 23, 2021 Article in press: December 23, 2021 Published online: February 6, 2022
Abstract
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.
Core Tip: External penetrating laryngeal trauma is rare, and is associated with a high mortality rate. We report a 58-year-old male worker with a penetrating injury to the left neck caused by a metal fragment. The patient underwent tracheotomy, neck exploration, extraction of the neck foreign body, debridement and repair of the thyroid cartilage with titanium miniplates and endolaryngeal stenting. The patient recovered well and his voice rapidly improved. The good recovery of this patient highlights the importance of early laryngeal reconstruction and management by interdisciplinary cooperation.
