Operative Management of Vocal Fold Avulsion Following Pediatric Laryngotracheal Separation

Laryngotracheal disruption in children is rare but life-threatening, and endolaryngeal injuries may go overlooked. We present the case of a 10-year-old boy who sustained near-complete laryngotracheal separation, multiple laryngeal fractures, and arytenoid and vocal fold avulsion following blunt cerv...

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Bibliographic Details
Published inEar, nose, & throat journal Vol. 100; no. 4; pp. NP185 - NP188
Main Authors Chang, Michael T., Schoppy, David W., Schoppy, Krista K., Sidell, Douglas R.
Format Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.05.2021
SAGE PUBLICATIONS, INC
Subjects
Larynx
Otolaryngology
Pediatrics
Surgical techniques
Throat
Throat surgery
voice
airway stenosis/reconstruction
swallowing/dysphagia
pediatric airway (non-sleep) trachea
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Summary:Laryngotracheal disruption in children is rare but life-threatening, and endolaryngeal injuries may go overlooked. We present the case of a 10-year-old boy who sustained near-complete laryngotracheal separation, multiple laryngeal fractures, and arytenoid and vocal fold avulsion following blunt cervical trauma. These injuries were not identified radiographically and only became apparent intraoperatively. Following surgical repair, the patient was successfully decannulated, eating a normal diet, and had a serviceable speaking voice within 2 months. In children, the diagnosis of severe endolaryngeal injuries may be elusive and therefore require high degree of clinical suspicion. Surgical success requires accurate diagnosis and prompt intervention.
Bibliography:ObjectType-Case Study-2
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ISSN:0145-5613
1942-7522
DOI:10.1177/0145561319866821