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Operative Management of Vocal Fold Avulsion Following Pediatric Laryngotracheal Separation. Ear, nose, & throat journal Chang, M. T., Schoppy, D. W., Schoppy, K. K., Sidell, D. R. 2019: 145561319866821

Abstract

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.

View details for DOI 10.1177/0145561319866821

View details for PubMedID 31558058