Emergent Reconstruction of Laryngeal Penetrating Neck Injury: A Case Report

Authors

  • Ruthlyn S. Pecolera Department of Otorhinolaryngology-Head and Neck Surgery East Avenue Medical Center
  • Rubiliza DC. Onofre-Telan Department of Otorhinolaryngology-Head and Neck Surgery East Avenue Medical Center https://orcid.org/0000-0003-2031-638X

DOI:

https://doi.org/10.32412/pjohns.v34i2.105

Keywords:

larynx, penetrating neck injury, vocal cord, reconstruction, neck exploration

Abstract

Objective: This paper aims to describe an unconventional surgical procedure performed in a case of penetrating neck injury involving the larynx.

Methods:

Design: Case Report

Setting: Tertiary Government Hospital

Population:          One

Results: A 38-year-old man sustained a hacking laceration to the anterior neck that extended into the hypopharyngeal area, transecting the thyroid cartilage. After pre-emptive tracheostomy, the patient was referred to otorhinolaryngology – head and neck surgery due to the extensive hypopharyngeal injury. Neck exploration performed to control bleeders confirmed a Schaefer-Fuhrman Classification Group 3 penetrating neck injury. Anastomotic reconstruction of the hypopharynx, transected thyroid cartilage and strap muscles was attempted using absorbable sutures with post-operative re-establishment of structural continuity and documentation of full bilateral vocal fold mobility. The patient was about to be discharged home with a tracheotomy and nasogastric tube when he suddenly deteriorated and expired on the eighth post-operative day.

Conclusion:  Our technique might be utilized in cases where urgent reconstruction of laryngeal structures is considered despite serious damage to the laryngeal skeleton, and may provide a temporary surgical option for similar cases in an emergent setting. However, we cannot recommend it as a routine standard on the basis of one case.

Keywords:  larynx; penetrating neck injury; vocal cord; reconstruction, neck exploration

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Published

2019-12-02

How to Cite

1.
Pecolera R, Onofre-Telan R. Emergent Reconstruction of Laryngeal Penetrating Neck Injury: A Case Report. Philipp J Otolaryngol Head Neck Surg [Internet]. 2019 Dec. 2 [cited 2024 Nov. 2];34(2):42-6. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/105

Issue

Vol. 34 No. 2 (2019): Philippine Journal of Otolaryngology Head and Neck Surgery

Section

Case Reports

License

Copyright transfer (all authors; where the work is not protected by a copyright act e.g. US federal employment at the time of manuscript preparation, and there is no copyright of which ownership can be transferred, a separate statement is hereby submitted by each concerned author). In consideration of the action taken by the Philippine Journal of Otolaryngology Head and Neck Surgery in reviewing and editing this manuscript, I hereby assign, transfer and convey all rights, title and interest in the work, including copyright ownership, to the Philippine Society of Otolaryngology Head and Neck Surgery, Inc. (PSOHNS) in the event that this work is published by the PSOHNS. In making this assignment of ownership, I understand that all accepted manuscripts become the permanent property of the PSOHNS and may not be published elsewhere without written permission from the PSOHNS unless shared under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license.