Emergent Reconstruction of Laryngeal Penetrating Neck Injury: A Case Report

  • 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
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]. 2019Dec.2 [cited 2019Dec.10];34(2):42-6. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/105