Laryngeal Trauma with Phrenic Nerve Injury: A Rare Association

Authors

  • Noor Dina Hashim Department of Otorhinolaryngology Universiti Kebangsaan Malaysia Medical Centre
  • Mohd Razif Mohamad Yunus Department of Otorhinolaryngology Universiti Kebangsaan Malaysia Medical Centre
  • Marina Mat Baki Department of Otorhinolaryngology Universiti Kebangsaan Malaysia Medical Centre

DOI:

https://doi.org/10.32412/pjohns.v25i2.633

Keywords:

larynx, trauma, phrenic nerve

Abstract

Objective: To share our experience in managing a rare involvement of phrenic nerve injury in laryngeal trauma

Methods:

            Study Design: Case report

            Setting: Tertiary Referral Centre

            Patient: One

Results: A 23-year-old male sustained blunt laryngeal trauma associated with phrenic nerve injury leading to silent traumatic diaphragmatic paralysis. He underwent tracheotomy and surgical repair of Schaeffer class IV laryngeal injuries, and conservative therapy for the diaphragmatic paralysis, which eventually resolved.

Conclusion: Patients with laryngeal trauma may have concomitant phrenic nerve injury causing diaphragmatic paralysis. The diagnosis should be considered particularly if the patient has respiratory problems despite securing the airway by tracheotomy. A high index of suspicion is required in diagnosing such an association. Patients should be closely monitored even though most will recover, as some may present with later morbidities. A search of PubMed and OvidSP using the terms “larynx,” “laryngeal trauma” and “phrenic nerve” did not yield any report of phrenic nerve injury in association with laryngeal trauma. To our knowledge, this is may be the first reported case of phrenic nerve injury in association with blunt laryngeal trauma. 

Keywords: larynx, trauma, phrenic nerve

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Published

2010-12-03

How to Cite

1.
Hashim ND, Yunus MRM, Baki MM. Laryngeal Trauma with Phrenic Nerve Injury: A Rare Association. Philipp J Otolaryngol Head Neck Surg [Internet]. 2010 Dec. 3 [cited 2024 Jun. 23];25(2):39-41. Available from: https://pjohns.pso-hns.org/index.php/pjohns/article/view/633

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