TY - JOUR AU - Pecolera, Ruthlyn AU - Onofre-Telan, Rubiliza PY - 2019/12/02 Y2 - 2024/03/28 TI - Emergent Reconstruction of Laryngeal Penetrating Neck Injury: A Case Report JF - Philippine Journal of Otolaryngology Head and Neck Surgery JA - Philipp J Otolaryngol Head Neck Surg VL - 34 IS - 2 SE - Case Reports DO - 10.32412/pjohns.v34i2.105 UR - https://pjohns.pso-hns.org/index.php/pjohns/article/view/105 SP - 42-46 AB - <p><strong>Objective:</strong> This paper aims to describe an unconventional surgical procedure performed in a case of penetrating neck injury involving the larynx.</p><p><strong>Methods:</strong></p><p><strong>Design:</strong> Case Report</p><p><strong>Setting:</strong> Tertiary Government Hospital</p><p><strong>Population:</strong> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; One</p><p><strong>Results:</strong> 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.</p><p><strong>Conclusion:</strong>&nbsp; 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.</p><p><strong>Keywords: </strong>&nbsp;<em>l</em><em>arynx; penetrating neck injury; vocal cord; reconstruction, neck exploration</em></p> ER -