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Journal of the Korean Society of Traumatology 2010;23(1):53-55.
Spontaneously Healed Thyroid Cartilage Fracture with Displacement: Report of a Case
Hyun Ho Ryu, Byung Kook Lee, Kyung Woon Jeung
Department of Emergency Medicine, Chonnam National University Hospital, Gwangju, Korea. oriryu@hanmail.net
전위를 동반한 갑상연골 골절의 자연 치유 치험 1례
류현호∙이병국∙정경운
전남대학교 의과대학 응급의학교실
Abstract
A thyroid cartilage fracture is a rare entity and can be overlooked easily. Such cases are difficult to diagnose, and assessment and treatment guidelines are difficult to determine. CT of the neck region may be useful when acute airway intervention is not required or when more information regarding the neck's anatomy is required for management decisions. We describe a case of a thyroid cartilage fracture with displacement. In the emergency department (ED), neck CT and fiberoptic nasopharyngoscopy were used to assess the status of the patient's (a male) vocal chords immediately. He remained unable to phonate continuously. After an immediate assessment, we decided to use steroid and conservative therapy. The patient had a good recovery and was without symptoms one month after injury. There is no question that early surgical repair of neck injuries affords the best results for airway and voice patency in most cases however, we suspect that surgical repair is not needed in all cases. Early recognition and an accurate therapy plan for a thyroid fracture with displacement are essential. Therefore, the emergency physician's immediate and careful decision based on endoscopy and neck CT is important for the patient's long-term recovery.
Key Words: Thyroid cartilage fracture; Blunt trauma; Laryngeal
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