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Emergent Reconstruction of Laryngeal Penetrating Neck Injury: A Case Report.


Ruthlyn S. Pecolera,
Rubiliza D. OnofreTelan

Related Institution

Department of Otorhinolaryngology - Head and Neck Surgery - East Avenue Medical Center

Publication Information

Publication Type
Publication Sub Type
Case report
Philippine Journal of Otolaryngology Head and Neck Surgery
Publication Date
July-December 2019


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


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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