ISOLATED CRICOID CARTILAGE FRACTURE AFTER BLUNT THORACOCERVICAL TRAUMA: A CASE REPORT
Year 2024,
Volume: 15 Issue: 1, 19 - 22, 29.03.2024
Ahmet Aksoy
,
Kürşat Güreşci
Abstract
ABSTRACT
İntroduction: Although cricoid cartilage fracture is rare because of the firm and stable structure of the cricoid cartilage, it can cause fatal complications. Prompt diagnosis and rapid airway safety are incredibly vital.
Case Report: A 24-year-old male patient was admitted to the emergency department due to blunt trauma to the thoracocervical region. The computed tomography taken after the first interventions detected a displaced fracture of the cricoid cartilage.
Conclusion: In light of the patient's clinical findings, the patient was treated conservatively and non-surgically with close follow-up of the airway safety.
Keywords: Cricoid fracture, subcutaneous emphysema, larynx trauma, thoracocervical blunt trauma, conservative treatment
References
- Buch K, Takumi K, Curtin HD, Sakai O. CT-based assessment of laryngeal fracture patterns and associated soft tissue abnormality. European Radiology. 2021 Jul;31(7):5212-21.
- Masoud N, Shahidi N, Mohammadi F. Epidemiology, clinical presentations and radiologic findings of blunt laryngeal trauma. Medical Journal of Tabriz University of Medical Sciences and Health Services.2020; 42(4) 476-82. doi: 10.34172/MJ.2020.070
- Preston T, Fedok FG. Blunt and penetrating trauma to the larynx and upper airway. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2007;18.(2)140-3.
- Matsuo Y, Yamada T, Hiraoka E. Unique presentation of cricoid cartilage fracture causing intermittent dyspnea without preceding trauma. Nagoya J Med Sci. 2019 Nov;81(4):687-691. doi: 10.18999/nagjms.81.4.687.
- Mehrabi S, Hosseinpour R, Yavari Barhaghtalab MJ. Isolated comminuted fracture of the cricoid cartilage and narrowing of the airway after a traumatic blunt injury of the neck: a case report. Int J Emerg Med. 2022 Oct 5;15(1):55. doi: 10.1186/s12245-022-00459-9.
- Rutty GN. "The Cricoid Cartilage." Essentials of Autopsy Practice: Reviews, Updates and Advances. Springer Cham. 2019: 89-110. doi.org/10.1007/978-3-030-24330-2
- Mathews S, Jain S. Anatomy, Head and Neck, Cricoid Cartilage. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 30969643.
- Kragha KO. Acute traumatic injury of the larynx. Case Rep Otolaryngol. 2015:393978. doi: 10.1155/2015/393978.
- Chitose SI, Sato K, Nakazono H, Fukahori M, Umeno H, Nakashima T. Surgical management for isolated cricoid fracture causing arytenoid immobility. Auris Nasus Larynx. 2014 Apr 1;41(2):225-8.
- Cınar F, Evren C, Ugur MB, Corakcı S, Erdem CZ. Conservative approach to isolated cricoid cartilage fracture. Turkısh Journal of Trauma & Emergency Surgery. 2012;18(6):539-41.
- Oh JH, Min HS, Park TU, Lee SJ, Kim SE. Isolated cricoid fracture associated with blunt neck trauma. Emergency Medicine Journal. 2007 Jul 1;24(7):505-6.
- Falcone TE, Schwartz MA, Lee AS, Anderson TD. Conservative Treatment of Isolated Cricoid Cartilage Fractures From Blunt Trauma. JAMA Otolaryngology–Head & Neck Surgery. 2017 Jun 1;143(6):633-4.
Year 2024,
Volume: 15 Issue: 1, 19 - 22, 29.03.2024
Ahmet Aksoy
,
Kürşat Güreşci
References
- Buch K, Takumi K, Curtin HD, Sakai O. CT-based assessment of laryngeal fracture patterns and associated soft tissue abnormality. European Radiology. 2021 Jul;31(7):5212-21.
- Masoud N, Shahidi N, Mohammadi F. Epidemiology, clinical presentations and radiologic findings of blunt laryngeal trauma. Medical Journal of Tabriz University of Medical Sciences and Health Services.2020; 42(4) 476-82. doi: 10.34172/MJ.2020.070
- Preston T, Fedok FG. Blunt and penetrating trauma to the larynx and upper airway. Operative Techniques in Otolaryngology-Head and Neck Surgery. 2007;18.(2)140-3.
- Matsuo Y, Yamada T, Hiraoka E. Unique presentation of cricoid cartilage fracture causing intermittent dyspnea without preceding trauma. Nagoya J Med Sci. 2019 Nov;81(4):687-691. doi: 10.18999/nagjms.81.4.687.
- Mehrabi S, Hosseinpour R, Yavari Barhaghtalab MJ. Isolated comminuted fracture of the cricoid cartilage and narrowing of the airway after a traumatic blunt injury of the neck: a case report. Int J Emerg Med. 2022 Oct 5;15(1):55. doi: 10.1186/s12245-022-00459-9.
- Rutty GN. "The Cricoid Cartilage." Essentials of Autopsy Practice: Reviews, Updates and Advances. Springer Cham. 2019: 89-110. doi.org/10.1007/978-3-030-24330-2
- Mathews S, Jain S. Anatomy, Head and Neck, Cricoid Cartilage. 2023 Aug 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan–. PMID: 30969643.
- Kragha KO. Acute traumatic injury of the larynx. Case Rep Otolaryngol. 2015:393978. doi: 10.1155/2015/393978.
- Chitose SI, Sato K, Nakazono H, Fukahori M, Umeno H, Nakashima T. Surgical management for isolated cricoid fracture causing arytenoid immobility. Auris Nasus Larynx. 2014 Apr 1;41(2):225-8.
- Cınar F, Evren C, Ugur MB, Corakcı S, Erdem CZ. Conservative approach to isolated cricoid cartilage fracture. Turkısh Journal of Trauma & Emergency Surgery. 2012;18(6):539-41.
- Oh JH, Min HS, Park TU, Lee SJ, Kim SE. Isolated cricoid fracture associated with blunt neck trauma. Emergency Medicine Journal. 2007 Jul 1;24(7):505-6.
- Falcone TE, Schwartz MA, Lee AS, Anderson TD. Conservative Treatment of Isolated Cricoid Cartilage Fractures From Blunt Trauma. JAMA Otolaryngology–Head & Neck Surgery. 2017 Jun 1;143(6):633-4.