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Open Trauma to the Larynx by a Stab Wound: A Case Report

Received: 11 September 2024     Accepted: 29 September 2024     Published: 18 October 2024
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Abstract

Introduction: Open laryngeal trauma is rare. Only early and appropriate diagnosis and treatment can preserve or restore the respiratory and phonatory functions of the larynx and prevent the appearance of disabling functional sequelae. Material and method: This was a 50-year-old patient with a history of psychiatric illness, admitted for treatment of a penetrating wound to the neck following an attempted self-lysis with a bladed weapon (knife). On examination, we objectified a conscious patient with a makeshift bandage soiled with blood at the neck. A respiratory murmur was also perceived. Given this picture, the patient was immediately taken in a lying position to the operating room for surgical management. The postoperative course was marked on D13 by a decannulation process and a complete decanution on D15 postoperatively. We proceeded to remove the nasogastric tube on D21. A cure without respiratory or vocal sequelae was obtained on D28 postoperatively. Conclusion: Open trauma is a diagnostic and therapeutic emergency. If unrecognized or poorly managed, it can be life-threatening in the immediate term or cause serious long-term after-effects.

Published in International Journal of Otorhinolaryngology (Volume 10, Issue 2)
DOI 10.11648/j.ijo.20241002.15
Page(s) 69-73
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Trauma, Bladed Weapon, Larynx

References
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[2] Clément P. et al. Surgery of wounds and trauma of the larynx and cervical trachea. EMC-Oto-rhino-laryngologie 2 (2005) 107–118.
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[5] Dehesdin D, Fouin M, Andrieu- Guitrancourt J. Recent external laryngeal trauma. Therapeutic attitude. Cah ORL 1985; 20: 627-632.
[6] PialouxP, PoncetE, FreyssG, GuerrierB, PeynegreR, Peytral C et al. External trauma to the larynx. In: ENT in emergencies. Volume I. Report to the French Society of ENT and Head and Neck Pathology. Paris: Arnette, 1976: 357-382.
[7] Roux O, Junien-Lavillauroy C. How to deal with laryngeal trauma. A report of 25 cases. J Fr ORL 1981; 30: 169-178.
[8] Cherian TA, Rupa V, Raman R. External laryngeal trauma: analysis of thirty cases. J Laryngol Otol 1993; 107: 920-923.
[9] Bouche J, Riu R, Flottes L, Dejean Y, Leden R, Freche CH. Laryngeal trauma and its sequelae. Report to the French ENT Society. Paris: Arnette, 1970.
[10] Miller RH, Duplechain JK. Penetrating wound of the neck. Otolaryngol Clin North Am 1991; 24: 15-29.
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[17] Stiernberg CM, Jahrsdoefer RA, Gillenwater A, Joe SA, Alcalen SV. Gunshot wound to the head and neck. arch Otolaryngol Head Neck Surg 1992; 118: 592-597.
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[19] Schaefer SD. The treatment of acute external laryngeal injuries “State of the art”. arch Otolaryngol Head Neck Surg 1991; 117: 35-39.
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Cite This Article
  • APA Style

    Haidara, A. W., Traore, B., Dembele, M. F., Fofana, A., Dembele, A., et al. (2024). Open Trauma to the Larynx by a Stab Wound: A Case Report. International Journal of Otorhinolaryngology, 10(2), 69-73. https://doi.org/10.11648/j.ijo.20241002.15

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    ACS Style

    Haidara, A. W.; Traore, B.; Dembele, M. F.; Fofana, A.; Dembele, A., et al. Open Trauma to the Larynx by a Stab Wound: A Case Report. Int. J. Otorhinolaryngol. 2024, 10(2), 69-73. doi: 10.11648/j.ijo.20241002.15

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    AMA Style

    Haidara AW, Traore B, Dembele MF, Fofana A, Dembele A, et al. Open Trauma to the Larynx by a Stab Wound: A Case Report. Int J Otorhinolaryngol. 2024;10(2):69-73. doi: 10.11648/j.ijo.20241002.15

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  • @article{10.11648/j.ijo.20241002.15,
      author = {Abdoul Wahab Haidara and Bagouma Traore and Moussa Flantié Dembele and Aminata Fofana and Ali Dembele and Mohamed Saydi Ag Med Elmehdi Elansari and Mariam Sangare and Harouna Sanogo and Mahamadou Doumbia and Boubacar Sanogo and Abdoulaye Traoré and Demba Coulibaly and Oumou Coulibaly and Djibril Samake and Sidiki Dao and Youssouf Sidibe and Kalifa Coulibaly and Boubacary Guindo and Siaka Soumaoro and Hamidou Baba Sacko and Kadiatou Singare and Mohamed Amadou Keita and Fatogoma Issa Kone},
      title = {Open Trauma to the Larynx by a Stab Wound: A Case Report
    },
      journal = {International Journal of Otorhinolaryngology},
      volume = {10},
      number = {2},
      pages = {69-73},
      doi = {10.11648/j.ijo.20241002.15},
      url = {https://doi.org/10.11648/j.ijo.20241002.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20241002.15},
      abstract = {Introduction: Open laryngeal trauma is rare. Only early and appropriate diagnosis and treatment can preserve or restore the respiratory and phonatory functions of the larynx and prevent the appearance of disabling functional sequelae. Material and method: This was a 50-year-old patient with a history of psychiatric illness, admitted for treatment of a penetrating wound to the neck following an attempted self-lysis with a bladed weapon (knife). On examination, we objectified a conscious patient with a makeshift bandage soiled with blood at the neck. A respiratory murmur was also perceived. Given this picture, the patient was immediately taken in a lying position to the operating room for surgical management. The postoperative course was marked on D13 by a decannulation process and a complete decanution on D15 postoperatively. We proceeded to remove the nasogastric tube on D21. A cure without respiratory or vocal sequelae was obtained on D28 postoperatively. Conclusion: Open trauma is a diagnostic and therapeutic emergency. If unrecognized or poorly managed, it can be life-threatening in the immediate term or cause serious long-term after-effects.
    },
     year = {2024}
    }
    

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  • TY  - JOUR
    T1  - Open Trauma to the Larynx by a Stab Wound: A Case Report
    
    AU  - Abdoul Wahab Haidara
    AU  - Bagouma Traore
    AU  - Moussa Flantié Dembele
    AU  - Aminata Fofana
    AU  - Ali Dembele
    AU  - Mohamed Saydi Ag Med Elmehdi Elansari
    AU  - Mariam Sangare
    AU  - Harouna Sanogo
    AU  - Mahamadou Doumbia
    AU  - Boubacar Sanogo
    AU  - Abdoulaye Traoré
    AU  - Demba Coulibaly
    AU  - Oumou Coulibaly
    AU  - Djibril Samake
    AU  - Sidiki Dao
    AU  - Youssouf Sidibe
    AU  - Kalifa Coulibaly
    AU  - Boubacary Guindo
    AU  - Siaka Soumaoro
    AU  - Hamidou Baba Sacko
    AU  - Kadiatou Singare
    AU  - Mohamed Amadou Keita
    AU  - Fatogoma Issa Kone
    Y1  - 2024/10/18
    PY  - 2024
    N1  - https://doi.org/10.11648/j.ijo.20241002.15
    DO  - 10.11648/j.ijo.20241002.15
    T2  - International Journal of Otorhinolaryngology
    JF  - International Journal of Otorhinolaryngology
    JO  - International Journal of Otorhinolaryngology
    SP  - 69
    EP  - 73
    PB  - Science Publishing Group
    SN  - 2472-2413
    UR  - https://doi.org/10.11648/j.ijo.20241002.15
    AB  - Introduction: Open laryngeal trauma is rare. Only early and appropriate diagnosis and treatment can preserve or restore the respiratory and phonatory functions of the larynx and prevent the appearance of disabling functional sequelae. Material and method: This was a 50-year-old patient with a history of psychiatric illness, admitted for treatment of a penetrating wound to the neck following an attempted self-lysis with a bladed weapon (knife). On examination, we objectified a conscious patient with a makeshift bandage soiled with blood at the neck. A respiratory murmur was also perceived. Given this picture, the patient was immediately taken in a lying position to the operating room for surgical management. The postoperative course was marked on D13 by a decannulation process and a complete decanution on D15 postoperatively. We proceeded to remove the nasogastric tube on D21. A cure without respiratory or vocal sequelae was obtained on D28 postoperatively. Conclusion: Open trauma is a diagnostic and therapeutic emergency. If unrecognized or poorly managed, it can be life-threatening in the immediate term or cause serious long-term after-effects.
    
    VL  - 10
    IS  - 2
    ER  - 

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Author Information
  • ENT and Head and Neck Surgery Department, Nianankoro Hospital Fomba, Segou, Mali

  • Anesthesia and Resuscitation Department, Nianankoro Hospital Fomba, Segou, Mali

  • General Surgery Department, Nianankoro Hospital Fomba, Segou, Mali

  • ENT and Head and Neck Surgery Department, Nianankoro Hospital Fomba, Segou, Mali

  • ENT and Head and Neck Surgery Department, Nianankoro Hospital Fomba, Segou, Mali

  • ENT and Head and Neck Surgery Department, Reference Health Center of Commune VI, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Commune II Reference Health Center, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Reference Health Center of Kalaba Coro, Kati, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Mother and Child University Hospital “Le Luxembourg”, Bamako, Mali

  • Anesthesia and Resuscitation Department, Nianankoro Hospital Fomba, Segou, Mali

  • ENT and Head and Neck Surgery Department, Reference Health Center, Koutiala, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Reference Health Center of Commune V, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Municipality IV Reference Health Center, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Mother and Child University Hospital “Le Luxembourg”, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Municipality IV Reference Health Center, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

  • ENT and Head and Neck Surgery Department, Gabriel Touré University Hospital, Bamako, Mali

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