Laryngeal Trauma with Phrenic Nerve Injury: A Rare Association
| Autor: | Noor Dina Hashim, Mohd Razif Mohamad Yunus, Marina Mat Baki |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: | |
| Zdroj: | Philippine Journal of Otolaryngology Head and Neck Surgery, Vol 25, Iss 2 (2010) |
| Druh dokumentu: | article |
| ISSN: | 1908-4889 2094-1501 |
| DOI: | 10.32412/pjohns.v25i2.633 |
| Popis: | Objective: To share our experience in managing a rare involvement of phrenic nerve injury in laryngeal trauma Methods: Study Design: Case report Setting: Tertiary Referral Centre Patient: One Results: A 23-year-old male sustained blunt laryngeal trauma associated with phrenic nerve injury leading to silent traumatic diaphragmatic paralysis. He underwent tracheotomy and surgical repair of Schaeffer class IV laryngeal injuries, and conservative therapy for the diaphragmatic paralysis, which eventually resolved. Conclusion: Patients with laryngeal trauma may have concomitant phrenic nerve injury causing diaphragmatic paralysis. The diagnosis should be considered particularly if the patient has respiratory problems despite securing the airway by tracheotomy. A high index of suspicion is required in diagnosing such an association. Patients should be closely monitored even though most will recover, as some may present with later morbidities. A search of PubMed and OvidSP using the terms “larynx,” “laryngeal trauma” and “phrenic nerve” did not yield any report of phrenic nerve injury in association with laryngeal trauma. To our knowledge, this is may be the first reported case of phrenic nerve injury in association with blunt laryngeal trauma. Keywords: larynx, trauma, phrenic nerve |
| Databáze: | Directory of Open Access Journals |
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