■非创伤性破裂或其他喉部损伤是非常罕见的疾病。根据已发布的系列,据报道,只有15例喉部受伤。尽管非创伤性喉骨折很少见,重要的是阐明对这种紧急情况患者的适当管理。这项研究的目的是证明临床表现的特征,考试,并手术治疗一例甲状腺软骨自发性纵裂。
方法:一名54岁的男性患者主要表现为颈部前表面疼痛,体力消耗时吞咽困难和呼吸困难,颈部前表面的皮肤充血,还有皮下气肿的存在.症状发作后20小时,患者报告在体力消耗期间出现呼吸困难,病人走到医院。计算机断层扫描显示甲状软骨纵向破裂,颈部肺气肿,和空气在前上纵隔的存在。通过缝合以及使用胸锁乳突肌进行肌成形术来治疗甲状腺软骨破裂的缺损。
■我们的病例报告与其他人一致,显示甲状腺软骨自发破裂的患者是手术急症。我们以前没有提出过使用肌成形术的方法。
结论:本病例报告增加了关于自发性破裂和甲状软骨破裂等罕见疾病的证据和知识。应用具有胸锁乳突肌皮瓣的肌成形术技术是有用的,确保受损区域的可靠密封,降低故障风险,和炎症并发症,并在术后期间支持颈部功能。
UNASSIGNED: Non-traumatic rupture or other injuries to the larynx are very rare disorder. According to the published series, there are only 15 cases reported with such kind of injury to the larynx. Despite the rarity of the non-traumatic larynx fracture, it is important to elucidate adequate management for the patients with such emergency. The aim of the study is to demonstrate the features of clinical manifestations, examination, and surgical treatment of a
case of spontaneous longitudinal rupture of the thyroid cartilage.
METHODS: A 54-year-old male patient presented with chief complaints of pain in the front surface of the neck, difficulty swallowing and breathing during physical exertion, hyperemia of the skin on the front surface of the neck, and the presence of subcutaneous emphysema. 20 h after the onset of the symptoms, the patient reported breathing difficulties that appeared during physical exertion, and the patient walked to the hospital. Computed tomography revealed a longitudinal rupture of the thyroid cartilage, emphysema of the neck, and the presence of air in the anterior-upper mediastinum. The defect of the ruptured thyroid cartilage was treated by suturing as well as by myoplasty using sternocleidomastoid muscle.
UNASSIGNED: Our
case report is in line with others, showing that patient with spontaneous rupture of the thyroid cartilage is the surgical emergency. Our approach of using myoplasty was not presented before.
CONCLUSIONS: This
case report adds evidence and knowledge about such rare disorders as spontaneous rupture the thyroid cartilage rupture. It is useful to apply the technique of myoplasty with sternocleidomastoid muscle flaps, ensuring reliable sealing of the damaged area reducing the risk of failure, and inflammatory complications, and supporting neck functions in the postoperative period.