喉頭外傷の2例

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タイトル別名
  • Two Cases of Laryngeal Injury
  • コウトウ ガイショウ ノ 2レイ

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Two cases of laryngeal injury were reported. One case was a man aged 58, who had been nearly strangulated, when a vinyl rope hanging from a driving truck coiled around his neck accidentally. Operation was done under the emergency tracheotomy, and cervical contusion and rupture of hypopharyngeal wall with a moderate amount of bleeding were success fully treated. However, stenosis of the food passage remained persistently and gastrotomy was done. 2nd operation revealed partial fracture of the left inferior corn of thyroid cartilage and posterior dislocation of cricoid cartilage, which were completely repaired. He was discharged 87 days after the admission, with slight hoarseness.<BR>Another case was a man aged 18, who fell into a ditch with a motor cycle on full drive and was injured at the anterior portion of the neck. Five months after this injury, when he was transferred to our clinic, he was tracheotomized and had gastric fistula, not able to speak any word nor swallow any food. Reconstructive operation revealed the complete obstruction of larynx and esophagus, because epiglottis was almost completely torn off and adhered closely with the hypopharyngeal mucosa. After removal of epiglottis, the larynx was sutured with the base of the tongue including hyoid bone. He was discharged 338 days after the admission to our clinic, having good phonation but a slight difficulty in swallowing liquid food.

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