A Novel Concept for Surgical Management of a Traumatic Comminuted Cricoid Fracture

xlomafota13 shared this article with you from Inoreader A Novel Concept for Surgical Management of a Traumatic Comminuted Cricoid Fracture Via ear nose throat Ear Nose Throat J. 2021 Sep 1:1455613211040579. doi: 10.1177/01455613211040579. Online ahead of print. ABSTRACT The cricoid plays 2 key roles: phonation and maintenance of the airway frame, both of which are lost in cases of comminuted cricoid fractures. The management of these 2 functions becomes a challenge in planning surgical treatment. We report the treatment course in a case of traumatic comminuted cricoid fracture that was resolved with good airway and phonatory funct ions. A 25-year-old man fell down the stairs and complained of respiratory discomfort and hoarseness of voice. A computed tomography scan showed comminuted cricoid fracture; therefore, surgery was performed to restore the patient's airway and phonation functions. We found that the airway was maintained by the anterior part and that the phonation depended on the posterior part of the cricoid. This novel concept helped clarify the treatment goal in this case of comminuted cricoid fractures. Furthermore, it is important that the anterior part of the cricoid is reconstructed with sufficient internal diameter, while the posterior part of the cricoid is reconstructed in the correct position. PMID:34467797 | DOI:10.1177/01455613211040579 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.