The management of laryngeal fractures using internal fixation

Laryngoscope. 2000 Dec;110(12):2143-6. doi: 10.1097/00005537-200012000-00032.

Abstract

Background: Laryngeal fracture is a rare injury with the potential to affect all functions of the larynx. Restoration of the laryngeal framework is critical for the rehabilitation of laryngeal function.

Objective: To ascertain the efficacy of adaptation plate fixation (APF) to repair the laryngeal skeleton.

Study design: Retrospective review of the clinical data of all patients who underwent APF of laryngeal fractures from January 1989 to September 1999.

Results: Our series consisted of 16 men and 4 women presenting with laryngeal fractures caused by blunt (n = 16) or penetrating (n = 4) trauma. Most of these patients presented with severe fractures classified as category III (n = 6), IV (n = 10), or V (n = 1), according to the Schaefer-Fuhrman classification. All patients who required a tracheotomy (n = 13) were de-cannulated. Nineteen of the 20 patients recovered a social voice. The exception was a patient with aphasia secondary to head trauma No patient had aspiration problems. We encountered no complication associated with the use of APF.

Conclusion: APF is an effective and well-tolerated method to repair laryngeal fractures.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Female
  • Fractures, Bone / surgery*
  • Humans
  • Larynx / injuries*
  • Male
  • Middle Aged
  • Retrospective Studies
  • Wounds, Nonpenetrating / surgery
  • Wounds, Penetrating / surgery