A Case of Laryngeal Injury Suffering from Recurrent Dyspnea

DOI 2 Citations 18 References
  • Komori Masahiro
    Department of Otolaryngology, Ehime University School of Medicine, Ehime
  • Yumoto Eiji
    Department of Otolaryngology, Ehime University School of Medicine, Ehime
  • Hyodo Masamitsu
    Department of Otolaryngology, Ehime University School of Medicine, Ehime
  • Yamagata Takahiko
    Department of Otolaryngology, Ehime University School of Medicine, Ehime

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  • 長期間遷延し治療に難渋した喉頭外傷の1例

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Abstract

A 55 year-old male suffering from recurrent episodes of dyspnea for 15 years due to laryngeal trauma was reported. He underwent emergent tracheostomy after an anterior neck injury caused by traffic accident. Decanulation was not achieved due to dyspnea. Direct laryngoscopic examination revealed severe transglottic stenosis. Laryngofissure was employed for the resection of granulation and scar tissue, followed by T-tube placement for four months. Subsequently various methods of operation were attempted unsuccessfully. Fifteen years after the onset, the sixth direct laryngoscopic examination revealed cicatric stenosis of the posterior glottic area. The scar was excised through a laryngofissure technique, and the mucosal deficit was covered with two free mucosal flaps obtained from the lower lip. Human fibrin glue was applied to fix them locally. One month after the operation his tracheostoma was closed relieving inspiratory difficulty. His clinical course has been uneventful for three years postoperatively. We would like to emphasize the importance of the placement of the epithelial lining to prevent excessive outgrowth of granuration into the laryngeal airway.

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