A case of laryngeal injury.

概要

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A 57-year-old man who sustained a contusion on his anterior neck in a traffic accident is reported. Emergency tracheostomy was performed but laryngeal stenosis occurred three weeks later. Two months after that traffic accident, reconstruction of larynx was done. A laryngofissure was made, an adhesive vocal cord was dissected, and the mucous membrane of the nasal septum was transplanted as a free graft to the defective portion of the mucous membrane of the vocal cord. An open wound formed on the anterior neck and a silicone sponge was used as a core mold.Four months after operation the open wound was closed and the right 8th rib cartilage was used as a framework. He was intubated with a T-tube for six months after closure of the open wound. One year after the traffic mishap the tracheostoma was closed as movement of the vocal cord improved and no misswallowing was seen.
耳鼻咽喉科臨床学会の論文