Management Of Penetrating Incision Wounds In The Larynx

Abstract

Background: Laryngeal trauma is rare. This case report discusses rare cases of penetrating incision wounds to the larynx
with a psychiatric history that have successfully undergone 3.0 mm reconstruction and reconstructive surgical management.
Case: A male patient, 34 years old, with a history of controlled mental disorders, came in with a cut wound to the neck
through the larynx. From local state, open incision wounds with flat edges 18 cm long, wound width 3 cm, depth 8 cm, and
active bleeding. The patient is planning tracheotomy and laryngeal reconstruction. Tracheotomy is performed by intubation
through an open incision wound. Reconstruction is performed by splicing the inferior epiglottis tissue using absorbable thread
size 3.0, followed by the closure of cartilage tissue and the posterior cricoarytenoid muscle. Furthermore, the splicing of m.
platysma, m. sternohyoid, m. omohyoid, and m. The thyrohyoid was cut with an absorbable suture of 3.0 mm. Skin closure
is done with simple suture stitches with non-absorbable thread size 3.0. Postoperative evaluation on day 8 showed that the
results of the slippery epiglottis FOL examination did not reveal crusty suture areas, an airy airway, symmetrical vocal cord
movements, edema in the posterior commissure, arytenoids, and left ventricular plica. Evaluation two weeks after
reconstruction revealed that the neck surgery wound was dry and closed, the stoma from the tracheotomy had closed, and
there were no complaints of difficulty swallowing. Consequently, the Naso Gastric Tube was released.
Conclusion: Laryngeal reconstruction surgery on penetrating incision wounds on the larynx has been successfully performed
with good results without any side effects.