Isolated Thyroid Cartilage Fracture Caused by Neck Hyperextension During Motor Vehicle Accident with Atypical Neck Pain (Case Report)
DOI:
https://doi.org/10.17986/blm.1594Keywords:
Tiroid kıkırdak fraktürü, trafik kazası, adli tıpAbstract
Traffic accidents are one of the most important traumas that cause injuries to the laryngotracheal skeletal system. These injuries can vary from simple fracture of the thyroid cartilage to cartilage slips, cartilage defects, intralaryngeal tears or laryngotracheal separation. A forty-four-yearold male, hit the another vehicle from behind with his car and was injured when the airbag hit his chest wall. In the case who described atypical neck pain, radiological fracture was detected in the right upper horn of the thyroid cartilage due to hyperextension of the neck. Our case warns us that the atypical complaints are due to an important medical injury such as thyroid cartilage fracture. In addition the formation of the fracture as a result of indirect trauma and hyperextension of the neck was found interesting because it is less common than fractures due to hyperflexion of the neck described in the literature and presented with radiological findings.
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Glikson E, Sagiv D, Eyal A, Wolf M, Fever AP. The anatomical evolution of the thyroid cartilage from childhood to adulthood: A computed tomography evaluation. Laryngoscope 00:000-000, 2017. https://doi.org/10.1002/lary.26644 DOI: https://doi.org/10.1002/lary.26644
Knight B. Fatal pressure on the neck. In: Knight B, editor. Forensic Pathology. London: Arnold; 1996. p. 361–85.
Naimo P, O'Donnell C, Bassed R, Briggs C. The use of computed tomography in determining developmental changes, anomalies, and trauma of the thyroid cartilage. Forensic Sci Med Pathol (2013) 9:377-85. https://doi.org/10.1007/s12024-013-9457-z DOI: https://doi.org/10.1007/s12024-013-9457-z
Türk Ceza Kanunu’nda Tanımlanan Yaralama Suçlarının Adli Tıp Açısından Değerlendirilmesi Rehberi 2019;8-12.
Yen PT, Lee HY, Tsai MH, Chan ST, Huang TS. Clinical analysis of external laryngeal trauma. J. Laryngol Otol 1994;108(3):221-5. https://doi.org/10.1017/S0022215100126349 DOI: https://doi.org/10.1017/S0022215100126349
O’Mara W, Hebert AF. External laryngeal trauma. J La State Med Soc 2000 (May);152(5):218-22.
Jewett BS, Shockley WW, Rutledge R. External laryngeal trauma analysis of 392 patients. Arch Otolaryngol Head Neck Surg 1999;125:877-80. https://doi.org/10.1001/archotol.125.8.877 DOI: https://doi.org/10.1001/archotol.125.8.877
Fuhrman GM, Stieg FH 3rd, Buerk CA. Blunt laryngeal trauma: classification and management protocol. J Trauma 1990(Jan);30(1):87-92.
https://doi.org/10.1097/00005373-199001000-00014 DOI: https://doi.org/10.1097/00005373-199001000-00014
Schild JA, Denneny EC. Evaluation and treatment of acute larengeal fractures. Head Neck 1989;11(6):491-6. https://doi.org/10.1002/hed.2880110603 DOI: https://doi.org/10.1002/hed.2880110603
Stanley RB Jr. Value of computed tomography in management of acute laryngeal injury. J Trauma 1984;24:359-62.https://doi.org/10.1097/00005373-198404000-00015 DOI: https://doi.org/10.1097/00005373-198404000-00015
Fincancı ŞK. Trafik kazalarında ortaya çıkan adli tıp sorunları. Adli Tıp Bülteni 1996;1:26-8.
Polat O. Adli travmatolojide trafik kazalarına genel bakış. Adli Tıp Bülteni 1996;1:18-25.
Khalid N, Bilal M, Umer M. Non-Traumatic Laryngeal Fractures: A Systematic Review.
Turk Arch Otorhinolaryngol 2021 (Mar);59(1):65-75. https://doi.org/10.4274/tao.2020.6093. DOI: https://doi.org/10.4274/tao.2020.6093
Ateş MS, Turhal G, Aysel A, Durusoy D, Öztürk K. A Case with Thyroid Cartilage Fracture after Sneezing. Turk Arch Otorhinolaryngol 2020 (Sep);58(3):197-9. https://doi.org/ 10.5152/tao.2020.5306. DOI: https://doi.org/10.5152/tao.2020.5306
Hsing-Lin Lin et al. Neck hyperflexion causing isolated thyroid cartilage fracture – a case report. American Journal of Emergency Medicine 2008;26: 1064e1-1064e3. https://doi.org/10.1016/j.ajem.2008.02.030 DOI: https://doi.org/10.1016/j.ajem.2008.02.030
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