Citation

Banerjee AS, Shaaban AM, Gibson D, Dilkes MG. Indian J. Otolaryngol. 2005; 57(3): 260-261.

Copyright

(Copyright © 2005, Assn. of Otalaryngologists of India)

DOI

unavailable

PMID

unavailable

Abstract

Self-inflicted laryngeal injuries are rare. This is a case of attempted suicide with a knife. The patient was brought into A&E and initial attempts at repair of the laryngo-skeletal structures were performed. Later it became evident that the patient had an insensate hypofunctioning larynx. We present a technique aimed at rehabilitating the poorly functioning, incompetent larynx without the necessity for a permanent tracheostomy or laryngectomy. A single surgical procedure combining a cricopharyngeal myotomy, an anterior hyoid suspension and vocal fold augmentations was performed in an attempt to avoid a laryngectomy in non-malignant pathology. The long-term results of this surgery would need to be subjected to further evaluation.

Language: en

Keywords

adult; human; male; case report; suicide attempt; treatment outcome; hyoid bone; article; larynx disorder; voice; automutilation; speech therapy; long term care; stent; larynx; aspiration pneumonia; larynx injury; knife cut; tracheostomy; Anterior hyoid suspension; Aspiration; Cricopharyngeal myotomy; cricopharyngeus muscle; Laryngeal injury; laryngectomy; laryngoplasty; myotomy; trachea injury; vocal cord