Successful management of an unstable paediatric laryngeal injury in a low-resource setting

Author:

Watts E1,Little L1,Bewick J2,Chin JWE13ORCID,Jonas N2

Affiliation:

1. Department of Surgery, Hopitaly Vaovao Mahafaly (The Good News Hospital), Mandritsara, Madagascar

2. Department of Paediatric Otolaryngology, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK

3. Department of Anaesthesia, Cambridge University Hospital NHS Foundation Trust, Cambridge, UK

Abstract

Laryngeal injury is rare but has a very high mortality rate. Compared to adults, laryngeal injury in children is more uncommon due to both behavioural and anatomical reasons. Severe laryngeal injury may require surgical repair, intensive care support and tracheostomy care, all of which are difficult to achieve in a low resource setting. We report a case of successful management of laryngeal trauma in a child involving an emergency tracheostomy insertion, open repair of thyroid cartilage fracture, tracheal stenting and successful decannulation after 8 weeks post-injury with full recovery.

Publisher

SAGE Publications

Subject

Infectious Diseases,Public Health, Environmental and Occupational Health

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