J Trauma Inj.
2022 Dec;35(4):282-286. 10.20408/jti.2021.0071.
A case report of complete cricotracheal separation: an experience from the east coast of Malaysia
- Affiliations
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- 1Department of Otorhinolaryngology, Head and Neck Surgery, Sultan Ahmad Shah Medical Centre, International Islamic University Malaysia, Kuantan, Malaysia
- 2Department of Otorhinolaryngology, Head and Neck Surgery, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia
- KMID: 2540373
- DOI: http://doi.org/10.20408/jti.2021.0071
Abstract
- Complete cricotracheal separation, which is the most severe type of laryngeal trauma, is an uncommonly seen injury that clinicians have limited experience in managing. However, it is potentially fatal. Due to limited exposure to this condition, mismanagement can occur, which may further aggravate the patient’s condition. The most crucial part of managing this injury is to establish a secure airway. Tracheostomy under local anesthesia is the preferred method of airway stabilization, in order to avoid further injuries to the airway caused by endotracheal intubation. Here, we discuss the management of complete cricotracheal separation based on a case experienced in the east coast region of Malaysia, where this type of injury is rarely encountered.
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