Fractura traumática de hioides

  1. Pablo Santos Gorjón
  2. Eva María Mingo Sánchez
  3. Elena Sánchez Terradillos
  4. Juan Luis Sánchez Jara Sánchez
  5. Gonzalo Martín Hernández
Aldizkaria:
Revista ORL

ISSN: 2444-7986,  2444-7986

Argitalpen urtea: 2015

Alea: 6

Orrialdeak: 171-176

Mota: Artikulua

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Beste argitalpen batzuk: Revista ORL

Laburpena

Hyoid bone fracture is a rare entity. A conservative treatment is usually the correct one, and only if there are complications we must operate on the patient. The objective is to show that cervical traumatism is an entity that must be analyzed by head and neck surgeon if dysphonia, dysphagia or dyspnea. Material and methods: We introduce a female patient who suffered a cycle drop. She explained that just before the drop, she had an intense cervical pain and dysphonia. We confirmed that there was not any subcutaneous emphysema and that she didn’t had dyspnea or any other complication. Nasofibroscopy confirmed integrity of upper airways. A radiography was made and it confirmed the fracture bone tract on hyoid bone. Results: CT excluded subcutaneous or mediastinum emphysema and confirmed the hyoid bone fracture. Corticoid treatment was started and no complications were observed. Discussion: In high energy trauma like traffic, cold steel injury, or violent cervical hyperextension, sudden deglution movements or vomiting or cardiac pulmonary recovery, a fracture of the hyoid bone may happen. In radiological exam an elevation of hyoid bone is showed as a disruption of cricotracheal membrane. Usually, hyoid bone body is affected and may associate pharyngeal lacerations, epiglotic avulsion or arytenoid luxation. Dysphagia should lead to glossopharyngeal or retropharyngeal hematoma. Early diagnosis may be an alarm symptom of the need of a chirurgical approach (suprasternal cervicotomy or tracheostomy, thoracotomy…). Conclusion: Frequently, waiting is the best attitude. Prognosis is marked by central nervous and pulmonary damage, acute recurrence palsy and airway rupture.

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