Künt Travmaya Sekonder Rekürren Laringeal Sinir Yaralanması; Nadir Bir Vaka

Travma sonrası rekürren laringeal sinir (RLN) hasarı nadiren görülür. Travma, penetran veya künt yaralanma olabilir. Akut olayı takiben, en yaygın bulgu ses kısıklığıdır. Burada künt travma sonrası fark edilen rekürren laringeal sinir hasarı olgusunu sunuyoruz. İndirekt laringoskopi, vokal kord paralizisinin belirlenmesine ve teşhis edilmesine yardımcı olurken, Bilgisayarlı Tomografi (BT), yaralanmanın boyutunu değerlendirmek ve yaralanmanın birincil nedenini tanımlamak için yardımcı olur. Hasta morbiditesi hızlı teşhis ve yönetim ile azaltılabilir.

Recurrent Laryngeal Nerve Injury Secondary to Blunt Trauma; A Rarity

Recurrent laryngeal nerve (RLN) injury is rarely seen following trauma. Traumacan be penetrating or blunt injury. Following the acute event, the mostcommon presentation is hoarseness of voice. Herein we present a case ofrecurrent laryngeal nerve injury noticed after a blunt trauma. Indirectlaryngoscopy helps to identify and diagnose vocal cord palsy while ComputedTomography (CT) scan of neck helps to evaluate the extent of injury as well asto identify the primary cause of the injury. Patient morbidity can be reducedwith prompt diagnosis and management.

PDF

___

Lynch J, Parameswaran R, Management of unilateral recurrent laryngeal nerve injury after thyroid surgery: A review. Head Neck. 2017;39:1470-8
Schroeder U, Motzko M, Wittekindt C, et al. Hoarseness after laryngeal blunt trauma: a differential diagnosis between an injury to the external branch of the superior laryngeal nerve and an arytenoid subluxation. A case report and literature review. Eur Arch Otorhinolaryngol. 2003;260:304–7
Tuzuner A, Demirci S, Aydogan F, et al. Recurrent laryngeal nerve palsy following blunt trauma of lateral neck. Austin J Surg. 2014;1: 1021
Jiang Y, Gao B, Zhang X, et al. Prevention and treatment of recurrent laryngeal nerve injury in thyroid surgery. Int J Clin Exp Med 2014;7:101-7
Lemke J, Schreiber MN, Henne-Bruns D, et al. Thyroid gland hemorrhage after blunt neck trauma: case report and review of the literature. BMC Surgery. 2017;17:115
Łochowski MP, Rębowski M, Kozak J, et al. Laryngeal laceration after blunt neck trauma in a football player. Kardiochirurgia i Torakochirurgia Polska. 2018;15:57-8
Manzoor L, Mohammed L, Imtiyaz N, et al. Bilateral recurrent laryngeal nerve palsy following blunt neck trauma. Indian J. Otolaryngol. Head Neck Surg. 2007;59:298–9
Saylam B, Çomçali B, Ozer MV, et al. Thyroid gland hematoma after blunt neck trauma. Western Journal of Emergency Medicine. 2009;10:247-9
Liao WC, Wang YJ, Huang MC, Tseng GF. Methylcobalamin facilitates collateral sprouting of donor axons and innervation of recipient muscle in end-to-side neurorrhaphy in rats. PLoS One. 2013;8:e76302