Closed External Trauma of the Larynx: About Four Cases Collected in Bamako

N’faly Konate; Kassim Diarra; Harouna Sanogo; Modibo Ganaba; Mohamed Saydi Ag Med Elmehdi; Yaya Dembele; Adama Dao; Mamadou Sidibe; Moussa Bourama Keita; Ibrahima Fofana; Siaka Soumaoro; Boubacary Guido; Youssouf Sidibé; Fatogoma Issa Kone; Naouma Cisse; Kalifa Coulibaly; Kadiatou Singare; Mohamed Keita

doi:doi:10.11648/j.ijo.20230901.11

Closed External Trauma of the Larynx: About Four Cases Collected in Bamako

N’faly Konate, Kassim Diarra, Harouna Sanogo, Modibo Ganaba, Mohamed Saydi Ag Med Elmehdi, Yaya Dembele, Adama Dao, Mamadou Sidibe, Moussa Bourama Keita, Ibrahima Fofana, Siaka Soumaoro, Boubacary Guido, Youssouf Sidibé, Fatogoma Issa Kone, Naouma Cisse, Kalifa Coulibaly, Kadiatou Singare, Mohamed Keita

Published in International Journal of Otorhinolaryngology (Volume 9, Issue 1)

Received: 6 December 2022 Accepted: 26 December 2022 Published: 16 February 2023

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Abstract

Objective: The purpose of our work was to review through four observations the mechanisms of injury, the main signs calling for classification in the management of blunt external trauma to the larynx in a hospital of last resort in Mali. Observations: We reported a series of four cases of blunt external trauma to the larynx, all of which occurred in the context of a public road accident (AVP) with reception of the shock at the level of the anterior part of the neck. Dysphonia was the most constant sign, it was associated with dyspnea. All our patients had benefited from a Nasofibroscopy or a direct laryngoscopy and a pharyngolaryngeal computed tomography allowing them to be classified according to the classification of Schaefer and Fuhmann. A patient with arytenoid dislocation underwent endoscopic reduction. Exploratory cervicotomy was performed in one patient. Conclusion: Adequate management of external trauma to the larynx requires a structured, rapid and precise diagnostic and therapeutic approach. This constitutes a challenge in our context where the mobilization of the patient and the diagnostic means (nasofibroscopy or a direct laryngoscopy, pharyngolaryngeal computed tomography) in the absence of third-party payment are part of a course of overcoming obstacles.

Published in	International Journal of Otorhinolaryngology (Volume 9, Issue 1)
DOI	10.11648/j.ijo.20230901.11
Page(s)	1-5
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

External Trauma, Dyspnea, Laryngotracheal Disinsertion

References

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[2]	TRABELSI S, HACHICHA A, BELTAIEF N. Les traumatismes externes du larynx [External trauma to the larynx]. J. TUN ORL. 2010; (24): 5p.
[3]	GHORBAL H, CHERIF I, ABID W. Traumatismes externes du larynx [External injuries of the larynx]. J. TUN ORL 2013; (30): 4p.
[4]	Malvi A, Jain S (October 03, 2022) Laryngeal Trauma, Its Types, and Management. Cureus 14 (10): e29877. DOI 10.7759/cureus.29877
[5]	CLEMENT P, BARNABE D, BRICHE T. Chirurgie des plaies et traumatismes du larynx et de la trachée cervicale [Surgery for wounds and trauma to the larynx and cervical trachea]. Encycl Méd Chir (Editions Scientifiques et Médicales Elsevier SAS, Paris, tous droits réservés), Oto-rhino-laryngologie, 46-420 (2004), 7p.
[6]	Douglas M. Sidle, MD; Ken W. Altman. The Contralateral Injury in Blunt Laryngeal Trauma. Laryngoscope, 112: 1696–1698, 2002.
[7]	STEVEN D. SCHAEFER, MD, FACS. Management of Acute Blunt and Penetrating External Laryngeal Trauma. Laryngoscope, 124: 233–244, 2014.
[8]	AKHTAR, S., AWAN, S. (2008). Laryngotracheal trauma: its management and sequelae. Journal of the Pakistan Medical Association, 58 (5), 241-3.
[9]	J. A. SHEEHAN, K. DAVIES, P. GORMLEY. A series of laryngeal trauma at a tertiary referral hospital. Europan society of radiology 2014: 6p.
[10]	Gussack GS, Jukovich GJ, Luterman A. Laryngotracheal trauma: a protocol approach to a rare injury. Laryngoscope 1986; 96: 660-665.
[11]	PEADY C. Initial Airway Management of Blunt Upper Airway Injuries: A Case Report and Literature Review. Australasian Anaesthesia 2005: 9p.
[12]	Nadir Elias, James Thomas, Allen Cheng, Management of Laryngeal Trauma, Oral and Maxillofacial Surgery Clinics of North America, 2021 33 (3): 417-427, https://doi.org/10.1016/j.coms.2021.04.007.
[13]	David Myssiorek and Ahmed M. S. Soliman, Laryngeal Trauma: External Approaches, Operative Techniques in Otolaryngology - Head and Neck Surgery, https://doi.org/10.1016/j.otot.2020.10.009
[14]	Viejo-Moreno R, García-Fuentes C, Mudarra-Reche C, Terceros-Almanza LJ, Chico-Fernández M. Lesión laríngea en el traumatismo cervical cerrado. Med Intensiva. 2019; 43: 503---507.

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APA Style

N’faly Konate, Kassim Diarra, Harouna Sanogo, Modibo Ganaba, Mohamed Saydi Ag Med Elmehdi, et al. (2023). Closed External Trauma of the Larynx: About Four Cases Collected in Bamako. International Journal of Otorhinolaryngology, 9(1), 1-5. https://doi.org/10.11648/j.ijo.20230901.11

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ACS Style

N’faly Konate; Kassim Diarra; Harouna Sanogo; Modibo Ganaba; Mohamed Saydi Ag Med Elmehdi, et al. Closed External Trauma of the Larynx: About Four Cases Collected in Bamako. Int. J. Otorhinolaryngol. 2023, 9(1), 1-5. doi: 10.11648/j.ijo.20230901.11

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AMA Style

N’faly Konate, Kassim Diarra, Harouna Sanogo, Modibo Ganaba, Mohamed Saydi Ag Med Elmehdi, et al. Closed External Trauma of the Larynx: About Four Cases Collected in Bamako. Int J Otorhinolaryngol. 2023;9(1):1-5. doi: 10.11648/j.ijo.20230901.11

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@article{10.11648/j.ijo.20230901.11,
  author = {N’faly Konate and Kassim Diarra and Harouna Sanogo and Modibo Ganaba and Mohamed Saydi Ag Med Elmehdi and Yaya Dembele and Adama Dao and Mamadou Sidibe and Moussa Bourama Keita and Ibrahima Fofana and Siaka Soumaoro and Boubacary Guido and Youssouf Sidibé and Fatogoma Issa Kone and Naouma Cisse and Kalifa Coulibaly and Kadiatou Singare and Mohamed Keita},
  title = {Closed External Trauma of the Larynx: About Four Cases Collected in Bamako},
  journal = {International Journal of Otorhinolaryngology},
  volume = {9},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ijo.20230901.11},
  url = {https://doi.org/10.11648/j.ijo.20230901.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20230901.11},
  abstract = {Objective: The purpose of our work was to review through four observations the mechanisms of injury, the main signs calling for classification in the management of blunt external trauma to the larynx in a hospital of last resort in Mali. Observations: We reported a series of four cases of blunt external trauma to the larynx, all of which occurred in the context of a public road accident (AVP) with reception of the shock at the level of the anterior part of the neck. Dysphonia was the most constant sign, it was associated with dyspnea. All our patients had benefited from a Nasofibroscopy or a direct laryngoscopy and a pharyngolaryngeal computed tomography allowing them to be classified according to the classification of Schaefer and Fuhmann. A patient with arytenoid dislocation underwent endoscopic reduction. Exploratory cervicotomy was performed in one patient. Conclusion: Adequate management of external trauma to the larynx requires a structured, rapid and precise diagnostic and therapeutic approach. This constitutes a challenge in our context where the mobilization of the patient and the diagnostic means (nasofibroscopy or a direct laryngoscopy, pharyngolaryngeal computed tomography) in the absence of third-party payment are part of a course of overcoming obstacles.},
 year = {2023}
}

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TY  - JOUR
T1  - Closed External Trauma of the Larynx: About Four Cases Collected in Bamako
AU  - N’faly Konate
AU  - Kassim Diarra
AU  - Harouna Sanogo
AU  - Modibo Ganaba
AU  - Mohamed Saydi Ag Med Elmehdi
AU  - Yaya Dembele
AU  - Adama Dao
AU  - Mamadou Sidibe
AU  - Moussa Bourama Keita
AU  - Ibrahima Fofana
AU  - Siaka Soumaoro
AU  - Boubacary Guido
AU  - Youssouf Sidibé
AU  - Fatogoma Issa Kone
AU  - Naouma Cisse
AU  - Kalifa Coulibaly
AU  - Kadiatou Singare
AU  - Mohamed Keita
Y1  - 2023/02/16
PY  - 2023
N1  - https://doi.org/10.11648/j.ijo.20230901.11
DO  - 10.11648/j.ijo.20230901.11
T2  - International Journal of Otorhinolaryngology
JF  - International Journal of Otorhinolaryngology
JO  - International Journal of Otorhinolaryngology
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2472-2413
UR  - https://doi.org/10.11648/j.ijo.20230901.11
AB  - Objective: The purpose of our work was to review through four observations the mechanisms of injury, the main signs calling for classification in the management of blunt external trauma to the larynx in a hospital of last resort in Mali. Observations: We reported a series of four cases of blunt external trauma to the larynx, all of which occurred in the context of a public road accident (AVP) with reception of the shock at the level of the anterior part of the neck. Dysphonia was the most constant sign, it was associated with dyspnea. All our patients had benefited from a Nasofibroscopy or a direct laryngoscopy and a pharyngolaryngeal computed tomography allowing them to be classified according to the classification of Schaefer and Fuhmann. A patient with arytenoid dislocation underwent endoscopic reduction. Exploratory cervicotomy was performed in one patient. Conclusion: Adequate management of external trauma to the larynx requires a structured, rapid and precise diagnostic and therapeutic approach. This constitutes a challenge in our context where the mobilization of the patient and the diagnostic means (nasofibroscopy or a direct laryngoscopy, pharyngolaryngeal computed tomography) in the absence of third-party payment are part of a course of overcoming obstacles.
VL  - 9
IS  - 1
ER  -

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Author Information

N’faly Konate

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kassim Diarra

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Harouna Sanogo

Otorhinolarygology and Head and Neck Surgery Department, Reference Health Center Kalanbancoro, Bamako, Mali
Modibo Ganaba

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Mohamed Saydi Ag Med Elmehdi

Otorhinolarygology and Head and Neck Surgery Department, Commune VI Reference Health Center, Bamako, Mali
Yaya Dembele

Otorhinolarygology and Head and Neck Surgery Department, Army Polyclinic Kati Mali, Kati, Mali
Adama Dao

Imaging Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Mamadou Sidibe

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Moussa Bourama Keita

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Ibrahima Fofana

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Siaka Soumaoro

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Boubacary Guido

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Youssouf Sidibé

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Fatogoma Issa Kone

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Naouma Cisse

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kalifa Coulibaly

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Kadiatou Singare

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali
Mohamed Keita

Otorhinolarygology and Head and Neck Surgery Department, University Hospital Center “Gabriel Touré”, Bamako, Mali

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APA Style

N’faly Konate, Kassim Diarra, Harouna Sanogo, Modibo Ganaba, Mohamed Saydi Ag Med Elmehdi, et al. (2023). Closed External Trauma of the Larynx: About Four Cases Collected in Bamako. International Journal of Otorhinolaryngology, 9(1), 1-5. https://doi.org/10.11648/j.ijo.20230901.11

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ACS Style

N’faly Konate; Kassim Diarra; Harouna Sanogo; Modibo Ganaba; Mohamed Saydi Ag Med Elmehdi, et al. Closed External Trauma of the Larynx: About Four Cases Collected in Bamako. Int. J. Otorhinolaryngol. 2023, 9(1), 1-5. doi: 10.11648/j.ijo.20230901.11

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AMA Style

N’faly Konate, Kassim Diarra, Harouna Sanogo, Modibo Ganaba, Mohamed Saydi Ag Med Elmehdi, et al. Closed External Trauma of the Larynx: About Four Cases Collected in Bamako. Int J Otorhinolaryngol. 2023;9(1):1-5. doi: 10.11648/j.ijo.20230901.11

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@article{10.11648/j.ijo.20230901.11,
  author = {N’faly Konate and Kassim Diarra and Harouna Sanogo and Modibo Ganaba and Mohamed Saydi Ag Med Elmehdi and Yaya Dembele and Adama Dao and Mamadou Sidibe and Moussa Bourama Keita and Ibrahima Fofana and Siaka Soumaoro and Boubacary Guido and Youssouf Sidibé and Fatogoma Issa Kone and Naouma Cisse and Kalifa Coulibaly and Kadiatou Singare and Mohamed Keita},
  title = {Closed External Trauma of the Larynx: About Four Cases Collected in Bamako},
  journal = {International Journal of Otorhinolaryngology},
  volume = {9},
  number = {1},
  pages = {1-5},
  doi = {10.11648/j.ijo.20230901.11},
  url = {https://doi.org/10.11648/j.ijo.20230901.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijo.20230901.11},
  abstract = {Objective: The purpose of our work was to review through four observations the mechanisms of injury, the main signs calling for classification in the management of blunt external trauma to the larynx in a hospital of last resort in Mali. Observations: We reported a series of four cases of blunt external trauma to the larynx, all of which occurred in the context of a public road accident (AVP) with reception of the shock at the level of the anterior part of the neck. Dysphonia was the most constant sign, it was associated with dyspnea. All our patients had benefited from a Nasofibroscopy or a direct laryngoscopy and a pharyngolaryngeal computed tomography allowing them to be classified according to the classification of Schaefer and Fuhmann. A patient with arytenoid dislocation underwent endoscopic reduction. Exploratory cervicotomy was performed in one patient. Conclusion: Adequate management of external trauma to the larynx requires a structured, rapid and precise diagnostic and therapeutic approach. This constitutes a challenge in our context where the mobilization of the patient and the diagnostic means (nasofibroscopy or a direct laryngoscopy, pharyngolaryngeal computed tomography) in the absence of third-party payment are part of a course of overcoming obstacles.},
 year = {2023}
}

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TY  - JOUR
T1  - Closed External Trauma of the Larynx: About Four Cases Collected in Bamako
AU  - N’faly Konate
AU  - Kassim Diarra
AU  - Harouna Sanogo
AU  - Modibo Ganaba
AU  - Mohamed Saydi Ag Med Elmehdi
AU  - Yaya Dembele
AU  - Adama Dao
AU  - Mamadou Sidibe
AU  - Moussa Bourama Keita
AU  - Ibrahima Fofana
AU  - Siaka Soumaoro
AU  - Boubacary Guido
AU  - Youssouf Sidibé
AU  - Fatogoma Issa Kone
AU  - Naouma Cisse
AU  - Kalifa Coulibaly
AU  - Kadiatou Singare
AU  - Mohamed Keita
Y1  - 2023/02/16
PY  - 2023
N1  - https://doi.org/10.11648/j.ijo.20230901.11
DO  - 10.11648/j.ijo.20230901.11
T2  - International Journal of Otorhinolaryngology
JF  - International Journal of Otorhinolaryngology
JO  - International Journal of Otorhinolaryngology
SP  - 1
EP  - 5
PB  - Science Publishing Group
SN  - 2472-2413
UR  - https://doi.org/10.11648/j.ijo.20230901.11
AB  - Objective: The purpose of our work was to review through four observations the mechanisms of injury, the main signs calling for classification in the management of blunt external trauma to the larynx in a hospital of last resort in Mali. Observations: We reported a series of four cases of blunt external trauma to the larynx, all of which occurred in the context of a public road accident (AVP) with reception of the shock at the level of the anterior part of the neck. Dysphonia was the most constant sign, it was associated with dyspnea. All our patients had benefited from a Nasofibroscopy or a direct laryngoscopy and a pharyngolaryngeal computed tomography allowing them to be classified according to the classification of Schaefer and Fuhmann. A patient with arytenoid dislocation underwent endoscopic reduction. Exploratory cervicotomy was performed in one patient. Conclusion: Adequate management of external trauma to the larynx requires a structured, rapid and precise diagnostic and therapeutic approach. This constitutes a challenge in our context where the mobilization of the patient and the diagnostic means (nasofibroscopy or a direct laryngoscopy, pharyngolaryngeal computed tomography) in the absence of third-party payment are part of a course of overcoming obstacles.
VL  - 9
IS  - 1
ER  -

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