CT Based Assessment of Laryngeal Fracture Types and Associated Soft Tissue Abnormalities
Objective This study evaluated the types of laryngeal fractures and related soft tissue abnormalities based on CT in order to provide reference for clinical diagnosis and treatment.Methods The clinical data of 55 patients with laryngeal fracture diagnosed by CT admitted to our hospital from September 2018 to September 2023 were retrospectively analyzed.The imaging findings of the patients were recorded,including laryngeal and hyoid cartilage structure fractures,as well as soft tissue abnormalities,including focal hematoma,edema with non-focal bleeding and additional penetrating injury,and the frequency of fracture types.Results The incidence of thyroid fracture was the highest(45/55),followed by cricoid fracture(13/55),and hyoid fracture was 8/55.Of the 55 patients,12 had multiple site fractures,of which 8 had thyroid-ring fractures and 2 had thyroid-hyoid fractures.Most multisite fractures occur with focal supraglottic hematoma(10/12),supraglottic edema and non-focal bleeding(11/12),and focal subglottic hematoma(5/12).All 13 cases of cyclocartilage fracture were accompanied by focal supraglottic hematoma(7),focal subglottic hematoma(4),or edema with non-focal bleeding(13).Conclusion Thyroid fracture is the most common fracture,followed by cricoid fracture.Fractures of cricoid cartilage are often accompanied by soft tissue abnormalities.Identifying fracture patterns of laryngeal trauma and associated patterns of soft tissue injury is important for early diagnosis of these conditions and reduction of associated morbidity.
Laryngeal FractureCricoid FractureThroat CTSoft Tissue Abnormalities in the Throat