• Ann Emerg Med · Feb 1995

    Case Reports

    Bilateral vocal cord paralysis following blunt trauma to the neck.

    • R J Levine, A B Sanders, and W R LaMear.
    • Section of Emergency Medicine, Tucson.
    • Ann Emerg Med. 1995 Feb 1;25(2):253-5.

    AbstractBlunt trauma to the anterior neck has been known to cause upper-airway obstruction requiring emergency tracheostomy. We report the case of a 26-year-old man who sustained blunt trauma to the anterior neck in whom upper-airway obstruction developed. Although computed tomography of the neck revealed a thyroid cartilage fracture and a retropharyngeal hematoma, fiberoptic examination of the larynx identified vocal cord paralysis as the primary cause of his upper-airway obstruction. Emergency tracheostomy was performed, and the patient recovered uneventfully. A Medline search of the literature for the past 3 years failed to identify any individual case reports of bilateral vocal cord paralysis secondary to blunt anterior neck trauma.

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