Case Report

Nontraumatic Laryngeal Fractures: Report of Two Cases and Review of the Literature

Table 1

Symptoms, signs, and endoscopic and imaging findings among patients with nontraumatic laryngeal fracture.

Case   [2]Case   [3]Case   [4]Case   [5]Case Case

Age/sex44/male29/male41/male47/male36/male32/male

Precipitating eventSneezeSneezeCoughCoughSneezeSwallowing and bending over

Symptoms/signsOdynophagia, dysphagia, dysphonia.
Pain and crepitus over the thyroid cartilage
Odynophagia and dysphonia
Odynophagia, dysphagia, dysphonia.
Crepitus over the thyroid cartilage
Odynophagia, dysphagia, dysphonia.
Pain over the thyroid cartilage
Odynophagia and dysphonia.
Pain over the thyroid cartilage
Odynophagia, dysphagia, dysphonia.
Pain over the thyroid cartilage

LaryngoscopySupraglottic edema, normal vocal fold movementRight true vocal fold edema, mucosal hematoma, normal vocal fold movementLeft true vocal fold hematoma, left ventricular edema, normal vocal fold movementEdema of right aryepiglottic fold and both arytenoids, normal glottis, normal vocal fold movementLeft vocal fold hematoma, normal vocal fold movementSupraglottic edema, normal vocal fold movement

Computed tomography (CT)Not availableNondisplaced anterior fracture, subcutaneous airMildly displaced anterior fracture, subcutaneous airMildly displaced anterior fracture, subcutaneous air. Phlegmon formationLeft parasagittal, complete nondisplaced thyroid cartilage fractureLeft parasagittal, complete nondisplaced thyroid cartilage fracture