This case presents the first use of an ultrasonic pin placement system for resorbable rigid fixation of a thyroid cartilage fracture. The patient incurred a right paramedian laryngeal cartilage fracture following a high velocity injury to his left anterior neck from a lacrosse ball. A tracheostomy was avoided and post-operatively he had complete return to his vocal baseline.
Objective
To present the first use of an ultrasonic pin resorbable plate fixation system for rigid fixation of a laryngeal fracture.
Methods
Presentation of a 20-year-old male with a high velocity injury to his neck, via a lacrosse ball, resulting in a displaced laryngeal cartilage fracture.
Results
Intraoperatively, a Poly-D, L-Lactic Acid (PDLLA) polymer plate was contoured in-situ, bridging the fracture, and secured with ultrasonically placed resorbable pins. He was extubated on post-op day one and had return to vocal baseline one-month post-op.
Conclusion
Ultrasonic pin placement systems for resorbable rigid fixation of a thyroid cartilage fracture optimizes recovery of respiratory and phonatory functions. Laryngoscope, 2023
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