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Joseph Junewick, MD FACR
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Cricoid Injury

Case Detail

Anatomy: Neck-Face
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 9 years ago
Updated: over 9 years ago
Tags: PEDS
Modality/Study Types: CT
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9 year old hit with lacrosse stick.

Case Images


Cricoid Injury


CT – Fracture of the anterior right lateral and posterior left lateral aspects of the cricoid cartilage. The airway remains patent; normal vascular enhancement.


The signet ring shaped cricoid cartilage lies inferior to the laminae of the thyroid cartilage. Laryngeal trauma is uncommon and usually the result of motor vehicle accidents (hyperextended neck hitting the steering wheel, dashboard or back of the front seat) or clothes-line injury and less commonly penetrating injury, hanging or strangulation. Clinical signs include hoarseness, stridor, pain, crepitus and airway difficulty. CT is excellent for laryngeal evaluation.


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