Hyperbaric oxygen treatment (HBOT) in a case of traumatic chondronecrosis of the cricoid cartilage.

IF 0.8 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Diving and hyperbaric medicine Pub Date : 2024-09-30 DOI:10.28920/dhm54.3.249-251

Subhranshu Kumar, H Bs Chaudhry, Chandrasekhar Mohanty, Sourabh Bhutani, Muhammed Risham, Kshitij Lanjekar

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Abstract

Cricoid chondronecrosis is a rare entity and is scarcely reported in the literature. Its prevalence is increasing in the form of chondroradionecrosis among the survivorship of head and neck carcinoma patients treated with radiotherapy. We have reported a case of cricoid chondronecroisis caused by trauma from repeated tracheostomy. The patient presented with hoarseness and dyspnoea. Radiological findings in multidetector computed tomography showed disintegration of the cricoid and confirmed the diagnosis. Conservative treatment was given in the form of antibiotics, steroids and nebulised anticholinergics and bronchodilators. However, the patient did not improve and his condition worsened throughout two months of hospitalisation. He was referred for hyperbaric oxygen treatment, which was given over 30 sessions. This was associated with improvement in his condition and he was able to be decannulated from tracheostomy. Six monthly follow up of the patient showed a well-healed tracheostomy scar.

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高压氧治疗（HBOT）治疗一例外伤性环状软骨软骨坏死。

环状软骨坏死是一种罕见的病症，在文献中鲜有报道。在接受放疗的头颈部癌症患者中，环状软骨软化症的发病率越来越高。我们报告了一例因反复气管切开术造成外伤而引起的环状软骨软化症。患者表现为声音嘶哑和呼吸困难。多载体计算机断层扫描的放射学结果显示环状软骨解体，确诊为环状软骨软骨炎。患者接受了抗生素、类固醇、雾化吸入抗胆碱能药物和支气管扩张剂等保守治疗。然而，在住院的两个月里，病人的病情没有好转，反而恶化了。他被转诊接受高压氧治疗，共接受了 30 次治疗。治疗后，患者的病情有所改善，气管插管也得以拆除。六个月的随访显示，患者的气管造口疤痕愈合良好。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diving and hyperbaric medicine 医学-公共卫生、环境卫生与职业卫生

CiteScore

1.70

自引率

22.20%

发文量

审稿时长

>12 weeks

期刊介绍： Diving and Hyperbaric Medicine (DHM) is the combined journal of the South Pacific Underwater Medicine Society (SPUMS) and the European Underwater and Baromedical Society (EUBS). It seeks to publish papers of high quality on all aspects of diving and hyperbaric medicine of interest to diving medical professionals, physicians of all specialties, scientists, members of the diving and hyperbaric industries, and divers. Manuscripts must be offered exclusively to Diving and Hyperbaric Medicine, unless clearly authenticated copyright exemption accompaniesthe manuscript. All manuscripts will be subject to peer review. Accepted contributions will also be subject to editing.