title: Post traumatic laryngeal incompetence.
abstract: Self-inflicted laryngeal injuries are rare. This is a case of attempted suicide with a knife. The patient was brought into A&E and initial attempts at repair of the laryngo-skeletal structures were performed Later it became evident that the patient had an insensate hypofunctioning larynx. We present a technique aimed at rehabilitating the poorly functioning, incompetent larynx without the necessity for a permanent tracheostomy or laryngectomy. A single surgical procedure combining a cricopharyngeal myotomy, an anterior hyoid suspension and vocal fold angmentations was performed in an attempt to avoid a laryngectomy in non-malignant pathology. The long-term results of this surgery would need to be subjected to further evaluation.
authors.affiliation: 43 Daylesford Drive South Gosforth, NE3 1TW Newcastle upon Tyne.
authors.forename: A S
authors.initials: AS
authors.lastname: Banerjee
authors.forename: A M
authors.initials: AM
authors.lastname: Shaaban
authors.forename: D
authors.initials: D
authors.lastname: Gibson
authors.forename: M G
authors.initials: MG
authors.lastname: Dilkes
keywords: Amerior hyoid suspension; Aspiration; Cricopharyngeal myotomy; Laryngeal injury