Valsalva manoeuvre to detect isolated hyoid bone fracture

Hamdan, Mohd Hadzrie Mohd and Saniasiaya, Jeyasakthy and Narayanan, Prepageran (2021) Valsalva manoeuvre to detect isolated hyoid bone fracture. BMJ Case Reports, 14 (7). ISSN 1757-790X, DOI

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The hyoid bone fracture has traditionally been attributed to strangulation and hanging. Although rare, ensuing its vague presentation, hyoid bone fracture is oftentimes overlooked and missed, leading to delayed complications. Herein, we are reporting an overlooked hyoid bone fracture in a man who attempted suicide by strangulating himself, whereby Valsalva manoeuvre performed during bedside flexible nasopharyngolaryngoscopy revealed the fractured segment. As the patient was stable and asymptomatic, he was successfully managed conservatively. We would like to highlight the awareness of the Valsalva manoeuvre, which could elicit hyoid bone fracture as missing or overlooking the fracture may lead to devastating complications which may ensue, such as respiratory distress.

Item Type: Article
Uncontrolled Keywords: Ear; Nose and throat; Otolaryngology; Emergency medicine; Trauma
Subjects: R Medicine > R Medicine (General)
R Medicine > RC Internal medicine
Divisions: Faculty of Medicine > Otorhinolaryngology Department
Depositing User: Ms Zaharah Ramly
Date Deposited: 06 Sep 2022 02:00
Last Modified: 06 Sep 2022 02:00

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