Concurrent hyoid bone fracture associated with multiple facial fractures secondary to assault: Case report and review of literature

Yoh Sawatari, Yousef Alshamrani

Research output: Contribution to journalArticle

Abstract

Introduction: Hyoid bone fractures are rarely reported as an isolated entity due to the infrequent occurrence accounting for only 0.002% of all head and neck fractures and 1.15 as the highest incidence. Strangulation remains the most common cause of isolated hyoid bone fractures with an incidence of 27–50%. However, blunt trauma, motor vehicle crash, sport related injuries, falls, assaults, and gunshot wounds are additional documented causes of hyoid bone fractures. Case report: A 23-year-old male who was assaulted to the face. He complained of pain to the face and neck, sore throat, dysphagia and changes in speech. The face and neck CT scans revealed multiple facial fractures along with a hyoid bone fracture. Patient was admitted to for observation and close monitoring for airway protection until the mandible and hyoid bone fractures were treated. ORIF of the mandibular fractures took place; we elected to treat the hyoid bone fracture conservatively as it was asymptomatic. The patient's hospital course was unremarkable. Result: 56 articles were reviewed from 1949 to 2017, which revealed that isolated hyoid bone fractures and hyoid bone fractures associated with other facial fractures are very rare. Hyoid bone fractures due to direct trauma, road traffic accidents, falls, assault and gunshot wounds are more common in males than females. However, in strangulation and suicidal hanging, the incidence is higher in females than males. Multiple methods can be used to evaluate the hyoid bone fractures. The majority of hyoid bone fractures are treated conservatively

Original languageEnglish (US)
Article number100119
JournalOral and Maxillofacial Surgery Cases
Volume5
Issue number4
DOIs
StatePublished - Dec 2019
Externally publishedYes

Fingerprint

Hyoid Bone
Bone Fractures
Gunshot Wounds
Incidence
Multiple Fractures
Neck
Mandibular Fractures
Athletic Injuries
Facial Pain
Pharyngitis
Neck Pain
Traffic Accidents
Wounds and Injuries
Motor Vehicles
Deglutition Disorders
Mandible

Keywords

  • Facial fractures
  • Hyoid bone
  • Hyoid bone fracture complications
  • Hyoid bone fracture management
  • Isolated hyoid bone fracture
  • Laryngeal trauma

ASJC Scopus subject areas

  • Surgery
  • Oral Surgery
  • Otorhinolaryngology

Cite this

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title = "Concurrent hyoid bone fracture associated with multiple facial fractures secondary to assault: Case report and review of literature",
abstract = "Introduction: Hyoid bone fractures are rarely reported as an isolated entity due to the infrequent occurrence accounting for only 0.002{\%} of all head and neck fractures and 1.15 as the highest incidence. Strangulation remains the most common cause of isolated hyoid bone fractures with an incidence of 27–50{\%}. However, blunt trauma, motor vehicle crash, sport related injuries, falls, assaults, and gunshot wounds are additional documented causes of hyoid bone fractures. Case report: A 23-year-old male who was assaulted to the face. He complained of pain to the face and neck, sore throat, dysphagia and changes in speech. The face and neck CT scans revealed multiple facial fractures along with a hyoid bone fracture. Patient was admitted to for observation and close monitoring for airway protection until the mandible and hyoid bone fractures were treated. ORIF of the mandibular fractures took place; we elected to treat the hyoid bone fracture conservatively as it was asymptomatic. The patient's hospital course was unremarkable. Result: 56 articles were reviewed from 1949 to 2017, which revealed that isolated hyoid bone fractures and hyoid bone fractures associated with other facial fractures are very rare. Hyoid bone fractures due to direct trauma, road traffic accidents, falls, assault and gunshot wounds are more common in males than females. However, in strangulation and suicidal hanging, the incidence is higher in females than males. Multiple methods can be used to evaluate the hyoid bone fractures. The majority of hyoid bone fractures are treated conservatively",
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N2 - Introduction: Hyoid bone fractures are rarely reported as an isolated entity due to the infrequent occurrence accounting for only 0.002% of all head and neck fractures and 1.15 as the highest incidence. Strangulation remains the most common cause of isolated hyoid bone fractures with an incidence of 27–50%. However, blunt trauma, motor vehicle crash, sport related injuries, falls, assaults, and gunshot wounds are additional documented causes of hyoid bone fractures. Case report: A 23-year-old male who was assaulted to the face. He complained of pain to the face and neck, sore throat, dysphagia and changes in speech. The face and neck CT scans revealed multiple facial fractures along with a hyoid bone fracture. Patient was admitted to for observation and close monitoring for airway protection until the mandible and hyoid bone fractures were treated. ORIF of the mandibular fractures took place; we elected to treat the hyoid bone fracture conservatively as it was asymptomatic. The patient's hospital course was unremarkable. Result: 56 articles were reviewed from 1949 to 2017, which revealed that isolated hyoid bone fractures and hyoid bone fractures associated with other facial fractures are very rare. Hyoid bone fractures due to direct trauma, road traffic accidents, falls, assault and gunshot wounds are more common in males than females. However, in strangulation and suicidal hanging, the incidence is higher in females than males. Multiple methods can be used to evaluate the hyoid bone fractures. The majority of hyoid bone fractures are treated conservatively

AB - Introduction: Hyoid bone fractures are rarely reported as an isolated entity due to the infrequent occurrence accounting for only 0.002% of all head and neck fractures and 1.15 as the highest incidence. Strangulation remains the most common cause of isolated hyoid bone fractures with an incidence of 27–50%. However, blunt trauma, motor vehicle crash, sport related injuries, falls, assaults, and gunshot wounds are additional documented causes of hyoid bone fractures. Case report: A 23-year-old male who was assaulted to the face. He complained of pain to the face and neck, sore throat, dysphagia and changes in speech. The face and neck CT scans revealed multiple facial fractures along with a hyoid bone fracture. Patient was admitted to for observation and close monitoring for airway protection until the mandible and hyoid bone fractures were treated. ORIF of the mandibular fractures took place; we elected to treat the hyoid bone fracture conservatively as it was asymptomatic. The patient's hospital course was unremarkable. Result: 56 articles were reviewed from 1949 to 2017, which revealed that isolated hyoid bone fractures and hyoid bone fractures associated with other facial fractures are very rare. Hyoid bone fractures due to direct trauma, road traffic accidents, falls, assault and gunshot wounds are more common in males than females. However, in strangulation and suicidal hanging, the incidence is higher in females than males. Multiple methods can be used to evaluate the hyoid bone fractures. The majority of hyoid bone fractures are treated conservatively

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