PMID- 22691692
OWN - NLM
STAT- MEDLINE
DCOM- 20121015
LR  - 20181201
IS  - 1097-6817 (Electronic)
IS  - 0194-5998 (Linking)
VI  - 147
IP  - 2
DP  - 2012 Aug
TI  - Management of hyoid bone fractures: a systematic review.
PG  - 204-8
LID - 10.1177/0194599812451409 [doi]
AB  - OBJECTIVE: Fractures of the hyoid bone are rare occurrences. They are mainly 
      caused by strangulation/asphyxiation injuries, trauma to the neck, and motor 
      vehicle accidents (MVAs). As a result of their rarity, proper treatment 
      guidelines are not in place for dealing with these injuries. In this study, a 
      systematic literature review was conducted with the goal of identifying optimal 
      management for patients with fracture of the hyoid bone. DATA SOURCES: MEDLINE 
      and PubMed databases. REVIEW METHODS: The MEDLINE and PubMed databases were 
      searched for patients diagnosed with hyoid bone fracture. Further cases were 
      obtained from the bibliographies of relevant articles. Full-text articles were 
      obtained. Patient presentation, method of diagnosis, treatment regimen, and 
      outcomes are discussed. RESULTS: Forty-six cases were collected from 36 articles. 
      No randomized controlled trials regarding treatment of hyoid fractures were 
      found. The most common etiologies were MVA, assault, and neck trauma during 
      athletic activities. Most common presenting symptoms included dysphagia, 
      odynophagia, and pain upon neck rotation. Most frequent presenting signs included 
      anterior neck tenderness and swelling. Five cases out of 46 had surgical repair 
      of the fractured hyoid bone. In the remaining 41 cases, 26 were treated with 
      conservative management, which included rest/observation, diet changes, and 
      analgesia, while the other 15 cases required tracheotomy or surgical treatment 
      for related injuries. All patients survived and had excellent outcomes with 
      resolution of symptoms. CONCLUSION: This review shows that direct surgical 
      treatment of hyoid fractures was performed in only 10.9% of cases. Both 
      conservative and surgical management yielded positive outcomes.
FAU - Ramchand, Tekchand
AU  - Ramchand T
AD  - Department of Otolaryngology-Head and Neck Surgery, University of Medicine and 
      Dentistry of New Jersey, New Jersey Medical School, Newark, New Jersey 07103, 
      USA.
FAU - Choudhry, Osamah J
AU  - Choudhry OJ
FAU - Shukla, Pratik A
AU  - Shukla PA
FAU - Tomovic, Senja
AU  - Tomovic S
FAU - Kuperan, Arjuna B
AU  - Kuperan AB
FAU - Eloy, Jean Anderson
AU  - Eloy JA
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20120612
PL  - England
TA  - Otolaryngol Head Neck Surg
JT  - Otolaryngology--head and neck surgery : official journal of American Academy of 
      Otolaryngology-Head and Neck Surgery
JID - 8508176
SB  - IM
MH  - Fractures, Bone/*diagnosis/*therapy
MH  - Humans
MH  - Hyoid Bone/*injuries
EDAT- 2012/06/14 06:00
MHDA- 2012/10/16 06:00
CRDT- 2012/06/14 06:00
PHST- 2012/06/14 06:00 [entrez]
PHST- 2012/06/14 06:00 [pubmed]
PHST- 2012/10/16 06:00 [medline]
AID - 0194599812451409 [pii]
AID - 10.1177/0194599812451409 [doi]
PST - ppublish
SO  - Otolaryngol Head Neck Surg. 2012 Aug;147(2):204-8. doi: 10.1177/0194599812451409. 
      Epub 2012 Jun 12.