{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:53:00Z","timestamp":1747173180043,"version":"3.40.5"},"reference-count":16,"publisher":"Cambridge University Press (CUP)","issue":"3","license":[{"start":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T00:00:00Z","timestamp":1651104000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122001025_sec_a1\"><jats:title>Objective<\/jats:title><jats:p>To document laryngeal framework rupture following voluntary cough-holding as an airway complication of donning a personal protective equipment suit that was too small in size.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001025_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Clinical record and literature review, with proposition of plausible aerodynamics of the airway injury.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001025_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Whilst carrying out his duty in the coronavirus disease ward, a resident attempted to stifle a paroxysm of cough when wearing a personal protective equipment suit that was too small with his neck flexed and restricted. There was a sudden release of pressure, intense pain and swelling in the neck with crepitus. Imaging revealed a non-displaced fracture in the lower end of the partially ossified right thyroid lamina, a cricothyroid membrane tear and subcutaneous emphysema. The symptoms resolved gradually on conservative management.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122001025_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>This report underlines the importance of donning appropriately sized personal protective equipment and encouraging its proper use amongst coronavirus disease 2019 caregivers. Non-traumatic laryngeal injury, itself a rare event, has never been reported as a posture-related complication of wearing personal protective equipment.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122001025","type":"journal-article","created":{"date-parts":[[2022,4,28]],"date-time":"2022-04-28T01:44:47Z","timestamp":1651110287000},"page":"342-349","source":"Crossref","is-referenced-by-count":0,"title":["Laryngeal injury in a coronavirus disease 2019 caregiver following voluntary cough-holding within an inappropriately sized personal protective equipment suit"],"prefix":"10.1017","volume":"137","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3977-3230","authenticated-orcid":false,"given":"M","family":"Dutta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G","family":"Raghu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2022,4,28]]},"reference":[{"key":"S0022215122001025_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.radcr.2021.01.002"},{"key":"S0022215122001025_ref9","doi-asserted-by":"publisher","DOI":"10.1177\/2473974X18757741"},{"key":"S0022215122001025_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjoto.2021.103036"},{"key":"S0022215122001025_ref1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-040503"},{"key":"S0022215122001025_ref3","unstructured":"3 World Health Organization. WHO Coronavirus (COVID-19) Dashboard. In: https:\/\/covid19.who.int\/ [19 November 2021]"},{"key":"S0022215122001025_ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.4661.1052"},{"key":"S0022215122001025_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2013.05.013"},{"key":"S0022215122001025_ref2","doi-asserted-by":"publisher","DOI":"10.1177\/01455613211058493"},{"key":"S0022215122001025_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2019.11.047"},{"key":"S0022215122001025_ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S2173-5735(07)70307-1"},{"key":"S0022215122001025_ref4","doi-asserted-by":"publisher","DOI":"10.1186\/1745-9974-7-10"},{"key":"S0022215122001025_ref8","doi-asserted-by":"publisher","DOI":"10.5152\/tao.2020.5306"},{"key":"S0022215122001025_ref11","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2016.1151"},{"key":"S0022215122001025_ref10","first-page":"2153521","article-title":"Nontraumatic laryngeal fractures: report of two cases and review of the literature","volume":"2017","author":"Santamar\u00eda","year":"2017","journal-title":"Case Rep Otolaryngol"},{"key":"S0022215122001025_ref14","doi-asserted-by":"publisher","DOI":"10.1177\/0194599811402947"},{"key":"S0022215122001025_ref13","doi-asserted-by":"publisher","DOI":"10.1177\/0194599812445744"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215122001025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T12:47:43Z","timestamp":1677588463000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215122001025\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,28]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3]]}},"alternative-id":["S0022215122001025"],"URL":"https:\/\/doi.org\/10.1017\/s0022215122001025","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"type":"print","value":"0022-2151"},{"type":"electronic","value":"1748-5460"}],"subject":[],"published":{"date-parts":[[2022,4,28]]}}}