{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:12:10Z","timestamp":1783944730620,"version":"3.55.0"},"reference-count":7,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,6,25]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Laryngotracheal trauma, although rare, can pose a significant threat to life. It may present subtly as illustrated by this case. It is crucial to maintain a high level of suspicion for signs indicative of laryngotracheal injury following blunt neck trauma. We present the case of a male in his 40s who presented following a fall with direct anterior neck impact against a metal railing. He reported anterior neck pain, dysphonia and dysphagia. CT imaging revealed a left supraglottic swelling compressing the trachea. Flexible nasal endoscopy uncovered a left supraglottic haematoma and vocal fold haemorrhage. Given the potential for delayed airway compromise, the patient was admitted for close monitoring. Subsequent endoscopies demonstrated a stable airway and progressive reduction in haematoma size, and he was safely discharged without surgical intervention.<\/jats:p>","DOI":"10.1136\/bcr-2025-271318","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:35:22Z","timestamp":1783942522000},"page":"e271318","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Traumatic vocal fold haemorrhage without airway compromise: a rare presentation of blunt laryngeal injury"],"prefix":"10.1136","volume":"19","author":[{"given":"Tara","family":"McSweeney","sequence":"first","affiliation":[{"name":"Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"McCormick","sequence":"additional","affiliation":[{"name":"Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Connolly","sequence":"additional","affiliation":[{"name":"Department of Trauma, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Hunter","sequence":"additional","affiliation":[{"name":"Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland"},{"name":"Department of Radiology, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bahram","family":"Khan","sequence":"additional","affiliation":[{"name":"ENT, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0780-8614","authenticated-orcid":false,"given":"Etimbuk Edet","family":"Umana","sequence":"additional","affiliation":[{"name":"Emergency Department, Mater Misericordiae University Hospital, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"2026071304351445000_19.7.e271318.1","first-page":"6241","article-title":"Laryngeal Trauma, Its Types, and Management","volume":"PMCID","author":"Malvi","year":"2022","journal-title":"Cureus"},{"key":"2026071304351445000_19.7.e271318.2","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1177\/19433875221074847","article-title":"Systematic Review of Laryngeal Fractures and Trends in Operative Management","volume":"16","author":"Moroco","year":"2023","journal-title":"Craniomaxillofac Trauma Reconstr"},{"key":"2026071304351445000_19.7.e271318.3","first-page":"416","article-title":"Management of laryngeal trauma: a single institution experience and review of the literature","volume":"PMID","author":"Jain","year":"2014","journal-title":"Am Surg"},{"key":"2026071304351445000_19.7.e271318.4","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.tjem.2018.08.004","article-title":"Isolated vocal cord hematoma developing after blunt neck trauma","volume":"19","author":"Aksakal","year":"2019","journal-title":"Turk J Emerg Med"},{"key":"2026071304351445000_19.7.e271318.5","doi-asserted-by":"crossref","first-page":"5","DOI":"10.5348\/ijcri-2012-01-80-CR-2","article-title":"Delayed presentation of a laryngeal haematoma following a road traffic accident","volume":"3","author":"Olaleye","year":"2012","journal-title":"IJCRI"},{"key":"2026071304351445000_19.7.e271318.6","first-page":"711","article-title":"Acute management of external laryngeal trauma: a 27-year experience","volume":"115","author":"Schaefer","year":"1989","journal-title":"Arch Otolaryngol Head Neck Surg"},{"key":"2026071304351445000_19.7.e271318.7","doi-asserted-by":"crossref","first-page":"210","DOI":"10.21037\/acs.2018.03.03","article-title":"Management of laryngotracheal trauma","volume":"7","author":"Moonsamy","year":"2018","journal-title":"Ann Cardiothorac Surg"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-271318","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T11:35:24Z","timestamp":1783942524000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-271318"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2026,7,13]]},"published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10.1136\/bcr-2025-271318"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-271318","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]}}}