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Unexpected supraglottic injury following a frontal impact motor-vehicle accident
  1. G Briassoulis1,
  2. M-D Fitrolaki1,
  3. E Mihailidou1,
  4. A-M Spanaki1
  1. Paediatric Intensive Care Unit, Heraklion University Hospital, Heraklion, University of Crete, Greece
  1. George Briassoulis, Director, Paediatric Intensive Care Unit, University Hospital of Heraklion, PO Box 1352, 71 110 Heraklion, Crete, Greece; ggbriass{at}otenet.gr

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A 7-year-old boy presented with neck (fig 1A), chest and abdominal contusions following a frontal impact motor-vehicle accident. He had severe dyspnoea with cyanosis, recessions, hoarseness, deep stridor and haemoptysis. Diffuse crepitus and oedema with neck asymmetry were also noted. On impact, the patient was restrained by a three-point belt system, …

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