Injuries of the larynx Closed injuries of the larynx Physical exam: swelling ecchymosis subcutaneous emphysema(crepitus) Layngoscopy: edema, malformation of the glottis, disturbance of the vocal mobility
Injuries of the larynx ◼ Closed injuries of the larynx ◼ Physical exam：swelling, ecchymosis, subcutaneous emphysema (crepitus) ◼ Layngoscopy：edema, malformation of the glottis, disturbance of the vocal mobility
Injuries of the larynx Closed injuries of the larynx Treatment In a patient with major laryngeal injury the first priority is to establish an airway If the patient has dyspnea, emergent tracheotomy or cricothyroidotomy should be performed
Injuries of the larynx ◼ Closed injuries of the larynx ◼ Treatment： ⒈ In a patient with major laryngeal injury, the first priority is to establish an airway. If the patient has dyspnea, emergent tracheotomy or cricothyroidotomy should be performed
Injuries of the larynx Closed injuries of the larynx a Treatment 2. If the patient is breathing well and the injury does not require surgical care, observation without tracheotomy may be indicated
Injuries of the larynx ◼ Closed injuries of the larynx ◼ Treatment： ⒉ If the patient is breathing well and the injury does not require surgical care, observation without tracheotomy may be indicated
Injuries of the larynx Closed injuries of the larynx Treatment: 3. Antibiotics and corticosteroid can be useful if administered soon after inJury
Injuries of the larynx ◼ Closed injuries of the larynx ◼ Treatment： ⒊ Antibiotics and corticosteroid can be useful if administered soon after injury
Injuries of the larynx Closed injuries of the larynx a Treatment 4. Repair of laryngeal cartilage is indicated if multiple or displaced fracture of the thyroid cartilage and the cricoid cartilage happened
Injuries of the larynx ◼ Closed injuries of the larynx ◼ Treatment： ⒋ Repair of laryngeal cartilage is indicated if multiple or displaced fracture of the thyroid cartilage and the cricoid cartilage happened