1 / 5

Management of Laryngeal Trauma: Different Scenarios and Treatment Options

This article discusses the management of laryngeal trauma in conscious normopneic patients, dyspneic patients, unconscious intubated patients, and cases of penetrating trauma. The treatment options include transnasal fibroscopy, CT scans, panendoscopy, tracheostomy, intubation, surgery, and laryngeal prostheses using LT-MOLDTM. Controversies regarding the duration of stenting are also discussed.

done
Download Presentation

Management of Laryngeal Trauma: Different Scenarios and Treatment Options

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Laryngeal trauma: management CONSCIOUS NORMOPNEIC PATIENT transnasal fibroscopy lesions grade I – II lesions grade III – IV normal CT-scan abnormal normal non displaced fracture of thyroïd cartilage tracheostomy or intubation panendoscopy observation surgery depending on lesions

  2. Laryngeal trauma: management DYSPNEIC PATIENT tracheostomy in LA transnasal fibroscopy lesions grade II lesions grade III - IV CT-scan (CT-scan) normal abnormal endoscopy en GA observation surgery depending on lesions

  3. Laryngeal trauma: management UNCONSCIOUS INTUBATED PATIENT panendoscopy lesions grade V lesions grade III - IV complementary intubation under optical control tracheostomy in GA surgical treatment surgical treatment

  4. Laryngeal trauma: management PENETRATING TRAUMA securing the airway hemodynamic stabilisation CT-angiography panendoscopy in GA surgical exploration & treatment (at very first if active hemorrhage)

  5. Laryngeal trauma: treatment LARYNGEAL PROSTHESIS: EASY LT-MOLDTM Disruption of anterior half of larynx Instability of laryngeal skeleton despite of fracture fixation Loss of cricoid structural integrity Massive endolaryngeal laceration Difficulties in restoring a normally shaped anterior commissure Controversy : duration of stenting? 2 weeks ?

More Related