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Transnasal fibroscopy normal lesions grade I – II non displaced fracture of thyroïd cartilage normal abnormal lesions grade III – IV observation tracheostomy.

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Presentation on theme: "Transnasal fibroscopy normal lesions grade I – II non displaced fracture of thyroïd cartilage normal abnormal lesions grade III – IV observation tracheostomy."— Presentation transcript:

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

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

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

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

5 Laryngeal trauma: treatment LARYNGEAL PROSTHESIS: EASY LT-MOLD TM duration Controversy : duration of stenting? 2 weeks ? 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


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