Congenital lesions of larynx

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Presentation transcript:

Congenital lesions of larynx Congenital stridor common in infants causes:laryngeal cartilages hypoplasia calciumdeficiency---laryngeal chondromalacia symptoms:1)three depressions sign 2)wheeze treatment :1)symptom-free ,no particular treatment---take in more calcium and cod liver oil 2)side-lying 3)tracheotomy

laryngeal web

laryngomalacia

Inflammatory diseases of the larynx Acute epiglottitis A common disease, often misdiagnosed, can cause dyspnea and threaten patient’s life causes:bacterial or viral infection, allergy, foreign body, trauma, inspiration of chemicals, spread of inflammation from pharyngitis

Inflammatory diseases of the larynx Acute epiglottitis symptoms:acute onset, high fever, sore throat, dysphagia, unclear articulation, dynpnea

Inflammatory diseases of the larynx Acute epiglottitis exam:oropharynx is normal, congestion and edema of the epiglottis, difficult to explore the vocal cords

Acute epiglottitis

Inflammatory diseases of the larynx Acute epiglottitis treatment: systemic administration of antibiotics and corticosteroid. tracheotomy if necessary incise the epiglottic abscess if it is formed

Inflammatory diseases of the larynx Acute laryngitis causes:infection, vocal overuse, inhalation of toxic gas symptoms:hoarseness, sore throat, cough

Inflammatory diseases of the larynx Acute laryngitis exam:diffused congestion and edema of the vocal cords treatment:vocal rest, nebulization therapy with antibiotics, steroid and traditional Chinese medicines

Inflammatory diseases of the larynx Acute laryngitis in children Often occurred in children from 6m~3y causes:caused by infectious diseases or upper respiratory tract infection

Inflammatory diseases of the larynx Acute laryngitis in children symptoms:cough,Three-concave sign, inspiratory dyspnea, fever and restlessness exam:congestion and edema of laryngeal mucosa, especially subglottic mucosa

Inflammatory diseases of the larynx Acute laryngitis in children differential diagnosis:glottic spasm, foreign body of respiratory tract, diphtheria treatment: antibiotic and steroid tracheotomy if necessary supporting treatment

Inflammatory diseases of the larynx Chronic laryngitis causes:occupational(teachers, shop employees chronic inflammation of nose, sinus and pharynx acute laryngitis lower respiratory tract infection long term inspiration of toxic gas

Inflammatory diseases of the larynx Chronic laryngitis symptoms:repeated hoarseness, discomfort and foreign body sensation of the throat exam:chronic congestion of laryngeal mucosa with mild edema, VC hypertrophy or atrophy treatment:etiological treatment, traditional Chinese medicine

Inflammatory diseases of the larynx Vocal nodules & polyps causes:vocal overuse and abuse symptom:hoarseness exam: laryngoscopic examination

Vocal nodules and polyps

Inflammatory diseases of the larynx treatment: complete vocal rest and nebulization therapy surgery:under direct laryngoscope, fiberscope and microscope