1. Laryngeal trauma: management CONSCIOUS NORMOPNEIC PATIENT
transnasal fibroscopy
lesions grade I – II
lesions grade III – IV
normal
CT-scan
normal
non displaced fracture
of thyroïd cartilage
abnormal
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. UNCONSCIOUS INTUBATED PATIENT
Laryngeal trauma: management
UNCONSCIOUS INTUBATED PATIENT
panendoscopy
lesions grade III - IV
lesions grade V
complementary intubation under optical control
tracheostomy in GA
surgical treatment
surgical treatment

4. PENETRATING TRAUMA securing the airway hemodynamic stabilisation
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 PROSTHESIS: EASY LT-MOLDTM
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 ?