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transnasal fibroscopy

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.

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transnasal fibroscopy

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  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 ?

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