

Resident Manual of Trauma to the Face, Head, and Neck
10
3. Hemodynamically Stable Patients Showing
Risk Factors............................................................................... 174
4. Cervical Spine Injury Assessment...................................... 174
C. Conclusion...................................................................................... 174
III. References
............................................................................................ 175
Chapter 8: Laryngeal Trauma
....................................................................... 177
I.
Physical Examination
......................................................................... 177
A. Symptoms of Laryngeal Trauma (Subjective)........................ 177
B. Signs of Laryngeal Trauma (Objective)................................... 178
II. Diagnosis, Imaging Studies, and Laboratory Assessment
..... 178
A. Airway Evaluation......................................................................... 178
B. Trauma Evaluation......................................................................... 178
C. Radiologic Evaluation................................................................... 178
III. Surgical Decision-Making Principles
............................................ 179
A. Group 1............................................................................................. 179
1. Evaluation.................................................................................. 179
2. Management............................................................................ 179
B. Group 2............................................................................................180
1. Evaluation..................................................................................180
2. Management............................................................................180
C. Group 3............................................................................................180
1. Evaluation..................................................................................180
2. Management............................................................................180
D. Group 4............................................................................................180
1. Evaluation..................................................................................180
2. Management............................................................................180
E. Group 5............................................................................................180
1. Evaluation..................................................................................180
2. Management.............................................................................181
IV. Informed Consent
................................................................................181
V. Perioperative Care
...............................................................................181
A. Airway Observation.......................................................................181
B. Adjunctive Measures....................................................................181
C. Speech Therapy............................................................................. 182
VI. Operative Management by Location
............................................. 182
A. Inhalation Injury............................................................................. 182
B. Endolaryngeal Tears...................................................................... 182
C. Endolaryngeal Edema................................................................... 183
D. Endolaryngeal Hematomas........................................................ 183
E. Recurrent Laryngeal Nerve Injury............................................. 183
F. Laryngeal Fractures.......................................................................184