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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