Resident Manual of Trauma to the Face, Head and Neck

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

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Resident Manual of Trauma to the Face, Head, and Neck