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Laryngeal injury

Larynx injury . There are bruises, fractures (hyoid bone, cartilage of the larynx) and injuries.

Symptoms Larynx bruises: difficulty breathing and swallowing, sometimes coughing. Feeling of cartilage is usually painful. Often comes short-term fainting. Significant respiratory distress results from a concussion of the larynx. Fractures of the larynx: coughing attacks with bloody sputum, swallowing and talking are painful, the voice is rough. Often labored breathing is accompanied by a wheezing noise. Cyanosis and asthma attacks may occur. Choking is caused by hemorrhage in the trachea, swelling of the mucous membrane, displacement of fragments of cartilage, as well as emphysema of subcutaneous fatty tissue or mediastinal fiber.

The diagnosis is made on the basis of external examination, palpation and radiography. Laryngoscopy is usually difficult. With it, sharp hyperemia, swelling and hemorrhages, scraps of the mucous membrane and displacement of fragments of cartilage are found.

Treatment. Rest and silence are required, locally - cold on the neck; give swallow pieces of ice. The victim is subject to urgent hospitalization. With open injuries of the larynx, tetanus toxoid and toxoid must be administered. An early application of a tracheostomy is shown even with mild stenosis to prevent mediastinal emphysema. After applying a tracheostomy, it is necessary to remove the blood that has poured into the bronchi. To prevent secondary bleeding, you can use a tamponing cannula or, after laryngofissure, produce laryngeal tamponade. For prophylactic purposes, sulfonamide and antibiotic therapy are indicated. On smooth incised wounds, a primary suture can be applied. For swallowing disorders, probe and parenteral nutrition must be provided.