Chapter 78 - Laryngeal Trauma

Question 1

how is larynx position different in kids than adults

Answer 1

sits higher in kids

Question 2

management of reversible laryngeal injuries with trauma (edema/hematoma/abrasion/contusion/non-displaced fx/small lacs)

Answer 2

observe 12-24 hr

steroids, PPI, cool mist

Question 3

describe descent of larynx with age

Answer 3

born: C3

age 3: C6

Question 4

2 reasons why kids get more airway compromise with laryngeal injuries than adults

Answer 4

smaller diameter

soft tissue more loosely attached to perichondrium – ore soft tissue injury, edema, hematoma

Question 5

where do adults often get stenosis post-intubation?

Answer 5

posterior glottic

Question 6

how many subglottic stenosis (acquired) pediatric cases are 2/2 ET tube?

Answer 6

90%

Question 7

how does arytenoid dislocation present? how is it treated?

Answer 7

dysphonia, vocal fatigue, cough, cannot project voice
dysphagia

Diminished ipsilateral VC movement, abnl arytenoid position, height discrepancy between VC
NL laryngeal EMG

early intervention to prevent joint ankylosis
arytenoid repositioning, voice therapy as adjunct