Traumatic Conditions of the Larynx

Types of Injuries

• Direct injuries (blows)
• Penetration (open)
• Burns (inhalation, corrosive fluids)
• Inhalation foreign bodies
• Prolonged intubation
• Blind intubation
• Too large tub
• Intubation Injuries
  • Abrasion ► granulomatous formation ….subglottic stenosis
  • Symptoms: Hoarseness, dyspnea

Pathology and Treatment

• Pathology:
  • Voice rest
  • Endoscopic removal
  • Prevention
• Treatment:

Vocal Fold Lesions Secondary to Vocal Abuse and Trauma

Vocal Nodules (Singer’s Nodules)

• At junction of anterior 1/3 and mid 1/3
• Treatment:
  • Voice therapy
  • Surgical excision (microlaryngoscopy)

Vocal Fold Polyp

• Middle and anterior 1/3, free edge, unilateral
• Mucoid, hemorrhagic
• Treatment:
  • Surgical excisionz

Vocal Fold Cyst

• Congenital dermoid cyst
• Mucus retention cyst
• Treatment:
  • Surgical excision

Reinke’s Edema

• Treatment:
  • Voice rest, stop smoking, anti-reflux therapy
  • Surgical excision