Mäkitie Antti, Juutilainen Marko
HYKS:n korva-, nenä- ja kurkkutautien klinikka PL 220, 00029 HUS.
Duodecim. 2010;126(15):1793-801.
Injuries of the larynx are rare, and generally approved and consistent clinical guidelines are lacking. Depending on the mechanism, such an injury is either blunt or penetrating. This kind of injury may cause airway obstruction even with a delay of several hours. It is of principal importance to know when to suspect structural damage of the larynx, and to secure the airway. Laryngoscopy with a mirror or a flexible laryngoscope forms the basis for clinical examination, often complemented with computed tomography of the neck. Minor injuries of the larynx are treated conservatively and dislocated fractures surgically.
喉部损伤较为罕见,且普遍缺乏公认且一致的临床指南。根据损伤机制,此类损伤分为钝性损伤或穿透性损伤。即使延迟数小时,这种损伤也可能导致气道阻塞。了解何时怀疑喉部结构损伤并确保气道通畅至关重要。使用喉镜或可弯曲喉镜进行喉镜检查是临床检查的基础,颈部计算机断层扫描常作为补充。喉部轻伤采用保守治疗,脱位骨折则进行手术治疗。