ANAESTHETIC MANAGEMENT OF ACUTE LARYNGEAL TRAUMA

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Abstract
Three patients suffering acute laryngeal trauma illustrate problems of missed diagnosis and airway management confronting anaesthetists. A 55-year-old man suffered multiple injuries, including a supraglottic laryngeal fracture which was not diagnosed during administration of a subsequent general anaesthetic The diagnostic delay compromised any reconstructive surgery. Two 26-year-old males suffered laryngeal fractures, but tracheal intubation for reconstruction and tracheostomy was successful. Guidelines for management are suggested.

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