title: Laryngeal Trauma Following an Inhalation Injury: A Review and Case Report.
abstract: The primary concern when managing a patient with inhalation injury is security of the airway. Airflow may be impeded by both edema of the upper airway and reduction of oxygen delivery to the lower respiratory tract. Although there has been much discussion regarding management of the latter, the focus of this article is the management of the former. This review aimed to determine the optimum management in burn victims with upper airway inhalation injury as an attempt to prevent laryngeal trauma leading to long-term voice disorders and upper airway dyspnea. We describe the case of a 57-year-old woman with significant inhalation injury and discuss the natural progression of her injuries and the laryngeal controversies surrounding her care. We conclude with advice on the optimal management of this condition based on our experience, combined with current best evidence.
authors.affiliation: Department of Otolaryngology, University Hospital of South Manchester, Manchester, UK; Department of Plastics and Burns, University Hospital of South Manchester, Manchester, UK. Electronic address: gemmaehogg@gmail.com.
authors.forename: Gemma
authors.initials: G
authors.lastname: Hogg
authors.affiliation: Department of Otolaryngology, University Hospital of South Manchester, Manchester, UK; Department of Plastics and Burns, University Hospital of South Manchester, Manchester, UK.
authors.forename: Jay
authors.initials: J
authors.lastname: Goswamy
authors.affiliation: Department of Otolaryngology, University Hospital of South Manchester, Manchester, UK; Department of Plastics and Burns, University Hospital of South Manchester, Manchester, UK.
authors.forename: Sadie
authors.initials: S
authors.lastname: Khwaja
authors.affiliation: Department of Otolaryngology, University Hospital of South Manchester, Manchester, UK; Department of Plastics and Burns, University Hospital of South Manchester, Manchester, UK.
authors.forename: Nadeem
authors.initials: N
authors.lastname: Khwaja
mesh_terms: D002059:Burns, Inhalation / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D007830:Larynx / Q000000981:diagnostic imaging / Q000293:injuries* / Q000503:physiopathology; D008875:Middle Aged; D020127:Recovery of Function; D049489:Stroboscopy; D013997:Time Factors; D016896:Treatment Outcome; D014741:Video Recording; D014832:Voice Disorders / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D014833:Voice Quality; D014834:Voice Training
keywords: Airway dyspnea; Airway management; Glottic webs; Inhalation injury; Laryngeal trauma