Laryngeal trauma: management CONSCIOUS NORMOPNEIC PATIENT transnasal fibroscopy lesions grade I – II lesions grade III – IV normal CT-scan normal non displaced fracture of thyroïd cartilage abnormal tracheostomy or intubation panendoscopy observation surgery depending on lesions

Laryngeal trauma: management DYSPNEIC PATIENT tracheostomy in LA transnasal fibroscopy lesions grade II lesions grade III - IV CT-scan (CT-scan) normal abnormal endoscopy en GA observation surgery depending on lesions

UNCONSCIOUS INTUBATED PATIENT Laryngeal trauma: management UNCONSCIOUS INTUBATED PATIENT panendoscopy lesions grade III - IV lesions grade V complementary intubation under optical control tracheostomy in GA surgical treatment surgical treatment

PENETRATING TRAUMA securing the airway hemodynamic stabilisation Laryngeal trauma: management PENETRATING TRAUMA securing the airway hemodynamic stabilisation CT-angiography panendoscopy in GA surgical exploration & treatment (at very first if active hemorrhage)

LARYNGEAL PROSTHESIS: EASY LT-MOLDTM Laryngeal trauma: treatment LARYNGEAL PROSTHESIS: EASY LT-MOLDTM Disruption of anterior half of larynx Instability of laryngeal skeleton despite of fracture fixation Loss of cricoid structural integrity Massive endolaryngeal laceration Difficulties in restoring a normally shaped anterior commissure Controversy : duration of stenting? 2 weeks ?