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45 Possible Causes for Hoarseness, Localized Edema, Tracheal Injury

  • Angioedema

    A general term for a vascular reaction of the deep dermis, subcutaneous or submucosal tissues, which corresponds to localized edema 2º to vasodilation and capillary permeability[medical-dictionary.thefreedictionary.com] The patient with a gun-shot wound to the jaw, the tracheal crush injury, the diabetic with Ludwig’s, and the case of severe angioedema all occur regularly in the airway nightmares[epmonthly.com] […] airway compromise IMPENDING AIRWAY DISASTER TRIAD Rapid onset aphagia or severe dysphagia, frequently associated with a severe sore throat Rapid onset laryngeal voice change: hoarse[entsho.com]

  • Laryngeal Edema

    As both these substances are known to cause metabolic acidosis, localized edema, erosion and sensitization of both the respiratory and alimentary tract.[ncbi.nlm.nih.gov] If this is present look for subtle laryngeal and tracheal injury.[radiopaedia.org] We here describe two cases whose only symptoms were hoarseness and in which inspection revealed laryngeal edema when the patients ingested any of these substances.[ncbi.nlm.nih.gov]

  • Chest Trauma

    In a few cases of acute MR, pulmonary edema localized in the right upper lobe has been reported.[circ.ahajournals.org] Tracheal injury after blunt chest trauma is a rare but life-threatening condition. If diagnosed and treated early, the outcome is excellent.[ncbi.nlm.nih.gov] Presentation Different chest trauma diagnoses can be identified and managed during primary and secondary survey Primary survey airway obstruction acute anxiety, stridor, hoarseness[medbullets.com]

  • Bilateral Recurrent Laryngeal Nerve Paralysis

    Differential diagnosis includes bilateral recurrent laryngeal nerve palsy (BRLNP), local hematoma, vocal cord edema and laryngeal trauma.[signavitae.com] […] to tracheal intubation is usually an indirect injury.[laryngologyandvoice.org] In cases of idiopathic onset of paralysis, patients frequently report that hoarseness began following a viral infection.[bbivar.com]

  • Superior Laryngeal Nerve Paralysis

    Transient palsy can be regarded either as a consequence of neuroapraxia or axonotmesis, depending on whether local myelin damage, usually secondary to compression (edema,[frontiersin.org] Mencke T, Echternach M, Plinkert PK, et al, 2006 Does the timing of tracheal intubation based on neuromuscular monitoring decrease laryngeal injury?[hormones.gr] Airway emergencies and hoarseness Hoarseness may be a feature of laryngeal obstruction - so can be a warning of impending airway obstruction.[patient.info]

  • Tapia's Syndrome

    Paramedian immobile true left vocal cordwithout edema or bruising was detected during laryngoscopy. Thepharynx and soft palate were normal.[documents.tips] These Authors held that, in their patient, the compression by the tracheal tube, caused by displacement of the head, might have given rise to the nerve injury.[ncbi.nlm.nih.gov] Over the next two weeks, patient had decreased tongue deviation and improving hoarseness and dysarthria.[neurology.org]

  • Intratracheal Intubation

    Other conditions associated with difficult intubation include severe laryngeal or supralaryngeal edema as a consequence of bacterial infection, burns, or anaphylaxis [ 5 ][uptodate.com] Readmission due to tracheal injury can last as long as 4.7 days on average, and resulting in an average cost of 11,025. 2018 Guide In Medical Ltd.[guideinmed.com] Previous research by Jones et al. found that 54 of 167 studied patients had hoarseness following short-term intubation. 7 In five of these patients, hoarseness lasted for[anesthesiology.pubs.asahq.org]

  • Laryngeal Stridor

    Differential diagnosis includes bilateral recurrent laryngeal nerve palsy (BRLNP), local hematoma, vocal cord edema and laryngeal trauma.[signavitae.com] The difficulty in defining the relationship between laryngo-tracheal injury and post-extubation stridor is that the presence of the endotracheal tube precludes direct visualisation[erj.ersjournals.com] Hoarseness (trachyphonia) is a very common symptom of laryngeal disease. Hoarseness may be the result of inflammation, benign or malignant tumor or vocal cord paralysis.[docraza.tripod.com]

  • Spasmodic Croup

    The local vasoconstriction in the subglottic mucosa produced by epinephrine can generate rapid improvement in symptoms.[hosppeds.aappublications.org] The voice is hoarse but not lost. The cough has a characteristic brazen tone.[chestofbooks.com] It usually results to a barking cough or hoarseness especially when crying.[standardfirstaidcourses.ca]

  • Recurrent Laryngeal Nerve Palsy

    Differential diagnosis includes bilateral recurrent laryngeal nerve palsy (BRLNP), local hematoma, vocal cord edema and laryngeal trauma.[signavitae.com] Mencke T, Echternach M, Plinkert PK, et al, 2006 Does the timing of tracheal intubation based on neuromuscular monitoring decrease laryngeal injury?[hormones.gr] Recurrent laryngeal nerve palsy should be considered in the differential diagnosis of patients presenting with progressive voice weakness and hoarseness.[ncbi.nlm.nih.gov]

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