Because of what the laryngeal edema occurs
Laryngeal edema occurs as one of the manifestationsinflammatory or non-inflammatory lesion of the larynx and is usually localized in places of accumulation of loose submucosal larynx gland (sublateral space, vestibular folds, cherpalodnagortan folds, surface of the epiglottis on the side of the tongue). Can be limited or diffuse.
Causes. trauma (mechanical, thermal, chemical)mucous membrane of the pharynx or larynx, allergy, acute infectious diseases, diseases of the cardiovascular system and kidneys, collateral edema in pathological changes in the cervical lymph nodes, thyroid gland, inflammatory processes in the pharynx (peritonsillar, parapharyngeal abscess, etc.); phlegmon neck with acute, especially phlegmonous laryngitis, with neoplasm of the larynx. There are cases when puffiness develops as a result of falling into the throat of a foreign object, which causes a spasm, followed by swelling.
Symptoms. flow depend on the localization and severity of the edema. They can only consist of a feeling of awkwardness, mild pain in the throat when swallowing, or be more severe until a sharp difficulty in breathing. In this case, there is often a significant stenosis of the larynx lumen. With laryngoscopy, a limited or diffuse, strained gelatinous tumor-like formation of pale pink color is seen. The contours of the anatomical details of the larynx in the region of the edema disappear.
Treatment. The patient is hospitalized, since even a slight swelling can very quickly increase and lead to severe stenosis of the larynx.
If possible, the causes of edema should be eliminated. The patient is allowed to swallow ice slices, put a bubble with ice on his neck, prescribe distracting therapy (mustard, cans, hot foot baths), inhalation of oxygen, inhalation of antibiotic aerosols, antibiotics w / m, sulfonamides, dehydration therapy (IV infusion 20 ml 40 % glucose solution), iv administration of 10 ml of a 10% solution of calcium chloride, 1 ml of a 5% solution of ascorbic acid.
Intranasal novocaineblockade, diuretics, antihistamines inside, in / m (pifolen, suprastin, etc.), inhalation of aerosols of corticosteroids. In severe cases, injected in / m 1-2 ml hydrocortisone (25-50 mg) or iv in 1-2 ml of an aqueous solution of prednisolone (slowly for 4-5 minutes).
If the drug therapy is unsuccessful and laryngeal stenosis increases, tracheostomy (or prolonged intubation) is indicated.