耳鼻咽喉科学英文版ppt课件 congenital lesions of larynx.ppt

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1、Congenital lesions of larynx,Congenital stridor common in infantscauses:laryngeal cartilages hypoplasia calciumdeficiency-laryngeal chondromalacia symptoms:1)three depressions sign 2)wheezetreatment:1)symptom-free,no particular treatment-take in more calcium and cod liver oil 2)side-lying 3)tracheot

2、omy,laryngeal web,laryngomalacia,Inflammatory diseases of the larynx,Acute epiglottitisA common disease,often misdiagnosed,can cause dyspnea and threaten patients lifecauses:bacterial or viral infection,allergy,foreign body,trauma,inspiration of chemicals,spread of inflammation from pharyngitis,Infl

3、ammatory diseases of the larynx,Acute epiglottitissymptoms:acute onset,high fever,sore throat,dysphagia,unclear articulation,dynpnea,Inflammatory diseases of the larynx,Acute epiglottitisexam:oropharynx is normal,congestion and edema of the epiglottis,difficult to explore the vocal cords,Acute epigl

4、ottitis,Inflammatory diseases of the larynx,Acute epiglottitistreatment:systemic administration of antibiotics and corticosteroid.tracheotomy if necessary incise the epiglottic abscess if it is formed,Inflammatory diseases of the larynx,Acute laryngitiscauses:infection,vocal overuse,inhalation of to

5、xic gassymptoms:hoarseness,sore throat,cough,Inflammatory diseases of the larynx,Acute laryngitisexam:diffused congestion and edema of the vocal cordstreatment:vocal rest,nebulization therapy with antibiotics,steroid and traditional Chinese medicines,Inflammatory diseases of the larynx,Acute laryngi

6、tis in childrenOften occurred in children from 6m3ycauses:caused by infectious diseases or upper respiratory tract infection,Inflammatory diseases of the larynx,Acute laryngitis in childrensymptoms:cough,Three-concave sign,inspiratory dyspnea,fever and restlessnessexam:congestion and edema of laryng

7、eal mucosa,especially subglottic mucosa,Inflammatory diseases of the larynx,Acute laryngitis in childrendifferential diagnosis:glottic spasm,foreign body of respiratory tract,diphtheriatreatment:antibiotic and steroid tracheotomy if necessary supporting treatment,Inflammatory diseases of the larynx,

8、Chronic laryngitiscauses:occupational(teachers,shop employees chronic inflammation of nose,sinus and pharynx acute laryngitis lower respiratory tract infection long term inspiration of toxic gas,Inflammatory diseases of the larynx,Chronic laryngitissymptoms:repeated hoarseness,discomfort and foreign

9、 body sensation of the throatexam:chronic congestion of laryngeal mucosa with mild edema,VC hypertrophy or atrophytreatment:etiological treatment,traditional Chinese medicine,Inflammatory diseases of the larynx,Vocal nodules&polypscauses:vocal overuse and abusesymptom:hoarsenessexam:laryngoscopic examination,Vocal nodules and polyps,Inflammatory diseases of the larynx,treatment:complete vocal rest and nebulization therapysurgery:under direct laryngoscope,fiberscope and microscope,

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