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post-traumatic arytenoiditis is a condition that affects the arytenoid cartilage in the larynx (voice box) and is usually a result of trauma or injury to the area. The arytenoid cartilages are two small pyramid-shaped structures in the larynx that play a crucial role in vocal cord movement and voice production.

Causes: Post-traumatic arytenoiditis is typically caused by direct trauma to the larynx or surrounding structures. It can occur due to various factors, such as:

  1. External injury: Blunt force trauma to the neck or throat region, such as in car accidents, falls, or physical assaults, can lead to injury to the arytenoid cartilages.

  2. Medical procedures: Intubation during surgery or other medical procedures involving the insertion of a tube into the airway can sometimes result in arytenoid cartilage damage.

  3. Thermal injury: Exposure to extreme heat, such as inhalation of hot gases or steam, can cause damage to the laryngeal structures.

Symptoms: The symptoms of post-traumatic arytenoiditis can vary depending on the severity of the injury, but they often include:

  1. Hoarseness or changes in voice quality.
  2. Difficulty breathing or shortness of breath.
  3. Stridor: A high-pitched, noisy breathing sound due to narrowed air passages.
  4. Dysphagia: Difficulty swallowing.
  5. Pain or discomfort in the throat.

Diagnosis: The diagnosis of post-traumatic arytenoiditis is typically made by an ear, nose, and throat (ENT) specialist (otolaryngologist) who will perform a thorough examination of the larynx and vocal cords. The following diagnostic procedures may be used:

  1. Laryngoscopy: This procedure involves using a laryngoscope, a thin, flexible tube with a camera, to visualize the larynx and assess any structural abnormalities.

  2. Videostroboscopy: This specialized technique allows for a more detailed examination of the vocal cords' movement and function.

  3. Imaging studies: X-rays, CT scans, or MRI may be used to assess the extent of the injury and its impact on surrounding structures.

Treatment: Treatment for post-traumatic arytenoiditis depends on the severity of the injury and its impact on vocal cord function. Conservative treatments may include:

  1. Voice rest: Avoiding excessive speaking or straining the voice to allow the injured area to heal.

  2. Voice therapy: Working with a speech-language pathologist to improve vocal cord function and reduce strain during speech.

  3. Medications: Anti-inflammatory medications or steroids may be prescribed to reduce inflammation and promote healing.

In severe cases or when conservative treatments are ineffective, surgical intervention may be necessary to repair or stabilize the injured arytenoid cartilage.

As medical knowledge and research continuously evolve, it's essential to consult a qualified healthcare professional for the most up-to-date information on post-traumatic arytenoiditis and its management.

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