Laryngitis – Treatments and Possible Complications – Page 4

Surgery

Depending [5] on the form of the pathology, various surgical methods are used:

opening an abscess during an indirect laryngoscopy with a special knife;
opening the phlegmon of the neck or mediastinum from the endolaryngeal and external access;
tracheostomy or conicotomy with increasing signs of laryngeal stenosis;
removal of pathologically enlarged areas on the vocal folds (decortication) with hypertrophic or edematous-polyposis chronic laryngitis;

excision of pathologically altered tissues according to the Hirano technique for edematous-polyposis form.

Surgical interventions are performed using endoscopic equipment. The use of a laser technique is possible. After surgery, anti-inflammatory drugs and therapy are prescribed to restore the voice.

Laryngitis treatment in children is carried out according to the same rules as in adults. Features of therapy are associated with a high frequency of croup (laryngeal stenosis). Therefore, at the first signs of breathing disorders it is necessary to call an ambulance.

For mild cereals, the following are used:

· bed rest, access to fresh humidified air;

· antipyretic and anti-inflammatory drugs;

· inhalation of budesonide (glucocorticoid hormone) through a nebulizer 2 times a day;

· in the absence of effect, intramuscular administration of prednisolone or dexamethasone and hospitalization.

With laryngostenosis of moderate severity, treatment includes emergency hospitalization, inhalation of budesonide, intramuscular administration of glucocorticoids. The deterioration of the child’s condition requires his transfer to the intensive care unit.

Severe croup is treated in the intensive care unit. In addition to the inhalation and intramuscular administration of glucocorticoids, humidified oxygen is prescribed, and with an increase in suffocation, an emergency tracheostomy or tracheal intubation.