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Burns of the pharynx and larynx


There are thermal and chemical burns. Thermal burns occur when exposed to hot liquids, vapors, gases. Chemical burns are more common. They are observed when swallowing acids and alkalis by mistake or with the aim of suicide. The most common burns are vinegar essence, ammonia and caustic soda. The degree of burn (from catarrh to necrosis) depends on the nature of the substance, its concentration and amount, as well as on the duration of exposure to the tissue.
Clinical picture
Symptoms: sharp pains in the oral cavity, pharynx, behind the sternum, aggravated by swallowing, inability to take even fluids, repeated vomiting (often with an admixture of blood), copious salivation, difficulty breathing, fever. On examination, burns are noted on the lips, face skin around the mouth, bright hyperemia and severe swelling of the mucous membrane of the oral cavity and pharynx. Burns of the pharynx, larynx due to reactive changes in the outer ring of the larynx can be complicated by stenosis of the larynx and suffocation.

Urgent Care
To remove a chemical, the stomach is washed (3-4 liters of fluid). With thermal burns, gastric lavage is not performed. To relieve pain and spasm, 1-2 ml of a 1% solution of promedol, 1 ml of a 0.1% solution of atropine and 2 ml of a 2% solution of papaverine are subcutaneously injected; 5 ml of a 0.5% solution of novocaine intravenously. To remove intoxication, 30 ml of a 5% glucose solution, 400 ml of hemodesis are injected intravenously. Prescribe antibiotics, heart remedies, recommend swallowing pieces of ice, vegetable oils, fish oil, drink 1 tbsp several times a day. l 0.5% novocaine solution, use anestezin tablets for sucking, rinsing the pharynx with disinfectant solutions (0.002% furatsilin solution, 0.1% rivanol solution).
Hospitalization in a toxicological or surgical department is indicated.
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Burns of the pharynx and larynx

  1. Larynx burns
    Larynx burns are of two types - chemical and thermal. As a rule, they are combined with damage to the oral cavity, pharynx, and when swallowing a poisonous or hot substance, the esophagus (see "Burns of the pharynx and esophagus"). Chemical burns occur as a result of ingestion or inhalation of concentrated chemical solutions (acids, alkalis, etc.). Most often affected
  2. Burns of the pharynx and esophagus
    Burns distinguish between thermal, chemical, electrical and radiation. Thermal burns of the oral cavity, pharynx and esophagus (often at the same time) usually occur when swallowing hot food, often liquid, sometimes when hot air, gas or steam gets into these cavities. In rare cases, only one organ is affected, which is associated with the duration of the contact of the damaging agent with the mucosa
  3. Foreign bodies in the mouth, pharynx, larynx, trachea, esophagus, stomach and intestines
    Foreign bodies can be sharp, damaging and obstructing (clogging) the pharynx, larynx and esophagus. In case of suffocation, an urgent tracheotomy is necessary. The dog is fixed in the dorsal position, the hair is quickly removed from the ventral surface of the anterior third of the neck, twice the skin is lubricated with a 3% alcohol solution of iodine. Through a needle inserted strictly along the midline of the ventral surface
  4. DISEASES OF THE NOSE AND NEXTILOUS SINAS, THROATS, Larynx and Ear
    The upper respiratory tract (nose, paranasal sinuses, pharynx and larynx) perform the most important life-supporting functions, a detailed description of which is given in Part I. The next part is devoted to diseases of these organs. Based on the functional significance in the clinic of each of the organs - reflex, humoral and other connections of these organs with the body as a whole, we can conclude
  5. PHARYNX
    The pharynx (pharinx) is an unpaired organ located in the head and neck, is part of the digestive and respiratory systems, is a funnel-shaped tube 12-15 cm long, suspended from the base of the skull. It is attached to the pharyngeal tubercle of the basilar part of the occipital bone, to the pyramids of the temporal bones and to the pterygoid process of the sphenoid bone; at the level of VI-VII cervical vertebrae
  6. Pharynx
    The pharynx is a funnel-shaped cavity with muscle walls, starting from the top from the base of the skull and passing below into the esophagus. The pharynx is located in front of the cervical spine. Its back wall is attached to the vertebrae, on the sides it is surrounded by loose connective tissue, and in front it communicates with the nasal cavity, oral cavity and larynx. According to the three cavities,
  7. Burns
    A burn is an injury that occurs when a body is exposed to high temperature, aggressive chemicals, electric current, and ionizing radiation. Burned is a person who has suffered a thermal injury. The frequency of burns is 5-10% of the total number of peacetime injuries. In the structure of burn injury, household burns prevail. A third of the number of burned are children.
  8. Chemical burns of the respiratory and esophageal tract
    Chemical burns of the respiratory tract Chemical burns occur as a result of ingestion or inhalation of concentrated chemical solutions (acids, alkalis, etc.). Most often, the vestibular part of the larynx is affected (epiglottis, scoop-epiglottis and vestibular folds, arytenoid cartilage). At the site of contact of the chemical agent with the mucous membrane, a local burn occurs
  9. Burns
    Clinical characteristics of burns in children Burns are injuries to the skin and other tissues that occur under the influence of a thermal, chemical, electrical or radiation agent. Depending on the depth of the lesion, the following degrees of tissue damage in children are distinguished: 1) burns of I degree - damage to the upper layers of the epidermis, redness and swelling of the skin, pain in the area of ​​damage; 2) burns II
  10. Pharyngeal neurosis
    Violation of the sensitivity of the pharynx of a different nature can occur with many of its diseases and is usually caused by damage to the sensitive innervation of the pharyngeal mucosa or pathology of higher nervous activity. Pharyngeal neurosis is manifested in the form of anesthesia (hyposthesia), hyperesthesia and paresthesia of its mucous membrane. The most common cause of both lowering and rising
  11. Burns
    Burns (burnio) - damage to body tissues resulting from local effects of high temperature, chemicals, electric current or ionizing radiation. On the etiological basis, thermal, chemical, electrical and radiation burns are distinguished. Thermal burns are I-IV degrees. A degree I burn, or superficial burn, is characterized by the appearance of pain
  12. Pharyngeal injury
    In everyday life, internal (through the nose or mouth) pharyngeal injuries of the pharynx by foreign bodies or a pharyngeal burn with chemicals are more often noted, less often thermal. Patients with pharyngeal injuries and burns are subject to hospitalization. First aid consists in washing the pharynx with disinfectant solutions, for burns - with neutralizing liquids (a solution of soda or acetic acid), the introduction of painkillers and
  13. CLINICAL THROAT ANATOMY
    The pharynx, pharynx, is the initial part of the digestive tube located between the oral cavity and the esophagus. At the same time, it is also part of the respiratory tube, connecting the nasal cavity or oral cavity with the larynx. Consequently, in the pharyngeal cavity, the digestive and respiratory tract cross. The pharynx has the shape of a funnel-shaped tube flattened in the anteroposterior direction,
  14. Clinical pharyngeal anatomy
    The pharynx (pharynx) enters the initial section of the digestive tract and respiratory tract. It is a hollow organ formed by muscles, fascia and lined with mucous membrane from the inside. The pharynx connects the nasal and oral cavities with the larynx and esophagus, through the auditory tubes the pharynx communicates with the middle ear. The pharyngeal cavity is vertically projected onto the bases of the occipital and wedge-shaped
  15. Burns
    Damage to tissues from exposure to high temperature (thermal burns) or chemicals (chemical burns) or both factors (thermochemical burns). The depth of the lesion distinguishes surface burns (I, II, GPA art.) And deep (111B, IV art.). If the lesion exceeds 10-20% of the body surface with a superficial burn or 5-10% - with a deep burn, a "burn disease" develops, in
  16. Thermal tracheal burns
    Thermal burns of the trachea and other respiratory tract occur when inhaling the flame, hot air, smoke, steam. Purely thermal factors can be accompanied by chemical - toxic combustion products in smoke. A burn of the airways should be suspected in all cases when the damage was received indoors (fire in the house, basement, transport, mine, in the battle
  17. BURNS
    A burn is tissue damage caused by high temperatures (thermal burns) or caustic chemicals (chemical burns). The main cause of burn injuries in cats is the carelessness of the owners. Symptoms Depending on the severity of the lesion, redness, swelling and soreness of the skin, the appearance of blisters with their subsequent breakthrough, carbonization and tissue necrosis are observed.
  18. Burns
    Thermal lesions are a fairly common occurrence in childhood, often they lead to disability and death. Burns make up 1/5 of all household injuries requiring treatment in a hospital setting. Most often, burns in children occur due to exposure to high temperature fluids (hot water, milk, soup), flame burns are less common, and even less often chemical
  19. FOREIGN BODIES AND DAMAGE TO THE THROAT
    Foreign bodies fall into the throat when breathing or when swallowing and are countless diverse objects. The outcomes of a foreign body staying in the pharynx are different: it can be coughed up, expelled with exhalation, spit out, lie freely in the pharynx without injuring the mucous membrane, advance further and become a foreign body of the larynx, trachea and bronchi, the esophagus, and finally, injure the mucous membrane and
  20. Clinical physiology of the pharynx
    The pharynx is part of the digestive and respiratory tract; food and saliva pass through it into the gastrointestinal tract, and air into the larynx, lungs, and vice versa. She takes part in the following vital functions: the act of eating - sucking and swallowing; voice and speech education; act of breathing; protective mechanisms during eating and breathing, as well as in taste function. Etc
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