After a road collision, a patient has hoarseness, neck tenderness and increasing stridor. CT shows a displaced thyroid-cartilage fracture. What is the priority?
Progressive obstruction and disrupted anatomy demand controlled airway management; repeated trans-laryngeal attempts can worsen injury.
A. Flexible endoscopy without airway backup: Assessment is useful only within a prepared rescue environment.
B. Discharge because oxygen saturation is normal: Saturation can remain normal until late deterioration.
C. Secure the airway with senior ENT and anaesthetic planning before definitive laryngeal repair: Progressive obstruction and disrupted anatomy demand controlled airway management; repeated trans-laryngeal attempts can worsen injury.
D. Immediate oral intake challenge: This risks aspiration and delays airway control.
E. Delay intervention until oedema resolves: Displaced framework injury and worsening stridor require urgent action.
If the airway were stable with a non-displaced fracture and normal fold mobility, monitored conservative treatment could be appropriate.
Independent Clinora preparation material; not official JCIE content, an accredited programme or a substitute for local policy and specialist judgement.
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