Symptoms of throat mucosal damage

Some people responded that their throats hurt when they swallowed. This situation is almost always caused by inflammation or damage in the throat. When the throat is injured, the most common damage is to the throat mucosa. This situation can easily cause symptoms such as pharyngitis and pharyngeal bleeding. Although it can repair itself, it still needs to be taken seriously. Once the situation worsens, it can easily cause respiratory bleeding and endanger life. The following are the symptoms of throat mucosal damage.

Clinical manifestations:

Pharyngeal trauma and trauma present different degrees of symptoms due to different types, locations, scopes, and degrees. The throat is a passage for breathing and food, and has many blood vessels in the neck. Therefore, shock, suffocation, and swallowing disorders are prone to occur in the early stages of trauma, and the condition is often critical. In the middle stages of trauma, infection is prone to cause secondary bleeding. In the late stages, due to severe tissue defects, or infection leading to cartilage necrosis, or due to improper early wound treatment, sequelae such as scar stenosis of the pharynx, larynx, trachea, and esophagus, fistula formation, or vocal cord paralysis are left.

1. Bleeding

In case of throat contusion, if only the mucosa is injured, the bleeding is minor and blood is often found in the sputum. In case of open throat injury, due to the large number of blood vessels in the neck, the amount of bleeding is large and sometimes shock can be caused. If the carotid artery is injured, massive bleeding and death can be caused.

2. Difficulty breathing

Trauma to the pharynx and trachea, whether open or closed, can cause varying degrees of dyspnea.

3. Dysphagia

Local pain after throat trauma causes dysphagia, and wound infection, edema of the aryepiglottic folds, and inflammation of the surrounding muscles lead to swallowing pain and dysphagia. Therefore, the patient's nutritional problem should be well addressed after trauma, especially after combat injuries.

4. Hoarseness

Closed laryngeal trauma may injure the vocal cords, causing swelling, congestion or rupture of the vocal cord mucosa, or injure the recurrent laryngeal nerve, causing vocal cord paralysis, or dislocation of the triangular cartilage.

5. Subcutaneous emphysema

In closed laryngeal and tracheal injury or laryngeal and tracheal puncture, the skin wound is small and not on the same plane as the laryngeal and tracheal cartilage wound. When coughing or breathing, air can enter the soft tissue of the neck through the crack and form subcutaneous emphysema.

6. Secondary infection

Incomplete debridement, untimely wound treatment, or saliva and food in the throat can enter the surrounding tissues through the wound, causing inflammatory infection, or be inhaled into the trachea and bronchi, leading to severe aspiration pneumonia. Severe infection can cause cartilage necrosis and stenosis of the larynx, trachea, and esophagus. Therefore, thorough debridement and systemic and local application of antibiotics to prevent infection are very important.