Question: A 48 year old man trips near the bottom of his stairs and falls down, striking his anterior neck on the edge of a table. Immediately he notes a change in voice but no breathing difficulties. At his wife's urging, he presents to the local emergency department where he is evaluated with a CT of the neck. This reveals a non-displaced fracture of the thyroid cartilage. Endoscopic examination reveals a small endolaryngeal hematoma with a mucosal tear. What is your next step in management? [Answer will be posted with next week's new question]
Answer to last week's question, Time to Bear Down (Apr 6, 2015):
Valsalva maneuver for suspected encephalocele. Expansion of the mass with the subsequent increase in intracranial pressure would constitute a positive Furstenberg's sign.