An endoscopic exam of his voicebox at time of injury may have looked something like this picture shown here, but more severe.
![](https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPoD28YYWJdgbGEk8GQrOPkkD39alZUrv3uCVZLZJmXlxA_8FqxhG_kTZcV3ER2N5aRNenE4R7KUU4yBM7PBvIJollH8O6ofrCCwZ_EYwZcL1TuTBrXGpkvuDo4aiQOYrp_d6tu_vhdyg/s320/trauma1.JPEG.jpeg)
Most likely a trach was performed for a secure airway after reconstruction. After recovery, he is at risk for vocal cord paralysis, stenosis, etc.
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