CBL ENT Lab Techniques

Question 1

Thoracic inlet myofascial release (non arm as lever) details

Answer 1

Evaluate motion of sibsons fascia and supraclavicular fascia for TART

Fingertips touch clavicles, fingers are on scalenes and fascia, thumbs are on midline at T 1 level

Motions are

• clockwise/counterclockwise
• anterior/posterior
• lateral translation right and left

Can be done direct or indirect

Question 2

Thoracic inlet myofascial release arm as lever details

Answer 2

Evaluate Gibson’s and supraclavicular fascia

Patient is supine and and arm is 90 degrees abducted and flexed at elbow

Physicians cephalad hand fingers are in the supraclavicular fossa and the caudad hand moves the patients hand/arm

Internal -> external = resist tension

External -> internal push fingers in slightly further

Question 3

Cervical chain drainage technique

Answer 3

any dysfunction or lymphatic congestion in ENT region

Patient supine physician sits at head of table

Physician cephalad hand stabilizes the patients head, caudad hand makes broad contact over SCM near angle of mandible

Use fingers to roll the anterior and posterior SCM from caudad to cephalad

Question 4

Auricular drainage technique

Answer 4

Any dysfunction of lymphatic congestion in the ear region

Patient supine with head turned slightly toward physician

Physicians cephalad hand stabilizes the patients head to elevate it slightly

Physicians causal hand is placed flat against the side of the head, fingers pointing cephalad and ear between middle and ring fingers

Caudad hand makes circular motions in both clockwise and counter clockwise (starting one direction and moving to the other after 5 cycles)

Question 5

Mandibular drainage technique (galbreath technique)

Answer 5

any dysfunction of lymphatic congestion in the ENT/submandibular area region

Patient supine with head turned slightly toward physician

Cephalad hand stabilizes patients head

Caudad hand is place with 3rd-5th fingertips along posterior ramus of mandible and hypothenar eminence along mandible

Patient opens mouth slightly

Caudad hand exerts pressure on mandible and draws it forward at the TMJ

Question 6

Anterior cervical arches

Answer 6

any dysfunction/lymphatic congestion in ENT region

Patient supine

Cephalad hand stabilizes patient head on forehead

Caudad hand index and thumb form horseshoe over the anterior cervical arches

Caudad hand makes alternating contact between the following as the physician works up and down the length of anterior neck

• hyoid bone
• laryngeal cartilages
• upper tracheal rings
• can flex neck ro eliminate excess crepotus if present*

Question 7

Facial effleurage

Answer 7

Any dysfunction or lymphatic congestion in the ENT region, very good for maxillary sinuses and tension headaches

Patient supine

Finger pads start at supramedial aspect eyebrows

Start by Gently runs fingers along supraorbital ridge to the TMJ

Then move to Infraorbital foramina moving towards the central ridge of the gums