Larynx Flashcards
What are the arytenoids?
Cartilaginous structures that surround the opening of the trachea, and adjust the vocal cords
What are the changes that occur with viral laryngitis?
Free edges become swollen
What causes vocal cord polyps?
Irritation of the vocal cords, causing a blood vessel inflammatory reaction which forms a polyp
True or false: vocal cord polyps are usually bilateral
False–unilateral
Are vocal cord polyps usually a slow onset or acute onset?
Acute
What is the treatment for vocal cord polyps?
Surgery
What is polypoid corditis?
Many polyps that cover the vocal cords
What are the causes of polypoid corditis?
- Reflux
- Smoking
- Talker
What is the treatment for polypoid corditis?
Surgery
What is the recurrence rate of polypoid corditis?
Very low
What are the issues with polypoid corditis?
Trouble breathing, and speaking
What are traumatic granulomas?
chronic irritation of the vocal cords causes a granulation tissue to form, which will eventually turn into a scar
What are the signs of acid reflux?
- Postcricoid and interarytenoid edema
- Thickening of the skin
- Reinke’s edema
What is Reinke’s edema?
Edema of the tissue beneath the vocal cords that causes vocal cord swelling
What is the treatment for early onset traumatic granuloma?
Steroids and reflux control can reverse the process
What is the point where surgery is absolutely indicated for traumatic granulomas?
If the granulation tissue becomes fibrotic
When should the vocal cords be visualized after intubation?
If hoarseness persists after 10 ish days
What are vocal cord nodules?
callouses of the vocal cords d/t repetitive motion and irritation
True or false: vocal cord nodules are almost always bilateral and symmetrical
True
What causes vocal cord nodules?
Rubbing of the vocal cords against each other causes chronic irritation
What usually causes vocal cord nodules?
-Acid reflux causes inflammation of the vocal cords
True or false: almost all patients who have reflux in the trachea have heartburn
False
What are the s/sx of vocal cord nodules?
- Quality of voice affected
- bolus/ chronic throat clearing
What is the treatment for vocal cord nodules?
- Reflux management
- Voice therapy for vocal hygiene
- NOT surgical
True or false: vocal cord nodules are a surgical fix
False
True or false: with appropriate treatment, vocal cord nodules usually diappear
True
True or false: laryngeal cancer is incurable
False–very curable when caught in the early stages
Smokers with a new onset of hoarseness always need to be evaluated for what?
Laryngeal cancer