OtoLogic Flashcards
The technical components that optimize laryngoscopy include_____, complete muscle relaxation, firm forward and upward traction on the laryngoscope, and, if necessary, firm external laryngeal manipulation with cricoid pressure.
The technical components that optimize laryngoscopy include Proper Head Position, complete muscle relaxation, firm forward and upward traction on the laryngoscope, and, if necessary, firm external laryngeal manipulation with cricoid pressure.
The technical components that optimize laryngoscopy include proper head position, ____, firm forward and upward traction on the laryngoscope, and, if necessary, firm external laryngeal manipulation with cricoid pressure.
The technical components that optimize laryngoscopy include proper head position, Complete Muscle Relaxation, firm forward and upward traction on the laryngoscope, and, if necessary, firm external laryngeal manipulation with cricoid pressure.
56F presenting w/stridor. She also has a history of RA and Hashimoto’s thyroiditis. On DL, you notice subglottic stenoiss. She is scheduled for Surgery, and you discuss bx. What is the dx?
Granulomatosis w/polyangitis (GPA) or Wegener granulomatosis (WG)
56F presenting w/stridor. She also has a history of RA and Hashimoto’s thyroiditis. On DL, you notice subglottic stenoiss. She is scheduled for Surgery, and you discuss bx. What is the bx likely to show?
Necrotizing Granulomatosis and necrotizing vasculitis of smwall arteries/arterioles, capillaries and venules
cough, increased mucus production, oral mucosa ulcers and fatigue after visitng Mississippi River valley.
Histoplasmosis
Laryngoscopic characteristics of the aging larynx include ___, a yellowish or dark grayish discoloration of the vocal fold, and vocal fold atrophy
Laryngoscopic characteristics of the aging larynx include edema, a yellowish or dark grayish discoloration of the vocal fold, and vocal fold atrophy
Laryngoscopic characteristics of the aging larynx include edema, ____ discoloration of the vocal fold, and vocal fold atrophy
Laryngoscopic characteristics of the aging** larynx include edema, a yellowish or dark grayish discoloration of the vocal fold, and vocal fold atrophy
Laryngoscopic characteristics of the aging larynx include edema, a yellowish or dark grayish discoloration of the vocal fold, and _____.
Laryngoscopic characteristics of the aging larynx include edema, a yellowish or dark grayish discoloration of the vocal fold, and vocal fold atrophy
Reinke’s space
Superficial lamina propria
Muscle of the vocal fold
Vocalis muscle
Layers of the vocal ligament
1) Intermediate lamina propria
2) Deep lamina propria
When the vocal process of the paralyzed vocal fold lies near the midline, ___ is the preferred treatment mechanism.
**Injection laryngoplasty or medialization laryngoplasty **
Which layer of the vocal fold is immediately visible during DL: BM or Squamous epithelium?
Squamous epithelium
When the vocal process is significantly laterally displaced (aka flaccid laryngeal paralysis), thyroplasty or injection laryngoplasty is inadequate to achieve glottic closure.
Arytenoid adduction plus thyroplasty are superior to the results of thyroplasty alone
____ measure, quantifies a patient’s perception of his or her voice and its chang in response to therapy.
Voice Handicap Index
What is the most commonly used adjuvant therapy for Recurrent Respiratory Papillomatosis?
Cidofovir (broad spectrum antiviral agent)
A trach patient presenting to clinic w/hopes of getting rid of the tracheostomy. You perform DL and witness the (image) on maximal abduction. Whtat procedure has the potential to preserve phonatory adduction while decannulating this patient?
Arytenoid ABduction
Narrow band imaging of a VF lesion w/2 vascular loops branching from the lesion, is consistent with ___ risk for malignancy.
High risk for malignancy
Data suggects serial intra-lesional steroid injections (SILSI) are effective, but there is a risk of ___ side effect.
in the Neevel et al. study, 32% of patient had glucocorticoid side effects including Cushing’s syndrome, increased intra-ocular pressure, central serous choreoretinopathy and new insulin requirement in the setting of diabetes
Data suggests that topical application of mitomycin C (MMC) is __(effective/not effective) in reducing the number of procedures or improving outcomes.
not effective
Patients w/GPA-assoc SGS W/glottic involvement has a ___ likelihood of re-stenosis.
Higher likelihood of re-stenosis
Patients who undergo laser wedge excisions (LWE) for SGS as their primary procedure have a ___ time to recurrence than patients who underwent LWE as a secondary procedure
Longer time to recurrence (4.6yrs as opposed to 2.9yrs)
Patients treated w/_____ following LWE for SGS are less at risk of recurrence.
triple therapy (Steroids + reflux meds + Bactrim)
Most effective Tx for cricopharyngeal dysfunction?
Cricopharyngeal myotomy via open approach
Rigid endoscopic ZD repair has a ___ rate of recurrence than flexible endoscopic ZD repair
lower rate
What is the healing time for trans-oral laser resection of T1 SCCa of the TVF?
3 months to 6 months
A 76-year-old patient with significant smoking history and COPD treated with Inhaled corticosteroids (ICS) and long-acting bronchodilators (LABA) presents for increasing hoarseness. you note a white plaque on the right true vocal fold. you recommend:
**Oral fluconazole w/close f/u **is favored as first steps in mgmt over bx
More ___ locations of RLN injury have longer times to recovery
distal
RLN injury at the level of the thyroid has a ___ recovery time than at the level of the heart/lung
shorter
Which of the following are RFs for post-extubation dysphagia?
1. duration of intubation
2. Male gender
3. timing of swallowing assessment
4. swallowing assessment method
None. There are no meaningful RFs for post-extubation dysphagia.
