prelim pt 2 Flashcards
abnormal concentration of mineral salts
calculus
inflammation of the epiglottis
epiglottitis
abnormal connection bet. Two internal organs
fistula
condition preventing the passage of saliva through duct
Salivary Duct Obstruction
narrowing or contraction of a passage
stenosis
new tissue growth where cell proliferation is uncontrolled
tumor
Pouches that form on the inner wall of the intestine
diverticulae
autoimmune that affects body’s exocrine gland (esp. salivary & lacrimal) dryness of mouth & eyes
Sjogren’s Disease
- Fill the mouth with air
- Puff the cheeks out as much as possible
- Purpose: to increase the visibility of salivary calculi
Iglauer Maneuver
- used a positive contrast technique
- investigate suspected tumors of the soft palate.
Bloch and Quantrill
o have patient swallow a small amount of thick, creamy BaSO4 suspension
o to coat inferior surface of soft palate & uvula.
1st Palatogram:
o Obtain a second lateral image after 0.5 ml of the creamy barium suspension is injected into each
nasal cavity
o to coat the superior surface of the soft palate and the posterior wall of the nasopharynx.
2nd Palatogram
- evaluate abnormalities of chewing & swallowing function in children using cineradiography as child chews barium impregnated chocolate fudge
Morgan et al Technique
- performed to assess the extent of nasopharyngeal tumors.
Positive-contrast nasopharyngography
- Described an opaque contrast nasopharyngographic procedure in which the patient is not required to keep the neck in an uncomfortable extended position for the entire examination.
CHITTINAND, PATHEJA, & WISENBURG TECHNIQUE
act of swallowing performed by the rapid and highly coordinated action of many muscles
deglutition
consists of tying a dark-colored shoestring (metal tips removed) snugly around the patient’s throat above the thyroid cartilage
gunson method
provide considerable information about alterations in the normal anatomy and function of laryngopharyngeal structures
negative contrast studies
- tests abduction of the vocal cord
- show the cords open (abducted), with an uninterrupted column of air extending from the laryngeal vestibule inferiorly into the trachea
quiet inspiration
- patient is asked to take a deep breath and, while exhaling slowly, to phonate either a high-pitched e-ee or a low-pitched a-a-h.
- show the closed (adducted) vocal cords just above the break in the air column at the closed rima glottidis
- phonation
normal (expiratory) phonation
- Powers, Holtz, and Ogural introduced the use of inspiratory phonation for demonstration of the laryngeal ventricle.
- AKA “reverse phonation” and “aspirate or aspirant maneuver.”
- patient is asked to exhale completely then to inhale slowly while making a harsh, stridulous sound with the phonation of e or another high-pitched sound.
- test adducts the vocal cords, moves them inferiorly, and balloons the ventricle for clear delineation
inspiratory phonation
- tests the elasticity and functional integrity of the glottis
- patient is asked to take a deep breath and to hold the breath in while bearing down as if trying to move the bowels
- forces the breath against the closed glottis, which increases both intrathoracic and intraabdominal pressure.
valsalva’s manuever
- tests the elasticity of the laryngeal pharynx (hypopharynx) and the
piriform recesses. - show the glottis closed and the laryngeal pharynx and piriform recesses distended with air
- pinches the nostrils together with the thumb and forefinger of one hand
- Keeping the mouth closed, the patient makes and sustains a slight effort to blow the nose.
- Alternatively, the patient can blow the cheeks outward against the closed nostrils and mouth as if blowing into a horn or balloon
modified valsalva’s manuever