Soft Palate, Pharynx, Larynx Flashcards

1
Q

Negative Nasopharyngography CM

A

Air

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Negative and Positive Nasopharyngography indication/s

A

Hypertrophy of the pharyngeal tonsil or adenoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Negative Nasopharyngography proj/ view

A

Lateral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Negative Nasopharyngography pt/ strucure posn

A

Sitted laterally-front VGD; head- true lat posn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Negative Nasopharyngography cxt and crd

A

8x10/ 10x12- longit- VCH/VGD;
3/4” (1.9cm) anterior to EAM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Negative Nasopharyngography SN

A

Exposure–during intake deep breath through nose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Positive Nasopharyngography CM

A

10-15cc iodized oil (dianosil oil) or finely ground barium sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Positive Nasopharyngography procedure

A
  1. Orient pt regarding procedure
  2. Ask pt to refrain from sneezing and inhibit CM swallowing during exam
  3. Pt to follow instructions carefully
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Nasopharyngography projection/s

A
  • Submentovertical (SMV)
  • Lateral
  • Chittinand, Patheja, and Wisenberg
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SMV Nasopharyngography pr posn

A

Supine: shoulders same transverse plane; OML- 40-45deg to a horizontal plane;
1st: no cm; 2nd: w/cm
keep head in this posn for entire exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SMV Nasopharyngography cxt and crd

A

10*12- longit- VCH/VGD;
15-20deg cephalad bn mandibular angles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SMV Nasopharyngography SN

A

Position pt on RT after local anesthetization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nasopharyngography Lat Posn: Pt

A

Supine: shoulders same transverse plane; OML- 40-45deg to a horizontal plane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Nasopharyngography Lat Posn CXT and CRD

A

10*12 vertical CW at lat L side of pt’s head- supported sandbag;
horizontally to 3/4” (1.9cm) anterior to EAM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Nasopharyngography Lat Posn SN

A

After this phase, pt- sit up and blow nose to evacuate CM; remainder to be swallowed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Chittinand, Patheja, and Wisenberg Pt Posn (nasopharyngo)

A

Sitted before VGD
1. prelim lat and SMV
2. Spray water–each nasal cavity
3. Spray micropaque powder- each nostril
4. 2 SMV proj; at rest and during modified valsalva (air blown w cheek puffed out)
5. 1 lat proj

17
Q

Chittinand, Patheja, and Wisenberg Nasopharyngography SN

A
  • No anesthisia
  • Use of standard spray bottle
  • Have pt blow nose, rest is swallowed
  • Immediate CXR should not reveal ba in lungs
  • 24hr follow-up radiography should reveal complete cleaning of nasopharynx
18
Q

Palatography indications

A

Bloch and Quantrill: Tumors
Morgan et al: Chewing and swallowing abnormalities in children; Cleft palate

19
Q

Bloch and Quantrill CM used

A

Thick, creamy BaSO4 (Ba Sulfate) suspension

20
Q

Bloch and Quantrill pt posn/ procedure

A

Sitted lat in front VGD;
1st image: pt- swallow CM
2nd: 0.5ml injected into each nasal cavity

21
Q

Bloch and Quantrill CXT and CRD

A

810/ 1012 longit- VCH/VGD centered on the nasopharynx (3/4” or 1.9cm anterio to the EAM)

22
Q

Chewing and swallowing abnormalities in children CM

A

Ba-impregnated chocolate fudge

23
Q

Chewing and swallowing abnormalities in children Pt/ Structure Posn

A

Sitted lat in front VGD; child- chew- ba-impregnated choco fudge

24
Q

Chewing and swallowing abnormalities in children SN

A

w/ cineradiography

25
Q

Cleft palate studies are performed in
the following manner:

A

pt- sitted laterally–in front VGD;
IR centered at nasopharynx (3/1” or 1.9cm anterior to the EAM)
** for cleft palate studies: 1” below EAM
**
make exposures during phonation (d-a-h, m-m-m, e-e-e)

26
Q

Why make exposure during phonation? (Palatography)

A

To deme range of soft Palate movement and tongue position

27
Q

Pharyngography CM

A

Thick, creamy mixture of water and barium Sulfate (50%-50%)

28
Q

Pharyngography SN

A
  • usually carried out using fluoroscopy w/ spot-film images only
  • synchronized w a rapid exposure w the shortest exposure time
  • may use fluoroscopic equipment w spot radiography/ video tape/ cine film
29
Q

Pharyngography Procedure

A
  1. Scout film- AP/ Lat
  2. Pt- hold ba Sulfate w bolus in the mouth until signaled, and then swallow the bolus in one movement (full distention- tables spoon)
  3. Expo during deglutition
  4. If mucosal study- ask pt- refrain swalling again
  5. Take mucosal study during modified valsalva maneiver for double-contrast delineation
30
Q

Pharyngography proj/s

31
Q

AP Pharyngography pt posn

A

Conventional sitting/ standing in front VGD/ VCH- MSP of neck coincide MLL of CXT

32
Q

AP Pharyngography CXT and CRD

A

8*10- longit- VCH/VGD;
MSP at laryngeal prominence (C3-C4)

33
Q

Lat Pharyngography pt posn

A

Conventional sitting/ standing laterally in front of VGD/ VCH- coronal plane just anterior TMJ to coincide w MLL of CXT; neck slightly exteded

34
Q

Lat Pharyngography CXT and CRD

A

horizontally 72” TMJ; coronal plane at laryngeal prom (C3-C4)

35
Q

Pharyngography Added Methods

A
  1. Guns on Method
  2. Templeton and Kredel
36
Q

Tie a dark-colored shoestring snugly around pt’s throat above thyroid cartilage (displacement coincides w anterior and superior cartilage movement)

A

Gunson method

37
Q

Action of CM is so rapid that expo be made as soon as anterior movement is made

A

Templeton and Kredel