Throat - Benign conditions Flashcards
Where does snoring usually arise from?
Soft palate
What is OSA defined as
30+ eps of cessation lasting 10s over 7hrs sleep
Why does OSA occur?
Hypoxia –> central impulse –> incr consciousness + resp effort
Sx associated with OSA (8)
Incr daytime sleepiness Decr consciousness Snoring Unrefreshing sleep Witnessed choking Irritable/personality changes Nocturia Decr libido
Who gets OSA (4)
Incr w/ age
Male
Obese
Smoking/alcohol
Conservative Mx OSA (5)
Behavioural changes - ear plugs Decr Weight Lifestyle - decr alcohol, sedatives Intraoral appliances CPAP
Pharmacological Mx OSA (2)
Respiratory stimulants
Alerting Dx e.g. modafinil
Surgical Mx OSA (1)
Laser assister uvuloplasty
What can OSA lead to in children (7)
Cognitive defects Behavioural issues Decr QOL Hyperactivity Bed wetting L term cardiac health Thin/poorly grown
Ix paeds OSA (2)
Home oximetry
Polysomnography
Mx paeds OSA (5)
Conservative Adenotonsillectomy CPAP Nasal Steroid spray Craniofacial ariway surgery
What % of paeds OSA resolves in 7 months
40%
What is Dysphonia
Hoarseness - a change in voice quality, pitch, loudness or vocal effort that impairs communication
mm tension dysphonia
Imbalance in pull in chords/XS tension of paired laryngeal mm
Causes of mm tension dysphonia (6)
Stress/anxiety/depression Neck/back problems/ Poor vocal chord hygiene Vocal abuse Fl intake XS fizzy drinks
