Dysmotility

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Dysmotility

Disorder Criteria Achalasia and esophagogastric junction outflow obstruction Type I achalasia (classic) Elevated median IRP (>15 mmHg) 100% failed peristalsis DCI <100 mmHg Type II achalasia (with esophageal compression) Elevated median IRP…

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Mass Lesions

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Mass Lesions

Fig. 22.1 Appearance of benign mass lesions is varied within and across pathology types. Top row: normal; symmetric nodules; right sessile polyp; right sessile polyp with left reactive nodule. Middle…

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Fold Mobility Impairment

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Fold Mobility Impairment

Fig. 25.1 Diagram depicting insertion of an injection needle immediately anterior-lateral to the vocal process. (From Potsic, Cotton, Handler and Zur, Surgical Pediatric Otolaryngology. 2nd edition. Thieme, 2016, with permission)…

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of Voice Production

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on of Voice Production

Fig. 6.1 Laryngeal cartilaginous framework Two additional structures provide structural support to the larynx: the quadrangular membrane and conus elasticus. The quadrangular membrane is an elastic structure that extends anteriorly…

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Reflux

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Reflux

Premature infants Infants Weak LES Weak LES Positional (supine or side-lying) Positional (supine or side-lying) Liquid diet Liquid diet Related comorbid conditions (e.g., decreased overall tone, neurologic) Related comorbid conditions…

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Glottic Insufficiency

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Glottic Insufficiency

Fig. 39.1 Glottic granulation tissue Because the flaps move with inspiration and expiration, they may cause inspiratory obstruction. Removal of the flaps may be beneficial, at least from one side,…

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26. Laryngomalacia

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on 26. Laryngomalacia

Fig. 26.1 Flexible fiberoptic in office evaluation: severe laryngomalacia with an omega-shaped epiglottis, foreshortened aryepiglottic folds, and redundant arytenoid tissue. The glottis is not visualized during inspiration (a) or expiration…

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Evaluation of the Upper Aerodigestive Tract

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Evaluation of the Upper Aerodigestive Tract

Fig. 2.1 Examples of pediatric laryngoscopes, including the Lindholm (left), Parsons (middle), and Philips (right) Suspension Arms Once the larynx is exposed, patient can be placed into suspension for further…

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Achalasia

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Achalasia

Fig. 35.1 Still image from videofluoroscopic exam showing impression due to cricopharyngeal bar (black arrow) which narrows the pharyngeal outflow As stated earlier, high-resolution manometry can be used to evaluate…

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Fold Scar

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Fold Scar

Fig. 30.1 (a) Expression of fibronectin (original magnification x4) and (b) Elastica van Gieson stain (original magnification ×4) in immature scar (2 months post-injury). Collagen (stained red) is sparse and is…

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