Velopharyngeal Insufficiency

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

Fig. 41.1 Vaulting V-shaped pattern within the soft palate connotes anterior insertion of the palatal musculature on the hard palate, such as that seen in submucous cleft palate. In some…

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Evaluation of the Pediatric Larynx

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Evaluation of the Pediatric Larynx

Fig. 14.1 Flexible fiber-optic pediatric endoscope Fig. 14.2 Flexible distal chip pediatric endoscope Another consideration in preparation for laryngoscopy is the use of an intranasal anesthetic and/or decongestant. Using a…

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After Laryngotracheal Reconstruction

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on After Laryngotracheal Reconstruction

Fig. 40.1 Supraglottic collapse as noted during a microlaryngoscopy (a arytenoids, p pyriform sinus) Posterior Glottic Diastasis Posterior glottic diastasis is suspected in patients with a history of airway expansion…

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Web

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Web

Classification Percentage of glottis Characteristics Breathing Voice Treatment Type I <35% TVF easily seen in web Clear, unobstructed Slight hoarseness Often not required; dilation or excision via various techniques may…

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Respiratory Papillomatosis

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Respiratory Papillomatosis

Fig. 31.1 Intraoperative view of endolaryngeal papilloma after exposure with the Lindholm laryngoscope Fig. 31.2 Intraoperative photos of patient who presented with airway distress and was found to have severe…

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Fistula

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Fistula

Fig. 38.1 Types of esophageal atresia/tracheoesophageal fistula based on the Gross classification. (Reprinted with permission from Singh et al. [3]) Pathophysiology For the congenital variant of TE fistula, an incomplete…

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Esophagitis

Apr 26, 2020 by in OTOLARYNGOLOGY Comments Off on Esophagitis

Fig. 37.1 Esophageal linear furrowing (white arrowhead) EoE in children is often associated with atopic disease. Approximately 33–67% present with asthma, 30–90% have allergic rhinitis, and 20–60% have atopic dermatitis…

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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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