Evaluation of the Swallow in Infants and Children
Indications Contraindications Need to thoroughly evaluate oropharyngeal swallowing function Insufficient medical stability to tolerate the evaluation or transport to the fluoroscopy suite Presence of feeding concerns or poor weight gain…
Tracheal Anomalies: Complete Tracheal Rings, Tracheomalacia, and Vascular Compression
Fig. 36.1 Normal trachea with a 4–5:1 cartilage/membranous trachea ratio Definitions Congenital Tracheal Stenosis Complete tracheal rings are the most common cause of congenital tracheal stenosis. In this anomaly, there…
and Congenital Anomalies
Fig. 33.1 Child with 22q11.2 deletion syndrome. (From Habel et al. [4], with permission) The condition has extreme phenotypic variability, but the classical clinical features include congenital heart disease (including…
Flexible Endoscopic Evaluation of Swallowing
FEES VFSS View Superior view of the pharynx and larynx Sagittal view of the head and neck Anatomy Full color images of the hypopharynx and larynx Gray-scale images obtained…
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…
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…
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…