Epiglottitis — Flashcards

Flashcard 1: Most common site for laryngeal CA is _____

Answer: glottis

Flashcard 2: What is the first sign of tuberculosis of larynx?_____

Answer: Hyperemia of vocal cords

Flashcard 3: _____ or Kashima's procedure is carried out for Paramedian position of both vocal cords

Answer: Tracheostomy

Extra: In **Bilateral Abductor Paralysis** (Recurrent Laryngeal Nerve palsy), the vocal cords assume a **paramedian** position. **Key Facts:** - **Problem:** Airway obstruction (glottis is only 2-3mm wide). - **Voice:** Near normal (cords are close together). - **Management:** - **Emergency:** Tracheostomy to secure the airway. - **Permanent:** Lateralization procedures like **Kashima's procedure** (posterior cordotomy) or Woodman's procedure (arytenoidectomy) to widen the glottis. **Note on Cadaveric Position:** Occurs in combined RLN and SLN palsy. The glottis is wide (~7mm), so the airway is usually adequate, but the patient suffers from a breathy voice and high risk of aspiration. Management for cadaveric position focuses on medialization (e.g., Thyroplasty type 1) or aspiration prevention, not tracheostomy.

Flashcard 4: During speech/swallowing, vocal cords are in the _____ position

Answer: Median

Flashcard 5: Treatment for internal laryngocele is _____

Answer: marsupialization or endoscopic CO2 resection

Flashcard 6: The given lesion of the vocal cords is a laryngeal _____

Answer: papilloma

Flashcard 7: Inspiratory stridor is seen in _____glottic lesions.

Answer: supra

Flashcard 8: Type _____ thyroplasty or lateralization is done for adductor spasmodic dysphonia

Answer: II

Extra: Isshiki Classification of Thyroplasty: - **Type I: Medialization** (e.g., Unilateral vocal cord paralysis/RLN palsy) - **Type II: Lateralization** (e.g., Adductor spasmodic dysphonia) - **Type III: Relaxation/Shortening** (to lower pitch, e.g., androphonia) - **Type IV: Stretching/Lengthening** (to raise pitch, e.g., puberphonia)

Flashcard 9: Laryngeal papillomas are usually _____ lesions in adults

Answer: single