Laryngeal Stenosis Indian Medical PG Flashcards - Medical Study Cards
Master Laryngeal Stenosis with OnCourse flashcards. These spaced repetition flashcards are designed for medical students preparing for NEET PG, USMLE Step 1, USMLE Step 2, MBBS exams, and other medical licensing examinations.
Laryngeal Stenosis Flashcard Deck - 10 Cards
Flashcard 1: Most common site for laryngeal CA is _____
Answer: glottis
Flashcard 2: Most common presenting feature of subglottic stenosis is _____
Answer: dyspnea
Flashcard 3: Lupus of the larynx is always associated with _____ tuberculosis
Answer: pulmonary
Flashcard 4: _____ grading is used for subglottic stenosis
Answer: Myer-Cotton's
Flashcard 5: _____ 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 6: Expiratory stridor is seen in _____ lesions.
Answer: sublaryngeal
Flashcard 7: The given lesion of the vocal cords is a laryngeal _____
Answer: papilloma
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
Flashcard 10: Biphasic stridor is seen in lesions of _____, subglottis and cervical trachea
Answer: glottis
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