Diseases of the Larynx — Flashcards

Flashcard 11: _____ are benign papillary squamous proliferations commonly found on the true vocal cords. It is associated with HPV6 and HPV11

Answer: Laryngeal papilloma

Flashcard 12: _____ laryngocele is confined within the larynx and presents as distension of false cord and aryepiglottic fold

Answer: Internal

Flashcard 13: _____ 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 14: Large laryngeal cysts require immediate _____ followed by deroofing.

Answer: aspiration

Flashcard 15: Laser used for laryngeal stenosis is _____

Answer: CO2

Flashcard 16: In complete paralysis, the vocal cords are in _____ position

Answer: Cadaveric/Intermediate

Flashcard 17: Tuberculosis of the larynx involves the _____ part of the larynx.

Answer: posterior

Flashcard 18: Most common site of the supraglottic CA is the _____

Answer: epiglottis

Flashcard 19: Most common presenting feature of subglottic stenosis is _____

Answer: dyspnea

Flashcard 20: During speech/swallowing, vocal cords are in the _____ position

Answer: Median