Vocal Cord Paralysis Indian Medical PG Flashcards - Medical Study Cards
Master Vocal Cord Paralysis 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.
Vocal Cord Paralysis Flashcard Deck - 10 Cards
Flashcard 1: The most common benign tumor of the larynx, appearing as warty or cauliflower-like growths on the vocal cords, is a laryngeal _____
Answer: papilloma (Recurrent Respiratory Papillomatosis)
Flashcard 2: Pure RLN palsy is also known as _____ductor palsy
Answer: aB
Flashcard 3: In complete paralysis, the vocal cords are in _____ position
Answer: Cadaveric/Intermediate
Flashcard 4: _____ 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 5: _____ laryngocele is confined within the larynx and presents as distension of false cord and aryepiglottic fold
Answer: Internal
Flashcard 6: The given lesion of the vocal cords is a laryngeal _____
Answer: papilloma
Flashcard 7: 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 8: Laryngeal papillomas are usually _____ lesions in adults
Answer: single
Flashcard 9: Biphasic stridor is seen in lesions of _____, subglottis and cervical trachea
Answer: glottis
Flashcard 10: Risk factors for laryngeal CA is _____ and alcohol
Answer: smoking
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