Answers:
A laryngeal cleft that includes a complete defect through the cricoid cartilage is classified as Type ---?
A) I
B) II
C) III
D) IV
A) I
B) II
C) III
D) IV
-Type 1 = supraglottic interarytenoid region defect not below true folds
-Type 2=cleft extends below true folds
-Type 3=complete defect of cricoid cartilage
-Type 4= extends into posterior wall of thoracic trachea.
What are three surgical options for treating subglottic stenosis?
-Tracheotomy
-Endoscopic management w/ laser and dilation (for mild/moderate)
-Airway expansion surgery (for severe)
MC Question:
Which of the following is false regarding single stage airway expansion surgery?
A) Useful for Grade II stenosis
B) Useful for Grade III stenosis
C) It has become increasingly popular
D) May require significant sedation postop
E) May require administering paralytics postop
A) Useful for Grade II stenosis
B) Useful for Grade III stenosis
C) It has become increasingly popular
D) May require significant sedation postop
E) May require administering paralytics postop
Free Response Question:
What specific population was the anterior cricoid split developed for?
Quick Facts:
Laryngomalacia
-Most patients can be managed conservatively.
-Rarely surgery is needed:
-cardiac/pulm compromise
-failure to thrive
-Supraglottoplasty is operation of choice., trach is SGP fails.
-Always eval for GERD before (80% comorbid rates)
-3 most common techniques are:
-shaving down lateral edges of epiglottis
-releasing foreshortened aryepiglottic folds
-removing redundant arytenoid mucosa
-Careful to avoid extra laser damage as scar formation and postop aspiration is a risk.
-Short course of postop steroids often given
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