4th & 6t B A

Lanynx
Epigloti
-
.

Eminence
-
Hypobranchial
Ean jet & 2" B A
.

Adult (3 (
Carynx
*
=
-

* >
Infant -
(2 -

(3
C help in
preventing aspiration of Melk

#
Cartilage -
O

&. Thyroid one

-
3 Unpaired 3 paired
Book
2 .

Thyroid
o
2) like
· more prominant Po * Tracheal

ring
ademo apple
i

. e
·

· 120

#
-1

subgoi
# Tracheal
Inocomplete
ring
l
&
in >
/

Trachealie Muscle
*
Only Str Which is compete > (ricoid Cartilage
-

consists of a framework of nine cartilages—three unpaired

(thyroid, cricoid, and epiglottis), and three paired
(arytenoid, corniculate, and cuneiform)
Paired
Impaired
ACC
- CE
 Supragiotis
mu
& glotis
above gloti
· grotie means - Vocal Cora
[True Corde E white
Colom
i)
)
·
Supraglotis
2. Epiglotic
2 .
Aryepiglotic fold
B/w
Arytenoid & Epiglottis
-

3
. False Vocal Lord
-
Ventricular Band (Pink (lom)
4 Ventric Lidden Space B/w False & True

[
.

Vocal Cords
.
5 Saccule
Small Mucosal Out

pouching from ventricle

> hidden areas

of Supraglotti
↑
 # Disease of Supragloth
Os
2
.
Dysphonia Plica Ventricularis (Ventricula Band)
G someone uses False U . C instead True V C .

↓
2 .

Laryngocele-abnormally dilated saccule

B
FV

ventricl
Taryngocl L
Patien who
play
*
TUC glan Blown ,
saxophone
Trumpets et

*
Laryngocel =>
Large saccule
Pierces
↓
*

Membran
Thyrohyoid
anfilled >
-

swelly
Neck
 # Vocal Cord Disorder

smocker
polyp of Carynx
1
↑ Reink's edema - B/
differ.C
swelling of

in Reink's Space
↑

* cause >
Smocke Abuse
-

=> Vocal

·
Symptom = Dysphonia
Surgery :
Stripping
Ok
of
V C Mucosa
.

Decortication

2 .
Vocal
Nodules/Singer's/Screamer's
BIL
Teacher's
Nodules
#Cause >
-
Vocal Abuse

>
-
Laryngopharyngeal reflux of Gastric Acid

Sequelae of GERD

> site
-
of
Nochile Anterior /3
Y &
& post 2/3
* Treatment ->

Hoarse
voice or

Treatment in
Dysphore
e

Not
Singery
(2
with PPI Spetech Therapy (voice Bot
 BOVOCAL POLYP

·) The & the site in same

came as Vocal
Nodule

) Unilateral
mostly
·

·
Complains
2.Dysphor is onia
) Treatment E
·
Surgery i e
.

Microlaryngeal Sx
Hi
with Microscope

# Focal
Length of ENT Microscope
.
1 Ear =
200hm
E 2
.
2 Nose = 300mm
N 3
Throat-400mm
7) 4
.
3 ant

T U

4 . Intubation granuloma => B/L

73 post

*
Iatrogenic Disease
falty/long ,
entubation

Treatment MLS
(Microlaryngea Sx)
. Juvirile
5
nu
Pappilloma of Carynx
Young Recurrent
Respiratory papillomatosis
* cann : -
HPV 6 & /I

Mother # Symptoms
Hi *
Laryngeal warts
disorder
*
premalignant
-

Baby * 3 to 6 year of Child

Chroic
with hoarseness
voice
of
Respiratory difficulty
* I

# Treatment

· MLS with COcLaser

high recurance

> 10 600 hm
·
wavelength
-

,
 # STRIDOR a
on

Esrido
n

Soundge Breathing
came E
airway Obstruction

wheezing sound

=
Supraglotti
oracic
Trachea
,
Bronch

-
Cervical
I
=
- Trachea
-

# Clinical Scenario
Laryngomalacia
y
2

Inspiratory
.

Alte
Stridor
2 .

epiglottitis
Acute (ALTB)
.
3
Laryngotracheobronchiti
4 CROUP =

Stridor in Biphasic
 # Laryngoscope
(IL)
Io Indirect
Laryngoscopy

I Fiberoptic Rigid
endoscopy
.
# .

Laryngoscopy
 &
Laryngeal infection Foreign Body Airway
in
#Paediatric

Paediatric
I
V
larynx is
soft
O
More
Soft tessen
#
More edema
#

Respiratory obstruction

Acute
2 .
Epiglotitti
Bacterial
* Cause -
infection of Supra glotti
*
M/C in Streptococc Pneumonia
B
and mic Kaemophilu Influenza
· -

#Clinical
presentation - Severe
Respiratory obstruction

Stridor
Inspiratory
=>

E
High Fever

=> Hot
potato/Plummy Voice

=>
Dribbling/drooling Saliva