Etiology And Characteristics Of Laryngeal Cleft

DESCRIPTION OF PROCEDURE: The patient was prepped and draped in the usual manner. A vertical incision was made along the anterior border of the neck. The patient has a very short neck; therefore, it made the operation much more difficult. Dissection was carried down to the trachea using Bovie cautery. The patient had multiple small vessels in the operative area that had to be either bovied or ligated with interrupted 3-0 silk sutures or stick tied with 3-0 silk sutures. After completion of the

Mrs. Newman has been experiencing hoarseness and a change in her voice, but she did not seek medical help until she began to have difficulty swallowing. After being seen by her healthcare provider, she is scheduled for outpatient surgery for a direct laryngoscope to obtain a culture and take a biopsy.

One of the most common surgeries performed on babies is called Esophageal Atresia/Tracheoesophageal Fistula. That is just the medical term for when a baby is born with a defect in their esophagus and trachea and needs to have it repaired. About 90% of babies are born with this condition. It occurs in 1 in 3,000 to 5,000 newborns. The good thing is that since it happens so frequently, the survival rate is almost 100%. The most rarest condition is ectopia cordis. That is when a baby is born with their heart outside of their chest. Ectopia Cordis occurs 8 per one million live births. The survival rate is very low. 90% of the babies are either stillborn or pass away within the first week of being out of the womb.

The speech-language pathologists (SLPs) at Martin Health System (MHS) evaluate, diagnose, and treat a diverse patient population who present with a myriad of medical issues, the most common of which is a condition known as dysphagia. More than 80% of patients referred to an SLP at our facility present with this diagnosis. Broadly characterized by trouble swallowing, dysphagia includes everything from painful swallows, to coughing or choking while eating and drinking, or even a sensation of a lump in throat, . Complications of dysphagia can lead to dehydration, malnutrition, and respiratory problems such as aspiration pneumonia, fatigue, cognitive confusion, decreased quality of life, or even death.

Tommy Callahan, a 9-year old male, was referred for a voice evaluation and therapy by Dr. Larry Nix, an otolaryngologist. He was scheduled for a follow-up speech evaluation after a tonsil and adenoidectomy one year earlier. Nasoendoscopy revealed velopharyngeal incompetency. During videostroboscopy, bilateral vocal nodules were also identified. The patient’s mother reported that he went from sounding, “stopped up all the time,” to sounding, “almost like a deaf person, but he doesn’t act like his hearing is different.” When Dr. Nix explained what causes nodules, Mrs. Callahan noted he has always sounded hoarse because he was always acting out the latest Marvel Comics or Transformers movie.

While I was aware of fiberoptic endoscopic evaluations of swallowing (FEES), I had never experienced one. What an experience it was. Integrating the knowledge previously learned in class, to a useful examination tool in our field was in incredible learning experience. I believe the entire class would agree with that statement. It provided me with a unique learning experience.

Rozel’s mother was in labor for a long period of time while giving birth to Rozel that it decreased the supply of oxygen that Rozel received during delivery. Her mother had an induced labor to facilitate childbirth and she was able to give birth to Rozel through normal delivery. At birth, Rozel was successfully resuscitated due to the difficulty of breathing. She was diagnosed with laryngomalacia which causes partial blocking of the airway opening. She was then hospitalized for one month and received medicines through injections but her mother could not recall the names of the medicines. During her hospitalization, Rozel had convulsions. There was no sound produced when she cried. A neonatologist/pediatrician diagnosed Rozel with developmental

Lymphatic malformations (LMs) are benign cystic lesions which, while rare, often affect the pediatric age group. LMs can be macrocystic, microcystic or a combination of the two, and frequently involve the head and neck regions. Ultrasound is useful in the prenatal detection of LMs; however, these lesions can be missed. This case study outlines the incidental finding of a sublingual cyst during a third trimester ultrasound. Postnatal magnetic resonance imaging (MRI) demonstrated a lesion with peripheral enhancement on the anterior and inferior aspect of the tongue, consistent with a lymphatic malformation. While intervention was not required for the patient, this report outlines the risks, including airway obstruction, and possible treatments for LMs.  Finally, we explore the impact of sonography in the prenatal detection of oral cysts, and discuss how sonographers might be able to increase the likelihood of their discovery.

Considering the possibility of malignancy in the lesion, the patient underwent a punch biopsy and a fine needle aspiration biopsy within one month of being seen by the ENT surgeon. Microscopically, the specimen consisted of normal appearing squamous epithelium overlying inflammed minor salivary glands which completely replaced by an infiltrate of lymphocytes and plasma cells. No malignant cells were seen in the fine needle aspirate.

Unilateral vocal fold paralysis (UVFP) is the complete immobility of one vocal fold. According to Sapienza and Ruddy (2013), “90% of vocal fold paralysis that occurs is unilateral and caused by damage to the peripheral nervous system” (p. 189). Vocal fold paralysis is typically considered a symptom of a disease or neurologic disruption. In one study, it was found that vocal fold paralysis was caused by surgical trauma, tumors or neoplasms, unknown or idiopathic factors, trauma, central nervous system dysfunction, radiation, inflammatory, cardiovascular, and other causes (Chen, Jen, Wang, Lee, & Lin, 2007). Symptoms of unilateral vocal fold paralysis may include: aphonia, abnormal vocal quality (breathy, hoarse, and/or strained), and dysphagia. Onset of UVFP may be life altering as the individual has to find compensatory strategies for voicing or even alternative methods of communication. The individual is also left susceptible to aspiration due to the lack of airway protection. These factors make it critical to diagnose the impairment so as to provide the appropriate treatment.

Individuals with cleft palate may experience secondary disorders such as feeding and suckling difficulties in infancy, facial deformities, hypernasality, and difficulty maintaining sufficient intraoral pressure to properly produce pressure consonants. These problems can occur at multiple stages as a child grows into adolescence and young

patient was not having any pain or significant discomfort in the area. The throat was

The surgical indication is given on the basis of medical history and in particular on the basis of frequency of infectious episodes for the following years. Or on the basis of particularly important infections such as tonsillar abscess. The surgery is performed under general

Ask what can’t you stand anymore? It is important to use therapeutic communication to allow the mother to speak and understand where she is coming from and what her concerns

* Prior to performing A.’s physical assessment, I gathered information over her diagnosis tonsillectomy, adenoidectomy, and vitiligo and any passed medical problems to be aware of. I then introduced myself to A. and her family and asked her if she wanted her grandparents to stay in the room during her physical assessment. I then explained the process of starting at her head and working downward to her feet by providing privacy throughout the whole assessment. First I started, by observing her appearance and behavior and how well A. communicated with me, A.’s behavior was calm, cooperative and appropriate for her age. I assessed PERRLA in both eyes, her pupils were a 3, equal, round, reactive to light and accommodated. I assessed her mucus membranes which were pink and moist along with assessing her throat by looking at the back of throat and checking for bleeding , whitish area, and odor. I then asked her if she had any frequent swallowing and trickling of blood in her throat. A. stated she did not have any frequent swallowing or blood in her throat just some soreness and discomfort in her throat. A.’s throat had white areas on both sides where the tonsils were removed with no bleeding. I auscultated her heart and lungs, and heard S1S2 and her