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11 Cards in this Set
- Front
- Back
- 3rd side (hint)
Success rates for myotomy increase with what criteria (3).
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1. a cricopharyngeal muscle dsfunction must be the predominant problem
2. the pt must be able to move material through the oral and paryngeal stages of the swallow up to the cp region 3. the pt must be able to volunatrily close the airway during the swallow |
348
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A cp myotomy should not be performed _ in the recovery course for what populations?
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early
stroke head injury spinal cord injurty |
348
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|
CP myotomy has often been done as aprophylactic treatemnt to potentially improve swallowing in pts undergon _ or _
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supraglottic larynectomy
tongue base resection |
348
|
|
What surgical procedures help improve or control unremittin aspiration? (6)
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epiglottic pull-down
suturing the vf together suturing the f vf together larngeal bypass tracheostomy total laryngectomy |
329
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Epicglottic Pull-Down
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incision around epiglottis, aryepiglottic folds, arytenoids, and interarytenoid area, and surturing the apiglottis to the aryenoids.
Potentially reversible |
349
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Suturing the VF
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stripping of the epitheluim from the vf and suturing them together, not reversible, vf often tear apart
|
350
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Suturing the F VF
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stripping the epithelium from the fvf and suturing them together; IS reversible and FVF less likely than TVF to tear apart
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350
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Laryngeal Bypass OR Tracheoesophageal Diversion
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separating air and food passages; cut trachea at 3rd or 4th tracheal ring and suturing the proximal end into the cervical esophagus and distal end is bent forward to the skin; permanent procedure
|
350
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Trachestomy
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"a procedure to prevent aspiration and improve pulmonary toilet"
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350
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Total Laryngectomy
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removal of hyoid and larynx; a last resort
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350
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Dobhoff tube
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designed to reduce the potential for reflux and aspiration by extending into the jejunum
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352
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