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11 Cards in this Set

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Success rates for myotomy increase with what criteria (3).
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
A cp myotomy should not be performed _ in the recovery course for what populations?
early

stroke
head injury
spinal cord injurty
348
CP myotomy has often been done as aprophylactic treatemnt to potentially improve swallowing in pts undergon _ or _
supraglottic larynectomy

tongue base resection
348
What surgical procedures help improve or control unremittin aspiration? (6)
epiglottic pull-down
suturing the vf together
suturing the f vf together
larngeal bypass
tracheostomy
total laryngectomy
329
Epicglottic Pull-Down
incision around epiglottis, aryepiglottic folds, arytenoids, and interarytenoid area, and surturing the apiglottis to the aryenoids.

Potentially reversible
349
Suturing the VF
stripping of the epitheluim from the vf and suturing them together, not reversible, vf often tear apart
350
Suturing the F VF
stripping the epithelium from the fvf and suturing them together; IS reversible and FVF less likely than TVF to tear apart
350
Laryngeal Bypass OR Tracheoesophageal Diversion
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
Trachestomy
"a procedure to prevent aspiration and improve pulmonary toilet"
350
Total Laryngectomy
removal of hyoid and larynx; a last resort
350
Dobhoff tube
designed to reduce the potential for reflux and aspiration by extending into the jejunum
352