No abstract available.
Epiglottis ; Humans

Epiglottic abscess may result from a coalescent epiglottic infection or secondary infection of an epiglottic mucocele. The lesion has the possibility of compressing the potential airway and thus warrants rapid assessment and treatment. The authors experienced three cases of the epiglottic abscess and report them with a review of literature.
Abscess* ; Coinfection ; Epiglottis ; Mucocele

Schwannoma of the larynx are rare benign tumor. Most laryngeal schwannomas were seen at the aryepiglottic fold or the false vocal cords. But there were extremely rare reports about schwannoma of the epiglottis. We report an unusual case of epiglottic schwannoma with the literature.
Epiglottis ; Larynx ; Neurilemmoma ; Vocal Cords

Adult ; Epiglottis ; abnormalities ; Female ; Humans

OBJECTIVE: To investigate the improvement of dysphagia after balloon dilatation and balloon swallowing at the vallecular space with a Foley catheter in stroke patients. METHODS: This study was conducted between May 1, 2012 and December 31, 2015, and involved 30 stroke patients with complaints of difficulty in swallowing. All patients underwent videofluoroscopic swallowing study (VFSS) before and after vallecular ballooning. VFSS was performed with a 4 mL semisolid bolus. For vallecular ballooning, two trainings were performed for at least 10 minutes, including backward stretching of the epiglottis and swallowing of a balloon located in the vallecular space, by checking the movement of the Foley catheter tip in real time using VFSS. RESULTS: After examination of the dysphagia improvement pattern before and after vallecular ballooning, laryngeal elevation (x-axis: pre 2.62±1.51 mm and post 3.54±1.93 mm, p=0.038; y-axis: pre 17.11±4.24 mm and post 22.11±3.46 mm, p=0.036), pharyngeal transit time (pre 5.76±6.61 s and post 4.08±5.49 s, p=0.043), rotation of the epiglottis (pre 53.24°±26.77° and post 32.45°±24.60°, p<0.001), and post-swallow pharyngeal remnant (pre 41.31%±23.77% and post 32.45%±24.60%, p=0.002) showed statistically significant differences. No significant difference was observed in the penetration-aspiration scale score (pre 4.73±1.50 and post 4.46±1.78, p=0.391). CONCLUSION: For stroke patients with dysmotility of the epiglottis and post-swallowing residue, vallecular ballooning can be considered as an alternative method that can be applied without risk of aspiration in dysphagia treatment.
Catheters ; Deglutition ; Deglutition Disorders* ; Dilatation ; Epiglottis ; Fluoroscopy ; Humans ; Methods ; Stroke*

There are a few reports about bradycardia or asystole caused by direct laryngoscopy. However, we encountered severe bradycardia in response to suspension laryngoscopy for laryngeal polypectomy after safely completing tracheal intubation using a direct laryngoscope with a curved blade. The tip of the curved blade of the direct laryngoscope is positioned at the vallecula (between the base of the tongue and the pharyngeal surface of the epiglottis) during tracheal intubation, while the blade tip of the suspension laryngoscope lifts the laryngeal surface of the epiglottis or supraglottic area during surgery. Therefore, suspension laryngoscopy can be said more vagotonic than curved-blade direct laryngoscopy. Because of the possibility of bradycardia induced by suspension laryngoscopy, clinicians must be careful about severe bradycardia even after safely completing intubation using direct laryngoscopy.
Bradycardia ; Epiglottis ; Heart Arrest ; Intubation ; Laryngoscopes ; Laryngoscopy ; Piperidines ; Tongue

Authors suggest new radiologic lateral view of upper airway which can simultaneously visualize whole length of upper airway for the preanesthetic evaluation. 1) The proper use of special wedge filter and removal of shoulder shadow from the tracheal ahadow were the two essentials for the imagification of the airway. 2) This view gives pretty images of upper respiratory tract ineluding epiglottis, vocal cord and tracheal passage. 3) The potential usefulness of the whole lengt lateral view of upper airway is thought to be promising in many fields. For example, measurement of length of variaus airway structure ia poseible by use of this view. In conclusion, this view is a noninvasive and inexpensive radiologic method as a approach to detect abnormalities of the larynx and trachea both before and after intubation.
Epiglottis ; Intubation ; Larynx ; Respiratory System* ; Shoulder ; Trachea ; Vocal Cords

Lipoma is one of the most common benign neoplasm in the subcutaneous tissues, but the lipoma of larynx is rare as fewer than 100 cases have been reported in the world. The symptoms are variable, but it has clinical importance when lipoma does occur, for they can cause unpredictable airway obstruction, particularly during the induction of general anesthesia. In this article, we report a case of lipoma of the epiglottis with a review of the related literature. We successfully treated the tumor with tracheostomy and surgery.
Airway Obstruction ; Anesthesia, General ; Epiglottis ; Larynx ; Lipoma ; Subcutaneous Tissue ; Tracheostomy

The pleomorphic adenoma of epiglottis is rare. When the tumor grows larger, some patients may have symptoms of pharyngeal foreign body sensation, but other patients have no obvious symptom. The tumor is mainly found through indirect laryngoscopy or electronic laryngoscopy. This disease can be confirmed by pathological diagnosis after tumor resection.
Adenoma, Pleomorphic ; Adult ; Epiglottis ; Humans ; Laryngeal Neoplasms ; Male

BACKGROUND AND OBJECTIVES: Supracricoid partial laryngectomy is popular due to its satisfactory oncological and functional outcomes in selected laryngeal cancers. Their postoperative management is now well codified, but functional failures still persist. The aims of this study were to analyze the deglutition modification induced by these intervention and to plan a better rehabilitation program of swallowing. MATERIALS AND METHOD: For the evaluation of swallowing function, the swallowing analysis was performed by following the videofluoroscopic evaluation using the modified barium swallow (Logemann, 1983) in 14 laryngeal cancer patients. RESULTS: Asymptomatic aspiration was observed in 4 patients (28.6%), especially in patients with the extended procedures (p=0.032) and delayed decannulation (p=0.035). Aspiration was associated with faulty backward tilting of epiglottis and inadequate movement of the base of tongue (p<0.05). CONCLUSIONS: In planning the swallowing rehabilitation program after supracricoid partial laryngectomy, recuperation of proper epiglottic movement, which is promoted by exercise of backward tongue movement, is the most important concern.
Barium* ; Deglutition* ; Epiglottis ; Humans ; Laryngeal Neoplasms ; Laryngectomy* ; Rehabilitation ; Tongue