4A: Abnormalities of the Upper Airway and Larynx BRONCHATLAS© Prepared By www.Bronchoscopy.org 5/26/17 All Rights Reserved, 2017

Bronchoscopy reports: The Upper Airway The bronchoscopy report should tell a story that everyone can read and understand the same way. Morphology: Caliber, patency, shape, normal variants Appearance: Normal, abnormal Mucosa: Normal, color, edematous, friable Abnormalities: Location, type, extent, associated malacia or collapse, redundant tissue, laryngeal and pharyngeal function Secretions: Abundance, location, type, color 5/26/17 All Rights Reserved, 2017

Upper airway abnormalities Perforated nasal septum Nodule on epiglottis 5/26/17 All Rights Reserved, 2017

Ulcer on epiglottis 5/26/17 All Rights Reserved, 2017

Candida infection Thrush on anterior surface of epiglottis 5/26/17 All Rights Reserved, 2017

Candida Infection Oral Candidiasis 5/26/17 All Rights Reserved, 2017

Oral Candidiasis Candida infection below uvula in patient using inhaled corticosteroids 5/26/17 All Rights Reserved, 2017

Severe Laryngeal Candidiasis Immunocompromised patient 5/26/17 All Rights Reserved, 2017

Redundant tissue and large, swollen epiglottis Patient with obstructive sleep apnea 5/26/17 All Rights Reserved, 2017

Folded epiglottis 5/26/17 All Rights Reserved, 2017

Laryngeal cancer Laryngeal cancer with necrosis 5/26/17 All Rights Reserved, 2017

Radiation burns of larynx Necrotic material 5/26/17 All Rights Reserved, 2017

Posterior laryngeal abnormalities Luxation of Right arytenoid Swollen Right arytenoid 5/26/17 All Rights Reserved, 2017

Anterior Laryngeal abnormalities Ecchymosis Right vocal cord Leukoplakia Right vocal cord 5/26/17 All Rights Reserved, 2017

Laryngeal abnormalities Changes from aspiration and reflux Candida laryngitis 5/26/17 All Rights Reserved, 2017

Laryngeal injury from traumatic intubation Swollen epiglottis and arytenoids Ulceration Left vocal cord 5/26/17 All Rights Reserved, 2017

Feeding Tube at Larynx Feeding tube 5/26/17 All Rights Reserved, 2017

Vocal cord abnormalities Paralyzed Right vocal cord Note thicking on right Paralyzed Left vocal cord Does not move with phonation 5/26/17 All Rights Reserved, 2017

Contact Ulcer Left Cord 5/26/17 All Rights Reserved, 2017

Acute laryngospasm Cords closed in Adduction Acute spasm 5/26/17 All Rights Reserved, 2017

No Airway below vocal cords 5/26/17 All Rights Reserved, 2017

Vocal cords seen from below 5/26/17 All Rights Reserved, 2017

Intubation Trauma Post Wall Subglottis 5/26/17 All Rights Reserved, 2017

Horizontal laryngeal adhesion secondary to traumatic intubation Adhesion lies across posterior commissure 5/26/17 All Rights Reserved, 2017

BRONCHATLAS© Step by Step© & YouTube Instructional videos This presentation is part of a multidimensional competency-oriented curriculum for Flexible Bronchoscopy. Our goal is to eliminate patient suffering caused by unequal physician expertise and on-the-job training. 5/26/17 All Rights Reserved, 2017

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