What causes pyriform aperture stenosis?
bony overgrowth at the ANTERIOR bony opening
CMS III Pediatrics - Pulmonology Exam Questions And Answers
What clinical features might present with pyriform aperture stenosis?
Noisy breathing
Worsens with feeding
Improves with crying
A patient with cystic fibrosis should be associated with what nasal overgrowth?
nasal polyps
What is Samter's triad?
Asthma/atopy
ASA
Nasal polyps
What is lingual ankyloglossia?
tongue tie - occurs when the frenulum is short OR distally inserted
- causes restricted tongue movements
,What is the surgical treatment for lingual ankyloglossia
frenotomy
What is a lingual thyroid? What causes it?
occurs when thyroid tissue is found at the base of the tongue due to failure for the
thyroid to descend into the neck
T/F. Lingual thyroid does not usually require treatment but can result in airway
obstruction.
TRUE
Stridor usually occurs when?
inspiration
If stridor occurs during both inspiration and expiration, what does it suggest?
tracheal anomalies
What is the most common congenital anomaly of the larynx?
laryngomalacia
- causes compression of supraglottic structures
How will laryngomalacia present?
progressive inspiratory stridor
, What is the treatment with laryngomalacia?
self-limiting
- if severe → refer to ENT
What is characterized by narrowing of the cricoid lumen?
subglottic stenosis
When does subglottic stenosis commonly present?
Following recurrent croup
- may have biphasic stridor
What is laryngeal atresia?
complete airway obstruction due lack of development
What is the treatment for laryngeal atresia?
emergent tracheostomy
What is characterized rare congenital anomaly that causes incomplete separation of the
vocal folds?
laryngeal webs
A patient with tracheal stenosis will present with wheezing that does not respond to
what?
bony overgrowth at the ANTERIOR bony opening
CMS III Pediatrics - Pulmonology Exam Questions And Answers
What clinical features might present with pyriform aperture stenosis?
Noisy breathing
Worsens with feeding
Improves with crying
A patient with cystic fibrosis should be associated with what nasal overgrowth?
nasal polyps
What is Samter's triad?
Asthma/atopy
ASA
Nasal polyps
What is lingual ankyloglossia?
tongue tie - occurs when the frenulum is short OR distally inserted
- causes restricted tongue movements
,What is the surgical treatment for lingual ankyloglossia
frenotomy
What is a lingual thyroid? What causes it?
occurs when thyroid tissue is found at the base of the tongue due to failure for the
thyroid to descend into the neck
T/F. Lingual thyroid does not usually require treatment but can result in airway
obstruction.
TRUE
Stridor usually occurs when?
inspiration
If stridor occurs during both inspiration and expiration, what does it suggest?
tracheal anomalies
What is the most common congenital anomaly of the larynx?
laryngomalacia
- causes compression of supraglottic structures
How will laryngomalacia present?
progressive inspiratory stridor
, What is the treatment with laryngomalacia?
self-limiting
- if severe → refer to ENT
What is characterized by narrowing of the cricoid lumen?
subglottic stenosis
When does subglottic stenosis commonly present?
Following recurrent croup
- may have biphasic stridor
What is laryngeal atresia?
complete airway obstruction due lack of development
What is the treatment for laryngeal atresia?
emergent tracheostomy
What is characterized rare congenital anomaly that causes incomplete separation of the
vocal folds?
laryngeal webs
A patient with tracheal stenosis will present with wheezing that does not respond to
what?
