Transcript Part 4A - Abnormalities of the Upper Airway

4A: Abnormalities of the Upper Airway
BRONCHATLAS©
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Bronchoscopy International
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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:
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Abundance, location, type, color
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Upper airway abnormalities
Perforated nasal septum
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Nodule on epiglottis
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Ulcer on epiglottis
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Candida infection
Thrush on anterior
surface of epiglottis
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thrush
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Candida Infection
Oral Candidiasis
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Oral Candidiasis
Candida infection
below uvula in
patient using inhaled
corticosteroids
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Severe Laryngeal Candidiasis
Immunocompromised
patient
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Redundant tissue and large,
swollen epiglottis
Patient with obstructive
sleep apnea
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Folded epiglottis
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Laryngeal cancer
Laryngeal cancer
with necrosis
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Radiation burns of larynx
Burns
Necrotic material
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Posterior laryngeal abnormalities
Luxation of Right arytenoid
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Swollen Right arytenoid
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Anterior Laryngeal abnormalities
Ecchymosis Right vocal cord
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Leukoplakia Right vocal cord
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Laryngeal abnormalities
Changes from
aspiration and reflux
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Candida laryngitis
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Laryngeal injury from traumatic intubation
Swollen epiglottis and arytenoids
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Ulceration Left vocal cord
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Feeding Tube at Larynx
Feeding tube
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Vocal cord abnormalities
Paralyzed Right vocal cord
Paralyzed Left vocal cord
Note thicking on right
Does not move with phonation
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Contact Ulcer Left Cord
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Acute laryngospasm
Cords closed in Adduction
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Acute spasm
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No Airway below vocal cords
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Vocal cords seen from below
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Intubation Trauma Post Wall Subglottis
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Horizontal laryngeal adhesion
secondary to traumatic intubation
Adhesion lies across
posterior commissure
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This presentation is part of a
comprehensive curriculum for
Flexible Bronchoscopy. Our goals are
to help health care workers become
better at what they do, and to
decrease the burden of procedurerelated training on patients.
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