006 – Throat thickening
Throat thickening and edema. Rugged appearance of the posterior commissure. Common finding in patients with reflux of gastroesophageal acid.
Throat thickening and edema. Rugged appearance of the posterior commissure. Common finding in patients with reflux of gastroesophageal acid.
View of the larynx. The bronchoscope has been located in the midline, raising the free edge of the epiglottis and remains supported on its pharyngeal side. The vocal cords are in abduction. The first tracheal ring can be visualized through the glottic cleft.
View of the normal laryngeal crown, with the vocal chords in an abduction position.
Larynx: it can be clearly seen the arytenoepiglottic folds and vocal cords in adduction. The edge of the left vocal cord isirregular in its middle third.
The bronchoscope has overcome the epiglottis and the arytenoids, now facing the vocal cords, here in a paramedian position. Third anatomical repair for intubation. It is the right time to start the 90º rotation of the bronchoscope to separate the vocal cords with the bevel and allow smooth entry into the trachea.
After the uvula, the free edge of the epiglottis is the second point of reference for a bronchoscopist during orotracheal intubation.