Chapter 66 - Chronic Aspiration

Question 1

Chronic aspiration

Answer 1

Severe loss of laryngeal protective function related to impaired motor activity or sensory loss

Question 2

Most common inciting event for chronic aspiration

Answer 2

Cerebrovascular accident (CVA). Particularly brainstem w/ bilateral cranial nerve deficits

Question 3

Most common cause of chronic aspiration in pediatric population

Answer 3

Severe neurologic dysfunction resulting from cerebral palsy

Question 4

FEES (Functional Endoscopic Evaluation of Swallowing)

Answer 4

Proposed by Langmore and associates in 1988 as an alternative to videofluoroscopy (proposed by Logemann) for the evaluation of dysphagia

Question 5

Surgical management of chronic aspiration

Answer 5

Laryngectomy (narrow-field), subperichondrial cricoidectomy, partial cricoidectomy, endolaryngeal stents, epiglottic flap closure, vertical laryngoplasty, glottic closure, tracheoesophageal diversion and laryngotracheal separation