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Examples of upper airway anatomic abnormalities

Examples of upper airway anatomic abnormalities

Nasal

  • Narrow nares
  • Wide columella
  • Alar rim collapse
  • Nasal tip ptosis
  • Narrow piriform aperture
  • Nasal valve compromise
  • Nasal bone deformity
  • Nasoseptal deformity
  • Inferior turbinate hypertrophy
  • Functional turbinate obstruction (eg, rhinitis of recumbency)
  • Concha bullosae
  • Nasal polyposis

Oral

  • Small mouth
  • Macroglossia/oral tongue hypertrophy
  • Tori mandibularis
  • Retrognathia or micrognathia
  • Trismus

Upper pharyngeal

  • Adenoid hypertrophy
  • Tornwaldt cyst
  • Antrochoanal polyp
  • Posteriorly positioned soft palate
  • Palatine tonsillar hypertrophy
  • Functional obstruction (eg, palatal or velopharyngeal collapse)
  • Macroglossia/junctional tongue hypertrophy
  • Cervical osteophyte

Lower pharyngeal

  • Elongated soft palate
  • Lingual tonsillar hypertrophy
  • Macroglossia/tongue base hypertrophy
  • Posteriorly positioned tongue base
  • Retrognathia or micrognathia
  • Functional obstruction
    • Tongue collapse
    • Lateral wall collapse
  • Cervical osteophytes

Laryngeal

  • Retroflexed epiglottis
  • Omega epiglottis
  • Vocal fold polyp
  • Vocal fold edema (Reinke's edema)
  • Posterior laryngeal edema (eg, reflux laryngopharyngitis)
  • Arytenoid collapse
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