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Epiglottitis is the inflammation of the epiglottis—the flap at the base of the tongue that prevents food entering the trachea (windpipe). [7] Symptoms are usually rapid in onset and include trouble swallowing which can result in drooling, changes to the voice, fever, and an increased breathing rate.
A high rising epiglottis (with forward-facing anterior surface being visible) A high-rising epiglottis is a normal anatomical variation, visible during an examination of the mouth. It does not cause any serious problem apart from maybe a mild sensation of a foreign body in the throat.
The epiglottic valleculae are paired spaces between the root of the tongue and anterior surface of the epiglottis. Each vallecula is bordered medially by the median glossoepiglottic fold and laterally by the lateral glossoepiglottic fold. The valleculae can collect saliva to prevent initiation of the swallowing reflex.
An ENT specialist or otolaryngologist will be able to confirm the diagnosis as well as provide any necessary treatment [3] if required. The ENT will use an instrument called a laryngoscope in order to push the tongue down and in order to lift up the epiglottis which is the small flap in the back of the throat that covers the windpipe.
They extend from the lateral borders of the epiglottis to the arytenoid cartilages, hence the name 'aryepiglottic'. They contain the aryepiglottic muscles and form the upper borders of the quadrangular membrane. They have a role in growling as a form of phonation. They may be narrowed and cause stridor, or be shortened and cause laryngomalacia.
The anterior or lingual surface of the epiglottis is curved forward, and covered on its upper, free part by mucous membrane which is reflected on to the sides and root of the tongue, forming a median and two lateral glossoepiglottic folds; the lateral folds are partly attached to the wall of the pharynx.
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The glossopharyngeal nerve continues past the palatine tonsil and innervates the posterior 1/3 of the tongue to provide general and taste sensation. [6] This nerve is most likely to be damaged during a tonsillectomy, which leads to reduced or lost general sensation and taste sensation to the posterior third of the tongue. [7] [8]