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Supraglottic Index Learning Program

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The Supraglottic Index Learning Program is intended to educate pulmonologists and allergists on anatomy and abnormalities of the supraglottic area to help in phenotyping refractory asthma in order to direct specific personalized therapy for their patients.

There is no “best practice” standard for scoring the supraglottic index. For patients with asthma, we envision the scoring method taught here to be the future standard.

Currently, pulmonologists are not taught to evaluate the upper airway during bronchoscopy. Allergists who perform laryngoscopy focus on the nasal passage also do not know how to evaluate the supraglottic area. ENT physicians and other care givers know how to evaluate the supraglottic area, but not with regard to refractory asthma.

  • Intended audience: Pulmonologists, allergists, ENT, PA, NP
  • Topic areas: Respiratory and GI
  • Medical subjects: Laryngopharyngeal reflux, microaspiration


Program Developed By:

Richard J. Martin, MDRichard J. Martin, MD
Chairman, Department of Medicine

James T. Good Jr, MDJames T. Good Jr, MD
Professor, Department of Medicine

Learning Objectives

  • Learn upper airway anatomy of the supraglottic area.
  • Determine specific abnormalities of the epiglottis, false cords, arytenoids, posterior commissure, and piriform recesses in asthmatic patients.
  • Learn a scoring system, the supraglottic index (SGI).
  • Determine from the SGI if laryngopharyngeal reflux (LPR) with potential aspiration plays a major role in the asthmatic pathobiology.
  • Be able to evaluate if further work-up and directed therapy is needed for LPR.


Program Activities

All program activities to be completed online.

  • Review SGI scoring overview
  • Watch five videos, approximately 10 minutes in length each
  • Score 30 test cases using a downloadable worksheet
  • Compare your 30 test case scores to the answer sheet