Regarding cholesteatoma, which of the following is true
Anonymous Quiz
70%
A. It consist of squamous epithelium
9%
B. It is a malignant tumor
3%
C. It should be left untreated
11%
D. It may metastasis to distant sites
6%
E. It is mainly treated medically
Tympanic membrane develop from
Anonymous Quiz
28%
A. Ectoderm
10%
B. Endoderm
11%
C. Mesoderm
37%
D. A, B and C
15%
E. A and C
Stapes footplate covers
Anonymous Quiz
18%
A. Round window
69%
B. Oval window
5%
C. Sinus tympani
4%
D. Aditus an antrum
5%
E. Chochlear aqueduct
Communication between middle ear and Eustachian tube is obliterated surgically in
Anonymous Quiz
13%
A. Cortical mastoidectomy
40%
B. Radical mastoidectomy
24%
C. Myringioplasty
17%
D. Modified radical mastoidectomy
5%
E. Bondys mastoidectomy
Treatment of choice of glue ear which present for six months is
Anonymous Quiz
15%
A. Conservative
12%
B. Adenoidectomy
61%
C. Myringotomy with grommet tube
5%
D. Myringotomy with cold knife
8%
E. Myringotomy with diode laser
The cough response caused while cleaning ear canal is mediated by stimulation of
Anonymous Quiz
16%
A. 5th CN
7%
B. C1 and C2
20%
C. Branches of 7th CN
7%
D. The 8th CN
49%
E. The 10th CN
Precise ENT
The cough response caused while cleaning ear canal is mediated by stimulation of
⭕️هنا branch من الvagus nerve بيمشي يغذي الauricle اسم الbranch دا...
Auricular branch of vagus nerve.
او عندو اسم تاني
Alderman's nerve.
Auricular branch of vagus nerve.
او عندو اسم تاني
Alderman's nerve.
Management of extensive cholesteatoma
Anonymous Quiz
56%
A. Radical mastoidectomy
23%
B. Modified radical mastoidectomy
15%
C. Cortical mastoidectomy
6%
D. Wall down mastoidectomy
⭕️Indications of modified radical mastoidectomy.
✔️Cholesteatoma involving the epitympanum.
✔️Chronic otitis media (localized).
✔️Cholesteatoma involving the epitympanum.
✔️Chronic otitis media (localized).
⭕️Anatomically ear has three parts:External ear, Middle Ear and inner Ear.
✔️Incisura terminalis is an important landmark for incision for mastoid surgery, this area has no cartilage.
✔️External Auditory Canal.
✔️Tympanic membrane is mobile, has 2 parts:Pars tensa which form most of membrane and pars flaccida which is the lower part of membrane.
✔️Middle ear cavity is divided into: Mesotympanum , Epitympanum and Hypotympanum.
✔️Middle ear is like a six sided box which has roof, floor, medial wall, lateral wall, anterior wall, posterior wall.
✔️Footplate of stapes attach to the oval window.
✔️Bony labyrinth filled with perilymph.
✔️MEMBRANOUS labyrinth filled with endolymph.
✔️Incisura terminalis is an important landmark for incision for mastoid surgery, this area has no cartilage.
✔️External Auditory Canal.
✔️Tympanic membrane is mobile, has 2 parts:Pars tensa which form most of membrane and pars flaccida which is the lower part of membrane.
✔️Middle ear cavity is divided into: Mesotympanum , Epitympanum and Hypotympanum.
✔️Middle ear is like a six sided box which has roof, floor, medial wall, lateral wall, anterior wall, posterior wall.
✔️Footplate of stapes attach to the oval window.
✔️Bony labyrinth filled with perilymph.
✔️MEMBRANOUS labyrinth filled with endolymph.
⭕️Cauliflower ear it is deformity result from trauma to ear which lead to accumulation of blood between the auricular cartilage and its perichondrium, which is known as hematoma.
⭕️Malignant otitis externa mostly occur in in diabetic patients and caused by pseudomonas aeruginosa.
⭕️Herpes zoster oticus also called Ramsay Hunt syndrome caused by viral agent lead to form painful vesicles.
⭕️Otitis externa haemorrhagica form bullae on the tympanic membrane and most commonly caused by influenza virus.
⭕️Keratosis obturans it is Cholesteatoma of external auditory meatus.
⭕️Malignant otitis externa mostly occur in in diabetic patients and caused by pseudomonas aeruginosa.
⭕️Herpes zoster oticus also called Ramsay Hunt syndrome caused by viral agent lead to form painful vesicles.
⭕️Otitis externa haemorrhagica form bullae on the tympanic membrane and most commonly caused by influenza virus.
⭕️Keratosis obturans it is Cholesteatoma of external auditory meatus.
⭕️Acute Suppurative Otitis Media (ASOM).
it is acute inflammation of middle ear cleft caused by pyogenic organisms mostly seen in children.
⭕️Serous otitis media is due to presence of a middle ear effusion without evidence of an acute infection, commonly patient present with conductive hearing loss, impedance audiometry shows Type B curve.
⭕️Otitic barotrauma or Aero otitis media occur due to sudden changes in pressure.
⭕️CSOM is chronic infection of the middle ear and mastoid.
✔️characterize by:tympanic membrane perforation, otorrhea and hearing loss.
⭕️Tubotympanic Type (Safe CSOM) involves anteroinferior part of middle ear cleft.
⭕️Atticoantral Type (Unsafe CSOM) Involves posterosuperior part of middle ear cleft.
⭕️Myringotomy performed by incision in anteroinferior quadrant.
⭕️Gradenigo’s syndrome characterized by: otorrhoea ,diplopia and deep retro-orbital pain.
⭕️Cholesteatoma is an abnormal growth of squamous epithelium in the middle ear.
it is acute inflammation of middle ear cleft caused by pyogenic organisms mostly seen in children.
⭕️Serous otitis media is due to presence of a middle ear effusion without evidence of an acute infection, commonly patient present with conductive hearing loss, impedance audiometry shows Type B curve.
⭕️Otitic barotrauma or Aero otitis media occur due to sudden changes in pressure.
⭕️CSOM is chronic infection of the middle ear and mastoid.
✔️characterize by:tympanic membrane perforation, otorrhea and hearing loss.
⭕️Tubotympanic Type (Safe CSOM) involves anteroinferior part of middle ear cleft.
⭕️Atticoantral Type (Unsafe CSOM) Involves posterosuperior part of middle ear cleft.
⭕️Myringotomy performed by incision in anteroinferior quadrant.
⭕️Gradenigo’s syndrome characterized by: otorrhoea ,diplopia and deep retro-orbital pain.
⭕️Cholesteatoma is an abnormal growth of squamous epithelium in the middle ear.
⭕️Glomus tumour arises from preganglionic cells of nerves.
⭕️Rising sun sign and Brown’s sign are classical features in glomus tumour.
⭕️Acoustic neuroma, also called vestibular schwannoma cause sensorineural hearing loss.
⭕️Rising sun sign and Brown’s sign are classical features in glomus tumour.
⭕️Acoustic neuroma, also called vestibular schwannoma cause sensorineural hearing loss.
⭕️Exostosis is the most common benign tumor of the external auditory meatus.
⭕️Facial nerve has both Motor and sensory components.
⭕️Bells palsy is the most common cause of facial palsy in adults.
⭕️Eye prevention is necessary to protect cornea and conjunctiva.
⭕️Bells palsy is the most common cause of facial palsy in adults.
⭕️Eye prevention is necessary to protect cornea and conjunctiva.
⭕️Melkersson syndrome is idiopathic syndrome characterizes by swelling of the lips, fissured tongue and facial palsy.
⭕️Varicella-zoster virus causes herpes zoster oticus.
⭕️Schirmer test used to detect site of LMNL.
⭕️Varicella-zoster virus causes herpes zoster oticus.
⭕️Schirmer test used to detect site of LMNL.
⭕️Preauricular sinus can be unilateral or bilateral and simple discharge.
✔️is treated with oral antibiotics (Augmentin), while surgical excision can be done if the sinus becomes recurrently infected.
⭕️Auricular hematoma results from blunt trauma and treated by aspiration and drainage with the antibiotic course.
⭕️Perichondritis caused by pseudomonas bacterial infection and treated with IV broad-spectrum antibiotics, analgesia, 4% aluminum acetate application and abscess drainage.
⭕️Atresia associated with external and middle ear anomalies, Goldenhar syndrome and Treacher Collins syndrome.
⭕️Localized otitis externa is caused by staphylococcus bacterial infection and treated with analgesia, antibiotics and 10% Ecthammol glycerin pack.
⭕️Malignant otitis externa is caused by pseudomonas aeruginosa and commonly seen in patients on immunotherapy, elderly and diabetic patients.
⭕️Herpes zoster oticus characterizes by painful vesicles.
⭕️Otomycoses is fungal infection caused by aspergillus niger (black growth), aspergillus fumigatus (green or blue growth) and candida albicans (creamy white deposit).
✔️is treated with oral antibiotics (Augmentin), while surgical excision can be done if the sinus becomes recurrently infected.
⭕️Auricular hematoma results from blunt trauma and treated by aspiration and drainage with the antibiotic course.
⭕️Perichondritis caused by pseudomonas bacterial infection and treated with IV broad-spectrum antibiotics, analgesia, 4% aluminum acetate application and abscess drainage.
⭕️Atresia associated with external and middle ear anomalies, Goldenhar syndrome and Treacher Collins syndrome.
⭕️Localized otitis externa is caused by staphylococcus bacterial infection and treated with analgesia, antibiotics and 10% Ecthammol glycerin pack.
⭕️Malignant otitis externa is caused by pseudomonas aeruginosa and commonly seen in patients on immunotherapy, elderly and diabetic patients.
⭕️Herpes zoster oticus characterizes by painful vesicles.
⭕️Otomycoses is fungal infection caused by aspergillus niger (black growth), aspergillus fumigatus (green or blue growth) and candida albicans (creamy white deposit).