Precise ENT
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ENT disorders and their treatment
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⭕️The most common cause of epistaxis is the idiopathic cause.

⭕️The sphenopalatine artery is the most common site of bleeding.

⭕️Unilateral, severe epistaxis in an adolescent boy may indicate a juvenile angiofibroma.

⭕️The most common site of epistaxis is the anterior septum (Little's area).

⭕️Prolonged bleeding is associated with hypertension, anticoagulants, and NSAIDs.

⭕️The commonest cause of epistaxis in children is F.B and nasal picking, in adults is trauma or idiopathic, in middle age are tumors and in elderly is hypertension.
⭕️The most common cause of common cold is the rhinovirus.

⭕️Primary atrophic rhinitis is commonly seen in females.

⭕️Vasomotor rhinitis is the most common form of chronic rhinitis.

⭕️If there is unilateral polyps are seen, fungal disease or neoplasm is suspected.

⭕️If there is a nasal polyp seen in a child, glioma and encephalocele must be excluded by CSF aspiration.

⭕️Nasal polyps are most commonly bilateral except antrochoncal polyp.

⭕️The treatment of choice of antrochoncal polyp is endoscopic sinus surgery.
⭕️Squamous papilloma originates from the lower segment of the nasal septum or the nasal vestibule.

⭕️The most common area of inverted papilloma is the lateral wall of the nasal cavity.

⭕️The treatment of choice in inverted papilloma is medial maxillectomy.

⭕️The most common form of nasal cavity carcinoma is squamous cell carcinoma.

⭕️Tumors of the paranasal sinuses are more likely to be malignant than benign.

⭕️Fibrous dysplasia mostly originates from the maxillary sinus.

⭕️The most common form of paranasal sinuses carcinoma is squamous cell carcinoma.
⭕️Choanal atresia due to the failure of the breakdown of the buccopharyngeal membrane during the 6th–8th week of embryonic life.

⭕️Bilateral choanal atresia is a life-threatening condition.

⭕️CT scan is the investigation of choice to diagnose choanal atresia.

⭕️Unilateral foul-smelling nasal discharge indicates a nasal foreign body.

⭕️Any unilateral watery rhinorrhoea increased by leaning forward, CSF rhinorrhoea should be suspected.
⭕️Pharyngitis is inflammation of the pharynx cause sore throat.

⭕️80% of pharyngitis is due to a viral agent.

⭕️In the examination, pharyngeal mucosa is hyperemic in acute pharyngitis.

⭕️In acute pharyngitis, patients present with dysphagia and malaise.

⭕️Chronic pharyngitis patients present with persistent cough and sore throat.

⭕️In atrophic pharyngitis crust is seen in pharyngeal mucosa.
 
⭕️Acute tonsillitis is inflammation of lymphoid tonsils and it is mainly seen in children.

⭕️Viral infections are the main causative agents for tonsillitis.

⭕️Chronic tonsillitis is inflammation of lymphoid tonsils due to repeated attacks of acute tonsillitis.

⭕️Quinsy is a complication of tonsillitis and defines as a collection of pus in peritonsillar space.
⭕️The patient presents with trismus, muffled "hot potato" voice with a deviation of the uvula to the contralateral side

⭕️The adenoids are found in the nasopharynx.

⭕️Sleep apnea and respiratory disturbance are serious complications of adenoid hypertrophy.
⭕️Stridor is a noisy high pitched sound result from the flow of air through partially obstructed air.

⭕️Hoarseness of voice: suggest vocal cords involvement.

⭕️Rhinovirus is the most common cause of acute Laryngitis.

⭕️Croup patient presents with a "barky" cough, stridor and fever.

⭕️Epiglottitis is characterized by high-grade fever, severe sore throat, drooling of saliva and odynophagia.

⭕️Laryngomalacia is the most common cause of stridor in the neonate.

⭕️The most common foreign body inhaled by children is a peanut.
 
⭕️The vagus nerve through its branches; superior laryngeal nerve (SLN) and recurrent laryngeal nerve (RLN) innervate the larynx.

⭕️Vocal cord polyps it is the most common benign tumor of vocal cords.

⭕️Vocal cord nodules are caused by vocal abuse.

⭕️Vocal cord nodules are seen usually in singers, children and school teachers.

⭕️90% of all vocal cord paralysis is due to peripheral causes and only 10% is due to central causes.

⭕️In unilateral vocal cord paralysis there will be a functioning cord while the other cord is paralyzed.

⭕️In bilateral vocal cord paralysis, vocal cords set in the midline.
⭕️Nasopharyngeal carcinoma (NPC) is the most malignant tumor in the nasopharynx within the fossae of Rosenmüller.

⭕️Nasopharyngeal carcinoma (NPC) is associated with the Epstein-Barr virus (EBV) infection.

⭕️Early metastatic of NPC is to the cervical lymph nodes may cause a nontender neck mass.

⭕️NPC tumors invade adjacent structures and lead to nasal congestion, epistaxis, headache, cranial nerve palsies and serous otitis media.
⭕️Pharynx Extend from the skull base to the level of six cervical vertebrae.

⭕️Nasopharynx extends from the base of skull to C2 level of soft palate.

⭕️Fossa of Rosenmuller is commonest area of nasopharyngeal carcinoma.

⭕️Oropharynx extends from soft palate to the tip of the epiglottis (C4 level).

⭕️Hypopharynx extend from the tip of epiglottis to the lower border of the cricoid cartilage (lower border of C6).

⭕️Larynx extends from 3rd to 6th cervical vertebrae in adults while in children at the level of the C2–C3 vertebrae.

⭕️Larynx cartilages are divided into single and paired cartilages.

⭕️Thyroid cartilage is largest cartilage.

⭕️Cricoid cartilage is the only complete ring.

⭕️Recurrent laryngeal nerve innervates all intrinsic laryngeal muscles except cricothyroid.

⭕️Cricothyroid muscle innervate by external laryngeal nerve.
⭕️Cancer of the larynx is the second most common location for head and neck malignancy.

⭕️Cancer of the larynx occurs in the 6th and 7th decades of life.

⭕️Squamous cell carcinoma is the most common histologic type of laryngeal cancer.

⭕️Glottis is the most common site for laryngeal carcinoma.

⭕️Subglottic cancer is the rarest type of laryngeal cancer.
⭕️Case of otomycosis.
⭕️Case of tympanic membrane perforation due to CSOM.
⭕️Case of tympanosclerosis.
⭕️Case of traumatic tympanic membrane perforation.
Precise ENT
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⭕️Case of Torus palatinus:is a harmless and painless bony growth located on the roof of the mouth (the hard palate).
⭕️The mass appears in the middle of the hard palate and can vary in size and shape.
⭕️About 20 to 30 percent of the population has torus palatinus.
⭕️It occurs most frequently in women and those of Asian descent.