Precise ENT
3.26K subscribers
210 photos
31 videos
3 files
10 links
ENT disorders and their treatment
Download Telegram
Precise ENT
Photo
⭕️Peritonsillar abscess of real patient.
This picture from Precise ENT book and it's under protection by copyright ©
⭕️Causes of facial palsy.
-CSOM.
-Malignant otitis externa.
-Herpes simplex auticus.

⭕️The commonest causes of ET closure. -Inflamatory:rihnitis tonsilitis.
-Adenoid in children.
-NPC IN adult.

⭕️Brain abscess is the most lethal complication of CSOM/common in males.

⭕️ Common site of labyrinthin fistula's is lateral semicircular canal.

⭕️Croup is the most common cause of acute airway obstruction in children/more in males+winter.

⭕️ The most common systemic factor of epistaxis is HT in old age.

A common factor of epistaxis is trauma.

Foreign body and nasal picking in children.

The common site is a wood area.

A common site of bleeding is the sphenopalatine artery.

⭕️Anterior epistaxis is more common.

⭕️ Posterior epistaxis is more dangerous.


⭕️The most common cause of rhinitis and sinusitis in Sudan is allergy.

⭕️The commonest benign neoplasm is juvenile nasopharyngeal angiofibroma.

⭕️A common malignant neoplasm is NPC.

The most common presenting symptom of NPC is a bilateral enlargement of cervical LN.
✔️Rt abducent palsy is the commonest single cranial nerve affected in NPC.

⭕️ The most common site from which NPC originates is the fossa of Rossenmollar.
✔️95% of NPC is squamous cell type.
✔️NPC more in males.

⭕️The most common infectious vertigo is viral.

The commonest fungal rhinosinusitis in Sudan is ASP flavus.

⭕️The commonest fungal rhinosinusitis worldwide is ASP fumigatus.
✔️ The common site is ethmoid sinus.
✔️Maxillary sinus is common in bacterial sinusitis.

⭕️ The most common cause of CHL is ear wax.

⭕️Otosclerosis is common in females in Sudan.

⭕️OM with E is more common in children and can lead to adhesive otitis OM.

⭕️Acute tonsilitis is common in children.

⭕️AOM is the 2nd most common in children after RTI.
✔️More in male.
✔️Peak in 1st 2 years common in 6-12 ms.
✔️More in winter.

⭕️Posterior large perforation, ossicular disruption ___>more HL.

⭕️Otitis externa is more painful than otitis media.

⭕️Stridor is harsh raspy noise due to partial obstructions of URT.

⭕️A common ex of labyrinthitis is SNHL due to bacterial meningitis.

⭕️The most common laryngeal cancer is the glottis.

⭕️The most common Malignant sinonasal tumor is SCC.

⭕️The most common tumor in mid ear is glomus jugulare.
✔️2nd of temporal bone.
✔️More in females.
✔️More in left ear.
✔️ The common symptom is pulsatile tinnitus.

⭕️ Commonly nasal perforation is due to nasal picking.

⭕️The commonest cause of nasal polyp is allergic rhinitis/common in asthmatics.

⭕️A common benign tumor in dry areas is nasal hemangioma.

⭕️OE is common in swimmers/in hot humid weather.

⭕️The commonest cause of tonsilitis is beta-hemolytic strep.
⭕️Rigid bronchoscopy, indications:
• FB removal.
⭕️Foreign bodies in airway (FBA) are rare in adults and more common in children.
They are usually located in the right main bronchus.
Nasal traum mostly nasal picking
CHL in Children mostly SOM
Infection reaching the submental and submandibular space is called
Anonymous Quiz
45%
A. Ludwig angina
33%
B. Submandibular sialadenitis
6%
C. Cellulitis
15%
D. Bezold abscess
Most common FB in children in the bronchi is:
Anonymous Quiz
3%
A. Pen
14%
B. Beads
67%
C. Peanuts
6%
D. Food
10%
E. Toy
⭕️Reactionary hemorrhage (delayed): occurs within 24 hours due to:
✔️high blood pressure after halothine anesthesia recovery.
✔️failure to control primary hemorrhage.
✔️slipping of ligature.
📍Managed by pressure and ligation of affected vessel and removal of blood clots.
📍Blood transfusion may be required.

This paragraph from Precise ENT book and it's under protection by copyright ©
This picture from Precise ENT book.
It's under protection by copyright ©
⭕️
Traumatic injuries may be self-induced from nose picking or may result from facial trauma.

⭕️Iatrogenic causes include nasal surgical procedures and nasal intubation or nasogastric tube placement.

⭕️
Overall, prior nasal septal surgery (septoplasty) is the most common cause of septal perforations.
نزل ليكم فيديو ظريف عن الsinusitis في الfacebook page ❤️❤️
An 18 month old child presented with unilateral nasal obstruction and foul smelling discharge, his examination was otherwise unremarkable, the most likely diagnosis is:
Anonymous Quiz
4%
a. Deviated nasal septum.
11%
b. Nasal polyps.
67%
c. Foreign body.
14%
d. Choanal atresia.
4%
e. Frontal sinusitis
⭕️Unilateral nasal obstruction and foul smelling nasal discharge are characteristic for nasal FB.