ECT

#نفسية

" Adenoid "

🔸Dif. Hypertrophy of subepithelial lymphoid tissue of nasopharynx

🔸Aetiology :
-reccurent Rhinitis ,sinusitis ,tonsilitis
-allergy of the URT

🔸C/P

♦️Nasal symptoms:

-Nasal obstraction (MC)>>mouth breathing >>interferes with feeding or suckling > fails to thrive
-Snoring , sleep apnae
-Nasal discharge > wet bubbly nos
-Sinusitis
-Epistaxis
-Voice change > rhinolalia clausa

♦️Aural symptoms :

-Tubal obstraction > retracted drum >CHL
-recurrent atack of AOM ( Aotalgia)
-chronic suppurative OM
-Serous OM

♦️General

🔹Adenoid facies
Deu to prolonged mouth breathing >

-Enlarged face with dull expression
-Open mouth
-Prominent and crowded upper teeth
-Elevated upper lip
-Receding lowe jaw
-Pinched nostril
-High arched Hard palate

🔹pulmonary HTN > cor pulmonale
🔹Aprosexia ( lack of concentration)


🔸manegment

🔹mild case >medical as
Decongestant nasal drop , anti histamine ,treat infection > cure
🔹marked symptoms > adenoidoctomy


#ENT

Ramsy Hunt Syndrome

#ENT