Forwarded from Time to Study ๐ฟ
If we suspect the child has epiglottitis ,examination by tongue depressor
should be avoided for the risk of laryngeal spasm which may be fatal .
should be avoided for the risk of laryngeal spasm which may be fatal .
๐ฅ1
Time to Study ๐ฟ
If we suspect the child has epiglottitis ,examination by tongue depressor should be avoided for the risk of laryngeal spasm which may be fatal .
ุชููุฏู ุญุชู ุจุงูุทูุงุฑุฆ ุฃู ุจุงูู
ุณุชูุจู
โค1
Forwarded from Time to Study ๐ฟ
ูุนูุงุฌ
Unilateral -> Medialization
Bilateral-> lateralisation
Unilateral -> Medialization
Bilateral-> lateralisation
Time to Study ๐ฟ
ูุนูุงุฌ Unilateral -> Medialization Bilateral-> lateralisation
About recurrent laryngeal nerve paralysis
โค1
Forwarded from pure angel
Ramsey hint syndrome :
ุฏูุชูุฑ ุงุญู ุฏ ุนููุงู ูุณู ููุง ู ุชูุงุฒู ุฉ ูุงูู ุฑู ุฒู ุงูุณุจุจ ุงูุฑุฆูุณู ููุง ูู VZV reactivation ูุฑุงุญ ููุชุจ ุงูุฏูุชูุฑ ุจุงูููุณ ุงูู ุงูุดุฎุต ุนูุฏู rash & vesicles in face ููุฐูู ู ุตุญูุจุฉ ุจุงูู ุณุงุญู ูู ุณุชู ุฑ ููุฐูู sensorineural hearing loss ูุฐู ุงูุญุงูุฉ ููุท 10% ู ู ุงูู ุฑุถู ู ู ูู ูุตูุฑ ููู recovery ุงูุจููุฉ 90% ู ุง ูุตูุฑููู ูุนูุงุฌูุง ููุณ ุนูุงุฌ bellโs
โจ๐ฉต
โค1
Forwarded from pure angel
melkersson syndrome :
ูุฐู ุงุณู ููุง ู ูู ุฑุณููู ๐๐๐ ุงูู ูู ูุฐู ุงูู ูู ูุฒู ุงูู ูู alternative recurrent palsy ูุนูู ุชุฑูุญ ูุชุฑุฌุน ุจุณ ุจุงูุฌูุฉ ูุฎ ( ู ุซูุงู ุตุงุฑุช ุนูุฏู ุจุงูุฌูุฉ ุงููู ูู ุฑุงุญุช ููุจ ุฑุฌุนุช ุจุงูุฌูุฉ ุงููุณุงุฑ ุทุจุนุงู ุญุณุจ ููุงู ุงูุฏูุชูุฑ ุงูู ูุฐู ุตูุฉ ุชุนุชุจุฑ benign ููุฏ ูููู ุณุจุจูุง family history ๐ก) ูู ุฑุงุช ูุง ุชุฌู bilateral ูู ุญุงูุงุช :-
โญ๏ธleukemia
โญ๏ธ lym disease
โญ๏ธG.barre syndrome (most common )
โญ๏ธsarcoidosis , mononucleosis,rabies
ุทุจุนุงู ุงูุญูู ุจุงูููุณ ุงูุฏูุชูุฑ ู ู ูู ููุชุจ ููุงูุง tongue fissure &facial edema
๐๐ฆ
Forwarded from pure angel
ุชุฐูุฑูู ุจู
ูุฒู
ุฉ ear trauma ููููุง ุนูุฏู 3 ุงููุงุน ู
ู fracture ูุงูู ูู :-
๐๐ปlongitudinal fracture this association with facial nerve damage + TM ,external ear damage
๐๐ปtransverse fracture ๐๐ปhigh risk of facial nerve damage & labyrinthine
โฆ
๐๐ปlongitudinal fracture this association with facial nerve damage + TM ,external ear damage
๐๐ปtransverse fracture ๐๐ปhigh risk of facial nerve damage & labyrinthine
โฆ
Forwarded from pure angel
Tumor effect on fascial nerve :
ุฅุฐุง ูุงู primary tumor ู ุซู shawannoma & hemangioma ููุง ุฅุฐุง ูุงู poor prognosis ุฑุงุญ ุฃุดูู nerve ูุงุญุท ุงุจุฏุงูู graft โฆโฆโฆ ููู ุฅุฐุง ูุงู good prognosis ุฑุงุญ ูููู ุงูุนูุงุฌ conservative & follow up
โฆโฆโฆ
ููุฐูู ูุฏ ูููู ุณุจุจู secondary ูุนูู ุจุงู parotid gland tumor ู ุซู squamous cells carcinoma & adenoid cyst โฆโฆุงูุชุญ ูุฐุง ๐ง ุดููู ุจุงุนูุง ูุจู ุงูุนู ููุฉ ุฑุงุญ ุงูุญุต facial nerve ุฅุฐุง ุณููู ูุฑุงุญ ุฃุญุงูุธ ุนููู ูุงุฐุง ูุง ุตุงูุฑ ุจู invasive ุฑุงุญ ุฃุดููู ๐ฅฒ
โฆโฆ
Forwarded from pure angel
ุนูุฏู ุงุฎุชุจุงุฑ ุงุณู
ู ุดู
ุฑ ููุง ุฑุงุญ ุงุญุท ูุฑู ุจุงูุนูู ูุฃุจูููุง 5min ุฅุฐุง ูุญุฏุฉ ู
ู ุงูุนููู ูุงูุช ุงูู ู
ู ุงูุฎ ุจ75% ุงู ุงุซูููุงุชูู
ุงูู ู
ู 10mm ูููุง ุฑุงุญ ุงููู ูุฐู ุงุจููุฑู
ู ูุนูู ุงูู damage in greater superficial petrosal nerve
๐ฆง
๐ฆง
Forwarded from pure angel
ูุฐู ูุงุถุญู ุจุณ ุงุณุชุนู
ู audiรดmetry ูุงุฐุง ู
ุงูู reflex ูุนูู ุงุจููุฑู
ู
Forwarded from pure angel
ุงุญูุง ูุนุฑู ุงูู facial nerve ูุนูู chorda tympani branch ููุชุญ ุจุงู tongue ุฑุงุญ ูููู ู
ุณุคูู ุนู tast ูููุง ุฑุงุญ ุงุญูุฒ ูุฐุง ุงูnerve ุจูุงุณุทุฉ electrigustomtery ูุงูู
ุฑูุถ ุฑุงุญ ูุญุณ ุทุนู
ููุณ ุทุนู
ุงููุญุงุณ ุจุงูุฌูุชูู ูุงูุงุฑู โฆโฆ
๐ฅ๐น
๐ฅ๐น
Forwarded from pure angel
ุฑุงุญ ุงุญูู citric acid ุจุงูwarthin duct ุงูู
ูุฑูุถ ูุชุฏูู ูุนุงุจ saliva ุถู
ู ูุณุจุฉ ู
ุญุฏุฏุฉ ุฅุฐุง ูุงูุช ุงูู ู
ู 25% ููุฐู ุงูุญุงูุฉ ุงูููุฑู
ู โฆ
Forwarded from pure angel
Mild type 2:
Muscle weakness ๐๐ปslight
Eye closure ๐๐ปcomplete closure
Symmetry of smiles ๐๐ป slight asymmetrical
Muscle spasm ๐๐ปabscent
Synkinesis ๐๐ปbaraly noticeable
๐โญ๏ธ
Forwarded from pure angel
Moderate type 3:
Muscle weakness ๐๐ปabvoius (ุญุชู ู ุง ููุฏุฑ ูุฑูุน ุญุงุฌุจู )
Eye closure ๐๐ปcomplete closure
Symmetry of smiles ๐๐ป asymmetrical
Muscle spasm ๐๐ปpresen
Synkinesis ๐๐ปpresent but no disfigured
๐โญ๏ธ
Forwarded from pure angel
Moderate type 4:
Muscle weakness ๐๐ปabvoius
Eye closure ๐๐ปincomplete closure
Symmetry of smiles ๐๐ป asymmetrical
Muscle spasm ๐๐ปpresen
Synkinesis ๐๐ปsever
๐โญ๏ธ
Forwarded from pure angel
Moderate type5:
Muscle weakness ๐๐ป Motion barely perceptible
Eye closure ๐๐ปincomplete closure
Symmetry of smiles ๐๐ป slight movement coronal
Muscle spasm ๐๐ปabsent
Synkinesis ๐๐ปpresent
๐โญ๏ธ
Forwarded from pure angel
Type5 (total paralysis ):
๐๐ปno movement
๐๐ปloss tone
๐๐ปno synkinesis
๐๐ปpresent spasm &contraction
๐ฆ๐ฅ
Forwarded from pure angel
Neurapraxia ๐๐ปcompression on nerve lead to block
Axonotemsis ๐๐ป damage in axons
Neurotemsis type3 ๐๐ปdamage in endoneural layer
Neurotemsis type4 ๐๐ปdamage in endoneural & perineural layer
Neurotemsis type5๐๐ปdamage in all layers of nerve
โจ๐ฉต