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Guide to

Guide to. E.N.T Cases. Diagnosis : vocal fold nodule Key point : Smooth small mass Treatment : excision by micro laryngo surgery. Diagnosis : Cancer larynx Key point : Reddish Friable Investigation : C.T scan neck - Biopsy Treatment : Total Laryngectomy.

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Guide to

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  1. Guide to E.N.T Cases

  2. Diagnosis : vocal fold nodule Key point : Smooth small mass Treatment : excision by micro laryngo surgery

  3. Diagnosis : Cancer larynx Key point : Reddish Friable Investigation : C.T scan neck - Biopsy Treatment : Total Laryngectomy

  4. Diagnosis :Reinke`s oedema Key point :the vocal fold diffusely - reddish and oedematous Treatment : (1) medical treament ( antiinflamatory - mucolytic ) (2) Microlaryngo surgery if medical treatment failed

  5. Diagnosis : Juvenile multiple Papillomatosis Key point : Multiple whitish cauli flower Treatment : Repeated excision by microlaryngo surgery If stridor occurs ----- tracheostomy

  6. Diagnosis :Reinke`s oedema

  7. Diagnosis : Furunclosis of the nose complicated by cavernous sinus thrombosis Symptoms : oedema - chemosis - proptosis – ophthalmoplegia investigation : C.T scan on the cavernous sinus Treatment : Anti biotics - Anti coagulant

  8. Diagnosis : Intubation gronnuloma Key point : posterior laryngeal polypoid mass Symptoms : hoarsness and stridor Treatment : Laser excision

  9. Diagnosis : Quinzy Key point : one tonsil protruding medially - the two anterior pillers at two different levels D. D : Carotid aneurysm Treatment : Surgical drainage per oral

  10. Diagnosis : leuko plakia of the vocal fold Key point : chalky whitish investigation : biopsy Treatment : cordectomy

  11. Diagnosis :Reinke`s oedema

  12. Diagnosis : Nasal tumor Key point : non glistening friable mass investigation : Biopsy Treatment : Excision according to histopathological picture

  13. Diagnosis : Ludwig`s angina Possible symptoms : dysphagia - stridor Treatment : surgical drainage - post operative anti biotic

  14. Diagnosis: Otomycosis of the ear ( Cotton Fluffy and yellow Powder) Symptoms: Itching Treatment: * ear suction or wash. * Anti fungal drops

  15. Diagnosis : Cancer larynx

  16. Diagnosis : Subtotal perforation due to chronic suppurative otitis media. • Possible sumptions : Hearing loss – tinnitus - discharge • Investigations : * Audiological assessment • * X-ray mastoid. • Treatment : Tympnoplasty.

  17. Diagnosis : Acute Follicular tonsillitis. • Investigations : - Swab - CBC. • Treatment :Antibiotics – Analgesics – Antipyretic.

  18. Diagnosis : Vocal fold polyp. • Key point : Smooth& big mass in the anterior Part of larynx. • Treatment : Microlaryngo surgery excision and histopathological examination

  19. Diagnosis : vocal fold nodule

  20. Diagnosis : Anterior septal perforation. Possible symptoms: Excessive nasal crusting - Whistling. Investigations : - Tuberculin test - C.T. scan paranasal sinuses. Treatment : Closure by mucosal septal flop.

  21. Diagnosis : Septal hematoma. • Key point : Reddish swellings in either sides of the septum. • Treatment : - Surgical drainage with compression - Anti biotic.

  22. Diagnosis : laryngeal web. Possible symptoms : Hoarsness and stridor Treatment : Excision by LASER.

  23. Diagnosis : Adhesive otitis media.. • Key point : Retracted silvery tympanic membrane. • Symptoms : Hearing loss. • Investigations : - Audiogram (C.H.L.) • - Tympanogram: Type B. • Treatment : Myringotomy with T-tube insertion

  24. Diagnosis : Post tonsillectomy membrane. Treatment : - Anti biotic + mouth gurgle.

  25. Diagnosis : Mastoid Abscess. • Symptoms : Fever – pain – increasing ear discharge. • Investigations : - X-ray mastoid. • - Audiogram. • Treatment : - Drainage of the abscess. • - Tympanoplasty with mastoidectomy

  26. Diagnosis : Cancer maxilla • Symptoms : Check swelling – epistaxis – obstruction. • Investigations : - C.T. scan paranasal sinuses. • - Biopsy. • Treatment : - Maxillectomy.

  27. Diagnosis: Left Partial or or right comlete Lower motor neuron Facial paralysis

  28. Diagnosis : Frontal mucocele

  29. Diagnosis : ear wax Symptoms : hearing loss and tinnitus. Investigations : No investigation Treatment : ear wash

  30. Diagnosis: Otomycosis (cotton fluffy).

  31. Diagnosis : oral and oropharyngeal Moniliasis Symptoms : Sore throat Treatment :anti fungal drugs

  32. Diagnosis: Central perforation due to chronic suppurative otitis media

  33. Diagnosis : deformed nose Treatment : Rhinoplasty

  34. Diagnosis : Insect foreign body in the external canal. Treatment : Paraffin oil drop, then ear wash.

  35. Diagnosis : Cholesteatoma. • Key point : Atic white matrix and atic Perforation . (NB Atic is above the level of maleous • Investigation : - Audiological assessment • - C.T. scan tewporal bone. • Treatment : - Tympanoplasty with mastoidectomy

  36. Diagnosis: Otitis media with effusion • Key point : Air Bubles – Fluid level • Symptoms : Hearing loss. • Investigations : - Audiogram : C.H.C. • - Tympanogram: Type B. • Treatment : Myringotomy with grommet tube insertion

  37. Diagnosis : Grommet tube inserted into the tympanic membrane. Used : In treatment of otitis media with effusion.

  38. Diagnosis : Aphthus ulcer of the mouth. Treatment : Local anaesthetic ointment.

  39. Diagnosis :Posterior marginal perforation due to chronic suppurative otitis media.

  40. Diagnosis : Nasopharyngeal polyp • Investigation : Biopsy – C.T. scan Nasopharynx. • Treatment : Polypectomy + histopathological • examination.

  41. Diagnosis : Perichondritis of the auricle. Symptoms : pain – discharge. Treatment : (1) Surgical drainage of any collection. (2) Excision of any dead cartilage. (3) Antibiotics

  42. Diagnosis : Auricular hematoma.. Treatment : - Surgical drainage and compression. - Antibiotic.

  43. Diagnosis : Diphtheretic membrane. Investigation: Culture on Loffler’s serum media. Treatment : - Antibiotic. (Penicillins) - Anti diphtheretic serum.

  44. Diagnosis : Traumatic central perforation • Key point : - Irregular edge. • - Surrounded by blood clots. • Treatment : - Conservative management for 6 months. • - If failed tympanoplasty.

  45. Diagnosis : Aural polyp • Investigation: X-ray mastoid. • Audiogram. • Treatment : - Polypectomy + tympanoplasty with • mastoidectomy.

  46. Diagnosis : Mastoid Fistula. • Investigation : X-ray mastoid. • Audiogram. • Treatment : - Tympanoplasty with mastoidectomy.

  47. Diagnosis : traumatic central perforation

  48. Diagnosis : Cauliflower ear Treatment : Plastic surgery.

  49. Diagnosis : Marginal perforation due to chronic suppurative otitis media.

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