Insert Your Text Here. ENT Emergencies. Ashutosh Kacker, MBBS, MS, MD, FACS Associate Professor Department of Otorhinolaryngology Weill Medical College of Cornell University New York-Presbyterian Hospital—Weill Cornell Center. Foreign Bodies of the Upper Aerodigestive Tract. Background.
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Ashutosh Kacker, MBBS, MS, MD, FACS
Department of Otorhinolaryngology
Weill Medical College of Cornell University
New York-Presbyterian Hospital—Weill Cornell Center
Jackson and Jackson
urgent or emergent situations
Tracheotomy Tube Placement
It takes about 2–8 days before the formation of abscess. Progressively worsening unilateral sore throat and pain during swallowing usually are the earliest symptoms.
As the abscess develops, persistent pain in the peritonsillar area, fever, malaise, headache and a distortion of vowels informally known as "hot potato voice" may appear. Neck pain associated with tender, swollen lymph nodes, referred ear pain and halitosis are also common
-Anterior Ethmoid (Opth)
-Superior Labial A (Facial)
-Sphenopalatine A (IMAX)
-Greater Palatine (IMAX)
-Pharyngeal & Post. Nasal AA of Sphenopalatine A (IMAX)
Anterior: younger, usually septal vs. anterior ethmoid, most common (>90%), typically less severe
Posterior: older population, usually from Woodruff’s plexus, more serious.
Trauma (most common)
Control of hypertension
Correction of coagulopathies/thrombocytopenia
FFP or whole blood/reversal of anticoagulant/platelets
Pressure/Expulsion of clots
Cautery (AgNO3 vs. TCA vs. Bipolar vs. Bovie)
Nasal packing (effective 80-90% of time)
Greater palatine foramen block
Anterior nasal packs
Posterior nasal packs