1. Acute exacerbation.
2. Malignant transformation.
3. Occurrence of complications.
1. Common in female.
2. Multipra.
Otosclerosis
3. Middle age.
4. More bilateral.
1. Discharging ear.
1. ASOM.
3. Extradural abscess.
1. Facial palsy
(recurrent).
2. Fissured tongue.
3. Facio-labial oedema.
4. Familial.
1. Common in male.
3. More unilateral.
2. Meningioma
CPA lesions
3. Congenital cholesteatoma.
4. Arachnoid cyst.
1. Haemotympanum.
3. Carotid aneurysm.
5. Glomus tumor.
6. ASOM.
5. Otosclerosis.
1. Angiofibroma.
3. Tumor (papilloma).
1. Petrositis.
2. Furunculosis.
3. Diffuse OE.
1. Otalgia (pain).
2. Vesicles.
1. Sudden pain.
2. Bleeding.
1. Pressure on tragus.
4. Dead ear.
1. Menier's disease.
2. Syphilitic OM.
1. Glomus.
3. Carotid aneurysm.
1. FB in nose.
2. Atrophic rhinitis.
4. Oroantral fistula.
1. Trismus.
3. External swelling.
1. Pain.
2. Fever.
4. Vertigo.
5. Facial paralysis.
Ototoxic drugs
2. Diuretics as frusemide.
4. Quinine.
5. Chemotherapy (Cisplatin).
Progressive dysphagia, starts for solids then solids & fluids + rat tail
appearance of barium swallow Cancer oesophagus.
Intermittent dysphagia, more for fluids than for solids + dilated lower
2/3 of oesophagus with smooth tapering lower end Achalasia of the
cardia.
Itching Otomycosis.
Griesinger's sign
Pain behind the ear hours before the paralysis + Red chorda tympani
sign Bell's palsy.
Young boy around 12 years with unilateral nasal obstruction & history
of epistaxis most probably Angiofibroma.
Swelling in the lower part of the front of the neck, move up & down
with deglutition but Not with protrusion of the tongue Thyroid
swelling.
Swelling below & in front of the auricle raising the lobule of the
auricle Parotid swelling.
But now obsolete because of the high risk of developing carcinoma especially
because the angiofibroma usually appears in adolescents.
But now: MRA (MRI + Angiography) done to visualize the feeding artery and
then
Induce thrombosis of the feeding artery to avoid bleeding during the operation.
b. What is the position that you must put the pt in during the attack?
⇒ The Pt. should lean forward → to prevent swallowing of the blood, as
the Pt. may develop hypovolemic shock from the blood loss &
5. A middle aged woman complaining of pain in the right ear & vertigo,
ear examination revealed post auricular scar of previous operation
done for the treatment of Cholesteatoma, the middle ear ossicles
are removed during the operation.
11. A middle aged male came to ENT clinic complaining of pain and
dysphagia. On examination, there was a membrane covering the
right tonsil.
2. Weber test is more sensitive than Rinne test; as the Weber can
differentiate the hearing loss between the 2 ears when the
difference is 5 db in between, while the difference between both
ears in Rinne is 20 db.
Cases introduced by :
Dr Mahmmoud Fawzi
N.B:
N.B: Biopsy: never starts ttt of cancer without taking biopsy and by the least
invasive measure.
N.B: Pan Coast tumor: the 1st sign produced by is left vocal cord paralysis.
• CT scan.
⇒ Investigations:
• Direct laryngoscopy.
⇒ Treatment:
• 1ry tumor Total laryngectomy followed by radiation.
• LNs Radical neck dissection if there was LN enlargement.
Selective neck dissection if not palpated as it commonly
affects the LNs.
6. A 8 years old girl came to ENT clinic with her mother complaining of
high temperature 38.5° C, sore throat, dysphagia & later otalgia. All
these symptoms occur 2 days ago and the recurrence rate: 3 times /
year.
⇒ For ttt:
• Give long acting penicillin.
• Do tonsillectomy if there is recurrence.
• History
• Examination Write them in details.
• Investigations
Presented to you by
All Team