paediatric otorhinolaryngology

8/11/2019 Paediatric Otorhinolaryngology

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PAEDIATRICOTORHINOLARYNGOLOGYDR SANA


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ACUTE OTITIS

Congested andbulging eardrum

Enlarged adenoids

vomitus, milk mayblock the tubes Antibiotics for 10


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ADENOID- F

Vacant expression Open mouth Pinched nostrils High arched palate Steroid, nasal spra

and antihistamines


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ALLERGIC RHINITIS-COMORB

Sinusitis Adenoids Otitis media Snoring asthma


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ALLERGIC RHINITI

The allergic salute Nose wrinkling Darriers line Boggy mucosa and

turbinates


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ANTROCHONAL P

From maxillary sintowards nasophary

Second decade

Infection Single, unilateral Sinus endoscopy


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EAR DISCH

Otitis media Ear canal normal Pinna painless

Otitis externa Ear canal inflamed


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EAR SYRI

Wax, fungus, orforeign body remo

Sitting position

Water at bodytemperature


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EA

Brownish material Most common cau

of earache

Wax dissolving dro Syringing may be

done


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ENT EXAMIN

One hand on head Other hand holding

hands

Legs crossed andheld between legs the parent


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FACIAL

Incomplete closureright eye

Congenital

Birth trauma Acute otitis media


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FRUNCULOS

Obstructed ear can Movement of pinn

painful

Anti inflammatoryagents enough


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GRO

Used for serous otimedia

Common cause ofdelayed speech

Ventilation tube fomiddle ear, improvhearing


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NASAL EXAMIN

Avoid instruments Elevation of tip of

nose with thumb isenough

Deviated septum


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OTOS

Child held firmly Little finger rests o

child face

Ear speculum size canal size Pinna downwards

and backwards


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PURE TONE AUDIO

Above 5 years Red right ear, blue

ear

Continuous line aiconduction,intermittent bone


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SAFE EAR-CENTRAL PERFOR

Large centralperforation

Profuse ear dischar

Odorless Conductive deafne


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TONSILLE

Enlarged tonsils wprominent crepts

Failure to thrive

Difficulty in breathspeech


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VOCAL NOD

Hoarsness of voice After screaming Voice rest Anterior 1/3 rd wposterior 2/3 rd


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CHONAL AT

Other anomalies Air blast tested by

misting on tonguedepressor orintroduce rubbercatheter in nostrils


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CONGENITA

Malformed ear CT scan to detect

whether cochlea isdeveloped

Other anomalies


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CYSTIC HYG

Neck bulging later Grows with age Surgical removal


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EAR

Pedunculated skinnear tragus

May havecartilaginouscomponents


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HEMANG

Tip of nose and floof mouth

Wait and watch

Local injection ofbleomycin weeklyinterval


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ESOPHAGEAL FOREIGN

Coin most commoforeign body

At cricopharynx

AP and lateral xray


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PINNA HEMA

Following boxing,or twisting ear

Anti inflammatorydrugs

Cauliflower ear iscomplication


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PREAURICULAR

Congenital Examine both ears Pus discharge need

antibiotics Surgical excision o

tract


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TONG

Frenulum preventicomplete tonguemovement

May causedisarticulation


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EP

Pinch nostrils for 5minutes at littles area

Postnasal bleed

Ice compression Anterior nasalpacking


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FRACTURE NASAL

Edema around nasbridge

CSF rhinorrhea

Septal hematoma Frontal lobe traum


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TRACHEO

By pass the upperairway obstruction

Opening of thetrachea andintroduction of portube


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STRIDOR

Suprasternalretraction andsubcostal indrawin

Rising pulse is areliable sign


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OBSTRUCTIVE SLEEPSYND

Hypertrophiedadenoids and tonsi

Day time sleepines

Weight gain Progressivehypertension


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RETROPHARYNGEAL AB

Increase inprevertebral space

Dysphagia, stridor

Intravenousantibiotics SOS drainage


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PATIENCE, PERSISTENCEPERSPIRATION MAKE AN UNBEAT

COMBINATION FOR SUCC


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THAN

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