EPISTAXIS

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SINUSITIS
RHINO>STREP>FUMIGATUS
ADULT-MAX PAED-ETHM
IOC=ROC=ENDOSCOPY
RADIO--HRCT
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SINUSITIS

FEVER+PUS IN MEATUS

OFFICE CHEEK BOTH

FRONTAL DENTAL EYELIDS
LOWER ETH
EYELID
M
MUCOC/PYO/OM/FISTULA--FRONTAL
ORBITAL---ETHMOID
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Concha
bullosa
MC
pathology
of nose
(A) INSPIRATION (B) EXPIRATION.
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LOVE FOR BLOOD VESSELS

EPISTAXIS NO PAIN
RHINOSCLEROMA
CHILD

ATROPHIC
RHINITIS
ATROPHIC RHINITIS

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RHINOSCLEROMA
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ENDOSCOPIC TRAUMA

GLUCOSE -30-10

ELECTROPHORESIS
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HRCT
W/W IV
2WKS-ENDOSCOPIC
REMOVAL
SKULL FRACTURE

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FACIAL FRACTURES
REDUCTION

CLOSED OPEN
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3 WEEKS

MC 2MC
TRIPOD /
REDUCE IMMEDIATELY TEAR DROP SIGN
AFTER 5 DAYS/ODEMA
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CAP MALIG
HEMAG MELAN

PAPILLOMA
Inverted Papilloma

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MAXILLARY WALL INTACT

YES---INVERTED PAPILLOMA

NO---SCC
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COVID MANIFESTATION
ENT NON ENT

FEVER
SORE THROAT
WATER VIEW OCCIPITOMENTAL
Nose Chin Position
M ----PE
Pierre's view
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CALDWELL VIEW
Occipitofrontal
FRONTAL/ETHMOID

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CLASSIFICATION
RHINOSPORIDIOSIS
PROTOZOA
COMPLETE EXCISION
CAUTERIZATION BASE
DAPSONE
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Unilateral Cervical lymph nodes
NASOPHARYNX CARCINOMA
Epistaxis Young Boy
ANGIOFIBROMA @DRDEEPAK

Wood Industry
ETHMOID ADENO CA
Nickel Industry
MAXILLARY SCC
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CARHART NOTCH ==BC

WHO—85
INDIAN –90
CITY LIFE--45
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RISING CURVE DOWN SLOPING

MENIERE DISEASE PRESBYCUSIS
N FLAT FLUID ET DYSFUCTION
PERFORATION

OSSICULAR
OS—OF—TS--TF
DAMAGE
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ECOG-SENSORY DEAFNESS
ABR Peaks
I–II: Eighth nerve (distal and proximal segments)
III: Cochlear nuclei
IV: Olive (superior)
V: Lateral lemniscus (largest wave)
VI–VII: Inferior Colliculus
1 DAY
1 MONTH
3 MONTHS
6 MONTHS

OAE

HIGH RISK BABY

VEMP

SSCDS

CD +CNS
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Haematoma of the Auricle ( Cauliflower Ear
GOE
DOE
TROPICAL EAR
SINGAPORE EAR
SWIMMER EAR
TELEPHONIC EAR

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PERICHONDRITIS FURUNCLE
(LOCALISED ACUTE O.E.)
GRANULATIONS +FACIAL PALSY
TC99 SCAN—DIAGNOSIS
GALLIUM SCAN—PROGNOSIS
ESR—2 WKS
DEBRIDEMENT
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WET NEWSPAPER APPEARANCE

BULLOUS MYRINGITIS

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PAINFUL HAEMORRHAGIC BLEBS

VIRUS /MYCOPLASMA PNEUMONIAE
RETRACTED TYMPANIC MEMBRANE
MOST COMMON
EARLIEST CAUSE
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KERATOSIS OBTURANS

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TB EAR
NO FEVER
NO CONGSTION
GLUE /SEROUS/SEC/EFFU

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AFTER 3 MONTHS
HIGH GRADE FEVER
CART-WHEEL APPEARANCE
STAGE OF PRESUPPURATION

LIGHT HOUSE SIGN

STAGE OF SUPPURATION
COPIOUS ODOURLESS DISCHARGE

NONE OF 10 WORDS
AUSTINE KARTUSH CLASSIFICATION
Group A - Malleus and stapes present (commonly seen
status) because of precarious vascularity of incus

Group B - Malleus and foot plate of stapes present

Group C - Malleus absent and stapes present

Group D - Malleus and stapes suprastructure absent

CHOLESTEATOMA
SCANTY DISCHARGE
POLYP
GRANULATION
FOUL SMELL
BLOOD STAINED

ATTIC ADITUS

ANTRUM PARS FLACCIDA

MASTOIDECTOMY
Canal wall down (CWD) procedures
Modified radical mastoidectomy
Radical mastoidectomy
Atticotomy
Canal wall up (CWU) procedures
Cortical mastoidectomy ( schwartz operation)
Combined approach tympanoplasty
CITTELI’S ANGLE

LAT SCC
BEZOLD’S ABSCESS
MOST COMMON SYMPTOM--DISCHARGE
CITTELLI’S ABSCESS
MOST COMMON SIGN--TENDERNESS
EARLIEST SIGN-IRONING POSTAURICULAR ABSCESS
HALLMARK SIGN-SAGGING
LABYRINTHITIS—LAT SCC

FACIAL PALSY—TYMPANIC

PETROUS—GRADENIGO TRAID
FISSURE ANTE FENESTRAM

USUALLY B/L, PAINLESS, PROGRESSIVE DEAFNESS

PREGNANCY +SOFT VOICE
PARACUSIS WILLISII

OTOSCLEROSIS
MILD DEAFNESS
40 dB
IMPENDANCE AUDIOMETRY
CARHART NOTCH
AIR BONE GAP
R- WEBER –WORSE EAR

STAPEDOTOMY>STAPECTOMY

SODIUM FLUORIDE
T---V----S
LERMOYEZ SYNDROME

TUMARKIN'S OTOLITHIC

DIPLACUSIS
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HENNEBERT'S SIGN

RECRUITMENT

TULLIO PHENOMENON
MOD DEAFNESS
60 dB
LFHL
NOAIR BONE GAP
R+ WEBER –BETTER EAR
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ECOG

MEDICAL TREATMENT
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ACOUSTIC NEUROMA

MC CEREBELLOPONTINE ANGLE TUMOR

Nerve:INF VESTIBULAR NERVE

BAHA

CANAL ATRESIA
CANAL STENOSIS
PUS IN CANAL
Contralateral Routing of Signals
BENIGN PAROXYSMAL POSITIONAL VERTIGO (BPPV).
No hearing loss or other neurologic symptoms.
Posterior semicircular canal .
Consisting of crystals of calcium carbonate.
SUDDEN SNHL.
30 db 3 freq 3 days
• Steroid therapy @DRDEEPAK
• Inhalation of carbogen (5% CO2 + 95% O2)
increases cochlear blood flow
• Vasodilator drugs
• Hyperbaric oxygen therapy
FISTULA TEST
NEGATIVE --NORMAL
POSITIVE --FISTULA

FALSE NEGATIVE –DEAD EAR/EXTENSIVE

FALSE POSITIVE –CONGENITAL SYPHILLIS>>MENIERES

EPIGLOTTITIS

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SWAN NECK
Sudden Onset
High G Fever
Toxic
Cough Usually absent
INSPIR +IV+ICU
CROUP

CHRONIC ONSET
LOW G Fever
Cough
PIV-1,2,3 @DRDEEPAK
EXPIR + COUGH
SYMPTOMATIC RX
LARYNGOCELE

RUPTURE OF THYROHYOID MEMBRANE

SURGICAL EXCISION MARSUPIALIZATION
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INS+CRY NORMAL

DEC PRONE POSITION

OMEGA EPI
WAIT/WATCH
CONGENITAL WEBS

BIPHASIC+CRY ABNORMAL
CO2 LASER

COHEN CLASSIFICATION
CONGENITAL STENOSIS
BIPHASIC+CRY NORMAL EXCISION REANASTMOSIS
3MM---4MM

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VOCAL POLYP

UNILATERAL-SURGICAL EXCISION
VOCAL NODULE

BILATERAL-SURGERY
Reinke's edema
Polypoid Degeneration
Microlaryngoscopic vocal
stripping
INTUBATION GRANULOMA
TB LARYNX
TB LARYNX
• WEAKNESS OF VOICE • KNOB LIKE EPIGLOTTIS
• LOSS OF ADDUCTION@DRDEEPAK LEPROSY
(MC)
• HYPEREMIA OF
PC(EARLY)
• LEATHER WASH
• MOUSE BITTEN VC
APPEARANCE
• TURBAN EPIGLOTTIS
SYPHILIS
• PSEUDO ODEMA
• CELLULAR INFILTRATION
MULTIPLE HPV 11>6
RESOLVE INTUBATION QQ
REOCCUR CO2
CIDOVOFIR

SENILE
SINGLE
NEVER RESOLVE/REOCCUR
UNILATERAL RECURRENT
LARYNGEAL NERVE
UNILATERAL SUPERIOR
LARYNGEAL NERVE
BILATERAL SLN PALSY
VOICE ABNORMALITIES
SPASMODIC DYSPHONIA PHONASTHENIA
• Adductor SD • Elliptical space- Thyroarytenoid
– Strained- • Triangular - Interarytenoid.
strangled,
effortful voice • Key hole - Both thyroid and
quality interarytenoid.
• Abductor SD
– Weak breathy VOICE REST
voice quality
BOTOX
DYSPHONIA PLICA VENTRICULARIS
MIMICRY----SPEECH THERAPY
MOGI PHONIA

SPEECH THERAPY
ANDROPHONIA

TYPE 1V THROPLASTY
PUBERPHONIA
PSYCHOTHERAPY

GUTTMAN TEST
FUNCTIONAL APHONIA
PSYCHOTHERAPY
YOUNG FEMALE
NO VOICE COUGH N
CA LARYNX
SMOKING
SCC

GLOTTIC>SUPRA>SUB

GLOTTIC--RT

SUPRA-SUB SURGERY

LUNG>LIVER>TV
T1 T2

2/3
ONE SUBUNITS
SUBUNIT
T3
PARAGLOTTIC SPACE

PREEPIGLOTTIC SPACE

PHARYNX

PERICHONDRITIS

PARALYSIS OF VOCAL CORDS

T4a T4b

CAROTID CHEST
NECK ARTERY
TONGUE TRACHEA
MUSCLES
PRE VERT
SPACE
CARCINOMA IN SITU-- C02 LASER
T1 OR T2 --RT OR PARTIAL LECTOMY

T3 OR T4 --TL + RT

DENY

(CONCURRENT CHEMORADIATION)
VOICE

CUFFED UNCUFFED FENESTRATED

• .

@DRDEEPAK
NASOPHARYNGEAL CARCINOMA
• Rosenmüller’s fossa
• Squamous Cell Carcinoma
(SCC)
• EBV infection associated

• Unilateral Cervical
Lymph nodes
• Chemoradiation
Trotter Triad
TONSILLECTOMY
TONSILLECTOMY
COBLATION

CRYOSURGERY INTRACAPSULAR
MICRODEBRIDER

HARMONIC
SCALPEL
I WILL PLAY
BEST GAME
OF MY
LIFE