Nasel Cyst Hearling Loss

Escision Simple Del Papiloma Nasal

Fig. 3.6 Nasoalveolar cysts have a constant anatomical site and spot diagnosis is possible. Externally, there is flattening of the nasolabial fold and flaring of the alae nasi. In the anterior nares the cyst extends into the floor of the nose and displaces the inferior turbinate upwards. Excision via a sublabial incision and enucleation is the treatment. Surgical rupture of the cyst usually means incomplete removal, and predisposes to recurrence. The arrow indicates flaring of ala. Fig. 3.6...

Persistent snoring in a child is the main symptom of enlarged adenoids

Nasal Septal Hematoma Complications

In day-time there is mouth breathing. Purulent rhinorrhoea if there is secondary sinusitis and epistaxis also occur, with or without nasal symptoms. There is hearing loss due to otitis media with effusion, or earache from recurrent acute otitis media. Adenoids normally regress before puberty and adults with large adenoids are rare. If an adult has nasal obstruction due to postnasal lymphoid tissue, the histology is essential to exclude a lymphoma. Nasal obstruction may occur from birth due to...

Deviated Nasal Septum

Nasal Bone Spur

A congenital or traumatic dislocation of the septal cartilage into one nasal fossa causes unilateral nasal obstruction. If the obstruction is marked, or complicated by recurrent sinusitis, a septal correction is effective surgery. The time-honored operation for this is a submucous resection SMR , but a septoplasty in which cartilage is preserved and repositioned rather than removed is now used. The SMR operation involves removal of much of the septal cartilage and loss of nasal support with...

The Tympanic Membrane and Middle

Tympanosclerosis And Grommet Scar

White areas of tympanosclerosis arrows are common findings on examination of the drum. They are of little significance in themselves, and the hearing is often normal. A past history of otorrhea in childhood or grommet insertion is usual. Chalk patches do occur with no apparent past otitis media. Extensive tympanosclerosis with a rigid drum is a sequela of past otitis media, and the ossicles, too, may be fixed or noncontinuous. Fig. 2.53 Scarring of the drum. a A...

Oral Candidiasis Thrush

Oral Thrush

Monilla, or oral candidiasis thrush , is one of the fungal infections of the pharynx. Extensive white areas cover the entire oropharynx, and are not confined to the tonsil. They are either continuous Fig. 4.56a or punctate Fig. 4.56b . A swab shows Candida albicans and confirms the diagnosis. The condition responds to antifungal mouth washes or lozenges containing nystatin or amphotericin. It is commoner in neonates, and may complicate treatment with broad spectrum antibiotics. Oral candidiasis...

Inflammation of the Larynx Laryngitis

Acute Laryngitis

Whether acute or chronic, laryngitis presents with hoarseness and generalized hyperemia of the laryngeal mucous membrane. Acute laryngitis commonly follows an upper respiratory tract infection, or is traumatic following vocal abuse. Voice rest is the most effective treatment. Chronic laryngitis may be associated with infection in the upper or lower respiratory tract, but is commonly irritative due to occupation and environment, vocal abuse, or tobacco. The unusual laryngitis of myxoedema must...

Malignant Nasal Tumors

Nasal Tumors

A nasal polyp that does not appear gray and opalescent should arouse suspicion, as should a polyp that bleeds spontaneously. A solid-looking hyperemic polyp may be an inverted papilloma. Granulation tissue in the nose may be malignant granuloma or carcinoma, and biopsy of any suspicious nasal lesion is necessary. Fig. 3.86 A pigmented polyp may be a Prognosis when radiotherapy is followed by maxillectomy is quite good for an early maxillary carcinoma, but poor when there is extensive invasion....

Inflammation nasal vestibulitis

Vestibulitis Nasal

Fig. 3.47 Vestibulitis presents as crusting and irritation in the anterior nares with resulting nasal obstruction. Examination shows excoriated vestibular skin and septal mucous membrane. Rubbing or over-diligent cleaning of the nose by the patient usually causes vestibulitis, particularly if, as in this case, the septum is deviated anteriorly and impinges on the lateral wall of the nose. Advice and the use of antibiotic and corticosteroid ointment are effective in controlling vestibulitis....