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For any suggestions please call0122358933
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• Palpation of the nasal bones for tenderness and cripitus in fracture of the nasal bones
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• This examination is called ……….
• The srtuctures seen by this examination are the anterior part of:
• 1-• 2-• 3-• 4-
• This examination is called anterior rhinoscopy
• The srtuctures seen by this examination are the anterior part of:
1-Floor of the nose
2-Inferior turbinate & meatus
3-Middle turbinate & meatus
4-Nasal septum
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Nasal Air Flow Test
• The metal tongue depressor is held below the nostril during quiet respiration
• The area of fogging gives an idea about the patency of the nasal airway
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Rigid endoscope
• An optical telescope• Used for direct visualization of the nose (and
also ear & throat)• What is the Value of this instrument ?
• Endoscopy can be carried out in the out-patient clinic
• Provide good illumination & visualization• Allows examination of difficult-to-examine
areas• Many therapeutic procedures in the nose and
sinuses can be done by this instrument
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Flexible fibro-optic naso-pharyngo-laryngoscope
• To examine - Nasal cavity- Pharynx- larynx
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• Hump Nose
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• Bifid Nose
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Nasoalveolar cystThe arrow points to flaring of the ala
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• The arrow points to………• It is used for………………..
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What is your diagnosis?
Treatment?
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Foreign Body (Bead) in Left Nasal Cavity
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Rhinolith
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Saddle Nose
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• 25-year-old man complains of midfacial pain, fever, and general malaise of about 48 hours' duration. He denied having a cough, rhinorrhea, or nasal congestion. The patient reported being hit in the nose about 10 days earlier. The patient's temperature was 38.1° C orally and he had no frontal or maxillary sinus tenderness. Nasal examination (see accompanying figure).
• What is the most likely diagnosis?
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• The answer : septal hematoma. The midline swelling of the septum is typical of septal hematoma and is consistent with the patient's history of facial trauma.
• Typically soft and fluctuant when compressed, a septal hematoma is a collection of blood between the nasal mucosa and the cartilaginous septum.
• It may occur unilaterally or, more commonly, bilaterally following nasal trauma with or without associated nasal fracture.
• This urgent condition warrants immediate referral to an otolaryngologist.
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• Incision and drainage of septal abscess
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Vestibulitis
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• This child presented also with foul odor from the right nasal side
• You should suspect……………
FB in the right nasal cavity
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• Orbital abscess
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• The black arrow points to frontal mucocele • The red arrow points to the orbit which is
displaced downwads and laterally
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• Picture 1(left). A male with orbital cellulitis with proptosis, ophthalmoplegia, and edema and erythema of the eyelids. The patient also exhibited pain on eye movement, fever, headache, and malaise
• The same patient (right) exhibited chemosis and resistance to retropulsion of the globe
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• The cardinal signs of an orbital cellulitis are decreased eye movements, proptosis, decreased vision. The conjunctiva may be injected in either periorbital or orbital cellulitis
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Rhinophyma
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Frunculosis
• In this patient1- incision and squeezing the
lesion is a proper treatment2- The causative organism is
strptococcus pnumonia 3- diabetes millitus should be
considered especially if the lesion is bilateral
4- cavernous sinus thrombophlebitis is never a complication of this lesion
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• This child presented with fever, , pain in the eye, edema of the right lids, limitations of eye movements and gave a history of recurrent attacks of nasal obstruction and discharge.
• Examination of the nose revealed right yellowish nasal discharge but no masses
• Acute ethmoiditis complicated by orbital infection
1-Orbital cellulitis2-Subperiosteal
abscess3-Orbital abscess
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• Patient undergoing Caldwell-Luc surgery, involving removal of the diseased lining of the maxillary antrum
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Oral-Maxillary Fistula.
• This patient presented with left nasal offensive discharge, and left nasal regurgitation of fluids
• ??
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• The patient shown on the right has a small hole in the middle of a tooth socket. A tooth had been pulled and a hole was made into the maxillary sinus. The hole did not fully heal and a small fistula was left in the middle of the upper alveolar ridge
Oro-maxillaryfistula
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Rhinoscleroma• Bilateral reddish non ulcerating firm nodules which
firstly appear at the muco-cutaneous junction• As seen below the nodules spread and coalesce to
fill the nasal cavity and broaden the nose
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Atrophic Rhinitis
• A 20 years old female presented with crusty nose and anosmia. Examination revealed roomy nose, greenish crusts and pale atrophic nasal mucosa
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• A traditional ribbon gauze pack,
• Prefabricated expandable packs,
• Intranasal balloons
Anterior nasal packing
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Epistaxis Ballon for anterior and posterior nasal packing