Pharyngolog 耳鼻咽喉科学课件.ppt

Pharyngology (EENT Hospital of Fudan University) Anatomy of pharynx Nasopharynx Oropharynx Laryngopharynx Nasopharynx top and posterior: adenoid lateral: Eustachian tube anterior bottom Oropharynx faux tonsil Tonsil Laryngopharynx vallecula epiglottica pyriform sinus postericoid space Laryngopharynx Retropharyngeal and parapharyngeal space Waldeyer’s ring Pharyngitis Acute Chronic Atrophic Pathogen Pathology Symptoms Signs Diagnosis differentiated diagnosis Complications Therapy Pathogen(acute pharyngitis) Virus: Coxsackie … Bacteria A ?--hemolytic streptococci… Physical and chemical stimulation Inflammation Congestion Swelling Fever Sore throat Dysfunction Treatment : Antibiotics Pathogen(chrnoic pharyngitis) Regional recurrent acute pharyngitis chronic upper respiratory tract infection physical chemical stimulation occupational General chronic diseases… Symptoms: Sense as if there are foreign bodies in throat Itching throat Sense of dryness in throat Cough Chronic simple pharyngitis chronic mucosal congestion Chronic hypertrophic pharyngitis chronic mucosal congestion + hyperplasia of lymphoid tissues Treatment: Remove of pathogeny Chinese medicine Pathogen(atrophic pharyngitis) Atrophic rhinitis Adenotonsillar disease Major divisions are: Infection/inflammation Obstructive Neoplasm Acute Tonsilitis Symptoms: general+regional Signs: Complications: peritonsillar abscess… rheumatism Therapy: antibiotics Acute Tonsilitis Pathogen: ?--hemolytic streptococci anaerobe mixed infection Pathology: catarrhal purulent (follicular+lacunar) Acute Tonsillitis Signs and symptoms: Fever Sore throat Tender cervical lymphadenopathy Dysphagia Erythematous tonsils with exudates Recurrent Acute Tonsillitis Same signs and symptoms as acute Occurring in 4-7 separate episodes per year 5 episodes per year for 2 years