ENT Undergraduate Lecture - MEDICAL EDUCATION at ：耳鼻喉科本科医学教育讲座.ppt

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ENT Undergraduate Lecture - MEDICAL EDUCATION at ：耳鼻喉科本科医学教育讲座.ppt

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ENT Undergraduate Lecture - MEDICAL EDUCATION at ：耳鼻喉科本科医学教育讲座

* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Laryngology Larynx Reinke’s Oedema Smoking Laryngology Larynx Vocal Cord nodules Vocal cord nodules Laryngology Dysphagia Liquid – neurological Solid – mechanical Tumour Pharyngeal pouch (regurgitation) Laryngology Dysphonia Dysphonia 3 weeks needs investigation Risk for ca: smoker, drinker. Other suspicious symptoms: wt loss , dysphagia. Benign: Reinke’s Oedema, Nodules, Inhaler laryngitis, Functional Dysphonia Malignant: local (ca), distant bronchogenic ca’ causing recurrent laryngeal nerve palsy Laryngology Snoring Obstructive Sleep Apnoea Partial obstruction of airway Snoring High BMI Pharyngeal Nasal Recurrent obstruction to airway fragmenting sleep Daytime somnolescence Similar aetiology to snoring Treatment: lifestyle, CPAP, surgery. Laryngology Larynx Epiglottitis 4 year old drooling toxic child Do nothing! Get other people Go to theatre Laryngology Acute Airway 1 Stridor. Tachopneic Cyanosis (very late sign) Acute Foreign Bodies Inflammatory Swelling Chronic Tumour. Larynx Bronchous. Laryngology Acute Airway 2. First Aid. Choking. Foreign Body Baby and adult Heimlich Laryngology Acute Airway 4 Tracheostomy If first aid measure fail and patients life is in danger consider tracheostomy (crico-thyroidotomy). You will need: Scalpel/Knife Straw/Pen with inner part removed/Paper rolled up Laryngology Acute Airway 5 Tracheostomy Identify cricothyroid membrane Laryngology Acute Airway 6 Tracheostomy Horizontal cut. 2cm wide. Deep enough. Insert airway. Laryngology Acute Airway 3. First Aid. Choking. Foreign Body. Dog THE END Questions? * * * * * * * * * * * * * * * * * * * Rhinology Sino-nasal carcinomaand Nasopharyngeal Carcinoma Rare Aetiology Wood dust Nickel dust, Chromium Symptoms Nasal obstruction Scant regular epistaxis Rhinology Ethmoiditis ENT must be involved. Must be admitted. Potentially serious. Rx: