The Ear, Nose and Throat in MPS
|
|
|
- Marcia Lyons
- 5 years ago
- Views:
Transcription
1 The Ear, Nose and Throat in MPS Annerose Keilmann Voice Care Center Bad Rappenau, Germany Preciptorship program on MPS Wiesbaden, November 2 nd 2015
2 Alterations of the outer and middle ear in MPS I narrowing of the external auditory canals, chronic otits externa middle ear effusion, chronic inflammation of the middle ear deformation of the ossicles, especially the stapes thickened mucosa and granulation in the middle ear
3 Therapeutic Options adenoidectomy ventilation tubes t-tube Optimizing and stabilizing of the hearing ability
4 Optimizing the ventilation of the middle ear does not automatically normalize hearing ablility conductive component may persist after myringotomy clinicians should not delay considering hearing aids for MPS children
5 Inner Ear in MPS hearing loss seems to increase with age high variability degeneration of the organ of Corti Reissner s membrane adherent to tectorial membrane lack of neurons, Hurler cells in the spiral ganglion distended congested vessels in the stria vascularis
6 Audiogram of a 12 yrs old patient with MPSI
7 Hearing aid fitting?
8 8 Mainz data hearing loss:
9 9 Many patients need hearing aids:
10 Fitting of hearing aids in permanent hearing losses conductive losses caused by deformation of the ossicles, especially the stapes, thickened mucosa and granulation in the middle ear Sensorineural losses only possible if the hearing loss is not to much fluctuating impedes the ventilation of the outer ear channal and increases the probability of inflammations
11 Mouth Thickened lips Gingival hyperplasia, gapped teeth Macroglossia Tonsillar hypertrophy Sore throat swelling of the mucosa, mucus
12 Incisor gap (in mm); n = 87 MPS subgroup Mean (mm) Range (mm) MPS I MPS II MPS IV MPS VI MPS: mucopolysaccharidoses
13 Incisor gap n = 87 Incisor gap (cm) Subgroups of MPS
14 Mallampati classification Class I II III IV Description Soft palate, uvula and palatal arch are completely visible Palatoglossal arch is partially visible, tip of the uvula is not visible Only soft palate visible Only hard palate visible Mallampati SR et al. Can Anaesth Soc J 1985;32:429-34; Samsoon GL and Young YR. Anaesthesia 1987;42:487-90
15 Mallampati classification ALL MPS I MPS II MPS IV MPS VI
16 The progressive accumulation of partially degraded glycosaminoglycans (GAGs) within the cells of various body tissues leads to cellular dysfunction Facial dysmorphism Widened nasal bridge, large nares
17 Nose Restricted nasal airflow Tonsillar hypertrophy Recurrent nose infections ( running nose ) Inferior turbinate Adenoid Nasopharynx
18 Sleep apnea Significant upper airway obstruction Hypertrophy of the adenoids and tonsils Thickening of the mucosa Alteration of the base of the tongue Hypopharynx Larynx
19 Therapeutic options Enzyme replacement therapy (ERT) Increasing the input of fluids Antibiotic treatment in case of bacterial infection Steroids in case of sudden worsening Adenoidectomy, inferior turbinate reduction Tonsillectomy Continuous positive airway pressure (CPAP)
20 Surgery in patients with MPS II Type of surgery Percentage (%) Median age (years) 10 th -90 th percentile (years) Adenoidectomy Tonsillectomy Tracheotomy
21 21 MPS Adenoids (200x) normal
22 ENT surgery in patients with MPS is often very helpful in children with narrow upper airways should be done only in specialized centres
23 Alterations of pharynx and larynx A T S V classification protocol in which the alterations of mucosa in the posterior region of the larynx the false the true vocal folds and the the epiglottis, were documented flexible or rigid endoscopy Keilmann A, Bendel F, Nospes S, Lampe C, Läßig A: Alterations of the larynx and hypopharynx in patients with mucopolysaccharidoses (MPS). J Laryngol Otol in press
24 A: Posterior region of the larynx 0 Normal 1 Minimally extended volume of the mucosa 2 Markedly extended volume of the mucosa without obstruction of the airways 3 Markedly extended volume of the mucosa with obstruction of the airways 4 Mucosa is moved into and out of the larynx during inspiration and expiration
25 A: Posterior region of the larynx A1 T0 A1 T1 A4 T2
26 T: Laryngeal vestible false vocal folds 0 Normal 1 Minimally extended volume of the mucosa of the false vocal folds 2 Markedly extended volume of the mucosa without obstruction of the airways 3 Markedly extended volume of the mucosa with obstruction of the airways 4 Mucosa of the region of the false vocal folds is moved up and down during inspiration and expiration
27 T: Laryngeal vestible false vocal folds A1 T0 A4 T3 T4
28 6 months under ERT Before ERT
29 Ask an ENT specialist or pediatric audiologist to follow your MPS team! treatment of the inflammations in the upper respiratory tract symptomatic treatment adenoidectomy, tonsillectomy insertion of ventilation tubes fitting of hearing aids documentation of the symptoms
30 Thank you for your kind attention!
The Throat. Image source:
The Throat Anatomy Image source: http://anatomyforlayla.blogspot.co.za/2007/04/blog-post.html The Throat consists of three parts: 1. The Nasopharynx is the upper part of the throat and it is situated behind
Primary Care ENT. Dr Layth Delaimy
Primary Care ENT Dr Layth Delaimy EAR NOSE THROAT Examinations Inspecting the external ear Swab any discharge, and remove any wax. Look for obvious signs of abnormality: Size and shape of pinna Extra cartilage
Snoring and Obstructive Sleep Apnea: Patient s Guide to Minimally Invasive Treatments Chapter 2
Snoring and Obstructive Sleep Apnea: Patient s Guide to Minimally Invasive Treatments Chapter 2 CAUSES OF SNORING AND SLEEP APNEA We inhale air through our nose and mouth. From the nostrils, air flows
Department of Pediatric Otolarygnology. ENT Specialty Programs
Department of Pediatric Otolarygnology ENT Specialty Programs Staffed by fellowship-trained otolaryngologists, assisted by pediatric nurse practitioners, ENT (Otolaryngology) at Nationwide Children s Hospital
NURSE-UP RESPIRATORY SYSTEM
NURSE-UP RESPIRATORY SYSTEM FUNCTIONS OF THE RESPIRATORY SYSTEM Pulmonary Ventilation - Breathing Gas exchanger External Respiration between lungs and bloodstream Internal Respiration between bloodstream
Subspecialty Rotation: Otolaryngology
Subspecialty Rotation: Otolaryngology Faculty: Evelyn Kluka, M.D. GOAL: Hearing Loss. Understand the morbidity of hearing loss, intervention strategies, and the pediatrician's and other specialists' roles
This pamphlet has been designed as
This pamphlet has been designed as an educational resource for patients with Obstructive Sleep Apnea (OSA). The successful use of CPAP requires no further intervention; however, not every patient is able,
AIRWAY MANAGEMENT SUZANNE BROWN, CRNA
AIRWAY MANAGEMENT SUZANNE BROWN, CRNA OBJECTIVE OF LECTURE Non Anesthesia Sedation Providers Review for CRNA s Informal Questions encouraged 2 AIRWAY MANAGEMENT AWARENESS BASICS OF ANATOMY EQUIPMENT 3
ACUTE ADENOIDITIS -An infection & enlargement of the adenoid A disease causing nasal obstruction CHRONIC ADENOIDITIS when adenoid hypertrophied it
ACUTE ADENOIDITIS -An infection & enlargement of the adenoid A disease causing nasal obstruction CHRONIC ADENOIDITIS when adenoid hypertrophied it obstruct posterior nose or Eustachian tube extension of
THE INTERIOR OF THE PHARYNX. By Dr. Muhammad Imran Qureshi
THE INTERIOR OF THE PHARYNX By Dr. Muhammad Imran Qureshi The Cavity The cavity of the pharynx is divided into: 1. The Nasal part (called Nasopharynx) 2. The Oral part (called the Oropharynx), 3. And the
Objectives. Module A2: Upper Airway Anatomy & Physiology. Function of the Lungs/Heart. The lung is for gas exchange. Failure of the Lungs/Heart
Module A2: Upper Airway Anatomy & Physiology Objectives Classify epithelial tissue based on cell type and tissue layers. Identify location of tissue epithelium in the respiratory system. Describe the major
Compliance Department ELEMENTS OF EAR, NOSE AND THROAT EXAMINATION 11/2010
Compliance Department ELEMENTS OF EAR, NOSE AND THROAT EXAMINATION 11/2010 System/ Body Area Constitutional Measurement of any three of the following seven vital signs: 1) sitting or standing blood pressure,
Clinical Practice Guideline: Tonsillectomy in Children, Baugh et al Otolaryngology Head and Neck Surgery, 2011 J and: 144 (1 supplement) S1 30.
Pediatric ENT Guidelines Jane Cooper, FNP, CORLN References: Clinical Practice Guideline: Tympanostomy tubes in children, Rosenfeld et al., American Academy of Otolaryngology Head and Neck Surgery Foundation
Persistent Obstructive Sleep Apnea After Tonsillectomy. Learning Objectives. Mary Frances Musso, DO Pediatric Otolaryngology
Persistent Obstructive Sleep Apnea After Tonsillectomy Mary Frances Musso, DO Pediatric Otolaryngology Learning Objectives Recognize indications for tonsillectomy List patients at risk for persistent OSA
Ch16: Respiratory System
Ch16: Respiratory System Function: - O2 in and CO2 out of the blood vessels in the lungs - O2 out and CO2 into the blood vessels around the cells - Gas exchange happens in - Other organs purify, humidify,
Anatomy of the Airway
Anatomy of the Airway Nagelhout, 5 th edition, Chapter 26 Morgan & Mikhail, 5 th edition, Chapter 23 Mary Karlet, CRNA, PhD Airway Anatomy The airway consists of the nose, pharynx, larynx, trachea, and
Otitis Media. Anatomy & Hearing Our ears are very specialized organs that allow us to hear and keep our balance.
Otitis Media Introduction Otitis media is a middle ear infection. 75% of all children experience at least one episode of otitis media before they turn 3 years old. If otitis media is left untreated, it
The University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Otolaryngology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Otolaryngology 1. GOAL: Hearing Loss. Understand the morbidity of hearing loss, intervention strategies, and the pediatrician's
Recognize the broad impact of hearing impairment on child and family, including social, psychological, educational and financial consequences.
Otolaryngology Note: The goals and objectives described in detail below are not meant to be completed in a single one month block rotation but are meant to be cumulative, culminating in a thorough and
NAME PER DATE. membrane
NAME PER DATE Chapter 9, Section 1 Review Matching: 1. alveolar capillary membrane 2. alveoli 3. bronchioles 4. cardiopulmonary system 5. conchae 6. epiglottis 7. larynx 8. mediastinum 9. nares 10. olfactory
The Respiratory System
13 PART A The Respiratory System PowerPoint Lecture Slide Presentation by Jerry L. Cook, Sam Houston University ESSENTIALS OF HUMAN ANATOMY & PHYSIOLOGY EIGHTH EDITION ELAINE N. MARIEB Organs of the Respiratory
Respiratory System. Functional Anatomy of the Respiratory System
Respiratory System Overview of the Respiratory System s Job Major Duty Respiration Other important aspects ph control Vocalization Processing incoming air Protection Metabolism (ACE) What structures allow
Anatomy of the respiratory system
Miss. kamlah 1 Anatomy of the respiratory system The respiratory system is divided into two divisions; upper & lower airways. The uppers is consisting from: nose, pharynx, larynx & epiglottis. The larynx
Unit 14: The Respiratory System
Unit 14: The Respiratory System See what you already know! 1. Fill in the diagram on your own 2. Collaborate with your partner The Respiratory System The major function of the respiratory system is gas
Alexandria Workshop on
Alexandria Workshop on 1 Snoring & OSA Surgery Course Director: Yassin Bahgat MD Claudio Vicini MD Course Board: Filippo Montevecchi MD Pietro Canzi MD Snoring & Obstructive ti Sleep Apnea The basic information
Nasopharyngeal airways for craniofacial conditions
Great Ormond Street Hospital for Children NHS Foundation Trust: Information for Families Nasopharyngeal airways for craniofacial conditions This information sheet from Great Ormond Street Hospital (GOSH)
Ear, Nose, and Throat Disorders
Health Reference Series Second Edition Basic Consumer Health Information about Disorders of the Ears, Hearing Loss, Vestibular Disorders, Nasal and Sinus Problems, Throat and Vocal Cord Disorders, and
Upper Airway Obstruction
Upper Airway Obstruction Adriaan Pentz Division of Otorhinolaryngology University of Stellenbosch and Tygerberg Hospital Stridor/Stertor Auditory manifestations of disordered respiratory function ie noisy
Case Presentation Topic: Difficult to Ventilate Difficult to Intubate
Case Presentation Topic: Difficult to Ventilate Difficult to Intubate Dr. K. Shruthi Jeevan 1 st Year Post Graduate Department of Anaesthesiology CASE SCENARIO : 1 A 65 years old female patient, resident
SITES (ALPHABETICAL) HPV CS SITE SPECIFIC FACTOR
SITES (ALPHABETICAL) HPV CS SITE SPECIFIC FACTOR Anus: Anal Canal; Anus, NOS; Other Parts of Rectum C21.0-C21.2, C21.8 C21.0 Anus, NOS (excludes skin of anus and perianal skin C44.5) C21.1 Anal canal C21.2
Unit Nine - The Respiratory System
Unit Nine - The Respiratory System I. Introduction A. Definition: the respiratory system consists of the nose, nasal cavity, (throat), (voice box), (windpipe), bronchi and lungs (which contain the alveoli).
Respiration. Chapter 37. Mader: Biology 8 th Ed.
Respiration Chapter 37 Gas Exchange Surfaces Respiration is the sequence of events that results in gas exchange between the body s cells and the environment. Ventilation External Respiration Internal Respiration
Advanced Airway Management. University of Colorado Medical School Rural Track
Advanced Airway Management University of Colorado Medical School Rural Track Advanced Airway Management Basic Airway Management Airway Suctioning Oxygen Delivery Methods Laryngeal Mask Airway ET Intubation
Commissioning Policy Individual Funding Request
Commissioning Policy Individual Funding Request Criteria Based Access Policy Date Adopted: 21 August 2015 Version: 1516.1.01 Individual Funding Request Team Bristol, North Somerset and South Gloucestershire
The Respiratory System
The Respiratory System By Mr. Danilo Villar Rogayan Jr. Instructor I, Department of Natural Sciences RMTU San Marcelino Introduction Function Move air in an out of lungs (ventilation) Delivers oxygen (O
Assisting in Otolaryngology
Assisting in Otolaryngology Learning Objectives Identify the structures and explain the functions of the external, middle, and internal ear. Describe the conditions that can lead to hearing loss, including
Airway Anatomy. Soft palate. Hard palate. Nasopharynx. Tongue. Oropharynx. Hypopharynx. Thyroid cartilage
Airway Anatomy Hard palate Soft palate Tongue Nasopharynx Oropharynx Hypopharynx Thyroid cartilage Airway Anatomy Hyoid bone Thyroid cartilage Cricoid cartilage Trachea Cricothyroid membrane Airway Anatomy
B. Correct! As air travels through the nasal cavities, it is warmed and humidified.
Human Anatomy - Problem Drill 20: The Respiratory System Question No. 1 of 10 1. Which of the following statements about the portion of the respiratory system labeled in the image below is correct? Question
SURGERY FOR SNORING AND MILD OBSTRUCTIVE SLEEP APNOEA
SURGERY FOR SNORING AND MILD OBSTRUCTIVE SLEEP APNOEA INTRODUCTION Snoring with or without excessive daytime somnolence, restless sleep and periods of apnoea are all manifestations of sleep disordered
4 ENT. 4.1 Bone anchored hearing aids. 4.2 Cochlear implants. (
4 ENT 4.1 Bone anchored hearing aids This commissioning responsibility has transferred to NHS England (http://www.england.nhs.uk/). Queries around treatment availability and eligibility, as well as referrals
Laryngoscopy Examinations
Laryngoscopy Examinations Laryngoscopy is a visual examination of the back of the throat where the voice box (larynx) and vocal cords are located. The procedure is done by using hand mirrors and a light
15/11/2011. Swallowing
Swallowing Swallowing starts from placement of the food in the mouth and continues until food enters the stomach. Dysphagia: any difficulty in moving food from mouth to stomach. Pharynx is shared for both
Anatomy & Physiology 2 Canale. Respiratory System: Exchange of Gases
Anatomy & Physiology 2 Canale Respiratory System: Exchange of Gases Why is it so hard to hold your breath for Discuss! : ) a long time? Every year carbon monoxide poisoning kills 500 people and sends another
CURRICULLUM OF ENT (U.G)
CURRICULLUM OF ENT (U.G) OBJECTIVES: 1. To enable the student to familiarize himself with the common problems related to the subject of ENT. 2. To enable the student to be competent to evaluate the symptoms,
Speech Generation and Perception
Speech Generation and Perception 1 Speech Generation and Perception : The study of the anatomy of the organs of speech is required as a background for articulatory and acoustic phonetics. An understanding
ENT, Dental. Indiana Regional Medical Center Procedures to Labs/Tests June 1, ADENOIDECTOMY Table 1. ASPIRATION NASOPHARYNX Table 1
Indiana Regional Medical Center Procedures to Labs/Tests June 1, 2011 ENT, Dental ADENOIDECTOMY Table 1 ASPIRATION NASOPHARYNX Table 1 ASPIRATION PAROTID MASS Table 1 ASPIRATION SUBMANDIBULAR GLAND Table
Snoring. Forty-five percent of normal adults snore at least occasionally and 25
Snoring Insight into sleeping disorders and sleep apnea Forty-five percent of normal adults snore at least occasionally and 25 percent are habitual snorers. Problem snoring is more frequent in males and
Class Voice: Review of Chapter 10 Voice Quality and Resonance
Class Voice: Review of Chapter 10 Voice Quality and Resonance Tenor Luciana Pavarotti demonstrating ideal head position, alignment, inner smile, and feeling of up to achieve optimal resonance! Millersville
RESPIRATORY SYSTEM. A. Upper respiratory tract (Fig. 23.1) Use the half-head models.
RESPIRATORY SYSTEM I. OVERVIEW OF THE RESPIRATORY SYSTEM AND THORAX A. Upper respiratory tract (Fig. 23.1) Use the half-head models. Nasal cavity Pharynx (fare-rinks) B. Lower respiratory tract (Fig. 23.1)
All the Essential Elements You Deserve in a Doctor EXPERIENCE
All the Essential Elements You Deserve in a Doctor EXPERIENCE S K I LL D E D I C AT I O N WA R MT H C O M PA S S I O N are right here at Providence ENT If you or your children suffer from sinus problems,
(1) TONSILS & ADENOIDS
(1) TONSILS & ADENOIDS (2) Your child has been referred to have his tonsils and adenoids removed. This operation is commonly called an adenotonsillectomy and is one of the most common major operations
Read Me. We are the Learning Lab. to look
Respiratory Tract Anatomy Lab In-Lab Exercises Read Me We are going to look at models and slides. Much of this can be done in the Learning Lab on your own time. The steps do not have to be done in order,
G l o s s a r y. The lack of closure of a normal body orifice or. passage
A P P E N D I XE G l o s s a r y Allergic rhinitis Swelling of the membrane in the nasal chamber due to allergic reactions; the condition may obstruct breathing Alveolar ridge The bony arches of the maxilla
Cleft Palate Speech-Components and Assessment Voice and Resonance Disorders-ASLS-563. Key Components of Cleft Palate Speech.
Cleft Palate Speech-Components and Assessment Voice and Resonance Disorders-ASLS-563 Key Components of Cleft Palate Speech Disorder Type of Disorder/ Causes Hypernasality Resonance Disorder insufficiency
Treatment of Snoring. Useful Telephone Numbers. Information for Patients on. North Hampshire ENT Partnership Hampshire Clinic
Useful Telephone Numbers North Hampshire ENT Partnership Hampshire Clinic - 01256 377733 The Hampshire Clinic Switchboard - 01256 357111 Lyde Ward - 01256 377773 Enbourne Ward - 01256 377772 Frimley Park
The Respiratory System
The Respiratory System Respiration Includes Pulmonary ventilation Air moves in and out of lungs Continuous replacement of gases in alveoli (air sacs) External respiration Gas exchange between blood and
SLHS 1301 The Physics and Biology of Spoken Language. Practice Exam 2. b) 2 32
SLHS 1301 The Physics and Biology of Spoken Language Practice Exam 2 Chapter 9 1. In analog-to-digital conversion, quantization of the signal means that a) small differences in signal amplitude over time
Lab Activity 27. Anatomy of the Respiratory System. Portland Community College BI 233
Lab Activity 27 Anatomy of the Respiratory System Portland Community College BI 233 1 Terminology Pulmonary Ventilation: aka breathing, is the movement of air into and out of the lungs External Respiration:
CHAPTER 7.1 STRUCTURES OF THE RESPIRATORY SYSTEM
CHAPTER 7.1 STRUCTURES OF THE RESPIRATORY SYSTEM Pages 244-247 DO NOW What structures, do you think, are active participating in the breathing process? 2 WHAT ARE WE DOING IN TODAY S CLASS Finishing Digestion
Place and Manner of Articulation Sounds in English. Dr. Bushra Ni ma
Place and Manner of Articulation Sounds in English Dr. Bushra Ni ma Organs of Speech Respiratory System Phonatory System Articulatory System Lungs Muscles of the chest Trachea Larynx Pharynx Lips Teeth
INFORMED CONSENT FORM FOR TONSILLECTOMY, ADENOTONSILLECTOMY, PERYTONSILLARY ABCESS
Patient Name-Surname: Sex: F M Patient No: Date of Birth: Father s Name: ID Card No: Dear Patient / Guardian It is your incontestable right to be informed about all medical/surgical procedures suggested
Pediatric Obstructive Sleep apnea An update What else is there to know?
Pediatric Obstructive Sleep apnea An update What else is there to know? Garani S. Nadaraja, MD, FAAP Medical Director BCH-Oakland Clinical Assistant Professor Division of Pediatric Otolaryngology UCSF
Airway and Airflow Characteristics In OSAS
Airway and Airflow Characteristics In OSAS 16 th Annual Advances in Diagnostics and Treatment of Sleep Apnea and Snoring February 12-13, 2010 San Francisco, CA Nelson B. Powell M.D., D.D.S. Adjunct Clinical
Oral Cancer Risk and Detection
Oral Cancer Risk and Detection Evan M. Graboyes, MD Assistant Professor Department of Otolaryngology-Head & Neck Surgery Cancer Control Program, Hollings Cancer Center Medical University of South Carolina
Abdussalam Alahmari ENT Resident R2 KAUH 15/12/2015
Abdussalam Alahmari ENT Resident R2 KAUH 15/12/2015 Physiology of sleep Snoring mechanism, causes, sites, symptoms, and management. Sleep apnea definitions, pathophysiology, risk factors, evaluation of
NECK MASS. Clinical history and examination: Document detail history of mass. Imaging: US or CT of neck
ENT ENT Referral Referral Guidelines Guidelines Austin Health ENT Clinic holds fortnightly multidisciplinary meetings with Plastics/ Maxillary Facial and Oncology units to discuss and plan the treatment
Chapter 11 The Respiratory System
Biology 12 Name: Respiratory System Per: Date: Chapter 11 The Respiratory System Complete using BC Biology 12, page 342-371 11.1 The Respiratory System pages 346-350 1. Distinguish between A. ventilation:
ENT Referral Guidelines
ENT Referral Guidelines Austin Health ENT Clinic holds fortnightly multidisciplinary meetings with Plastics/ Maxillary Facial and Oncology units to discuss and plan the treatment of patients with cancerous
Ear Nose and Throat ENT 316. Bachelor of Medicine and Surgery; MB, BCh. Fourth. (department council approval)
1* Ear Nose and Throat ENT 316 Basic Information Program Title Bachelor of Medicine and Surgery; MB, BCh Department Offering the Course Ear Nose and Throat Academic Year / Level Fourth Date of Specification
I. Anatomy of the Respiratory System A. Upper Respiratory System Structures 1. Nose a. External Nares (Nostrils) 1) Vestibule Stratified Squamous
I. Anatomy of the Respiratory System A. Upper Respiratory System Structures 1. Nose a. External Nares (Nostrils) 1) Vestibule Stratified Squamous Epithelium b. Nasal Cartilages 1) Nasal Cavity Pseudostratified
Diagnosis and Treatment of Respiratory Illness in Children and Adults
Page 1 of 9 Main Algorithm Annotations 1. Patient Reports Some Combination of Symptoms Patients may present for an appointment, call into a provider to schedule an appointment or nurse line presenting
EDITORIAL FOR THE MONTH OF MARCH 2010 COMMON E.N.T. PROBLEMS IN MY PRACTICE. Most common problems that I have encountered in my practice are:
EDITORIAL FOR THE MONTH OF MARCH 2010 COMMON E.N.T. PROBLEMS IN MY PRACTICE Most common problems that I have encountered in my practice are: I) Allergic vasomotor rhinitis II) Cholesteatoma III) Deafness
Mammals. Dr. Olaf Oftedal - National Zoological Park. Dr. Peter Emily - Father of Veterinarian Dentistry.
Mammals There are 4640 species of mammals. Most are ideal. Humans are but one species. Mammals are unique in that they have an epiglottis. All species breastfeed their young. Dr. Olaf Oftedal - National
Respiratory System Structures and Gas Exchange
A. Respiratory medium the oxygen source 1. Air 2. Water Respiratory Medium Organism Cellular Respiration O 2 CO 2 B. Respiratory surface the structure where exchange of gases with the surrounding environment
LINGUISTICS 130 LECTURE #4 ARTICULATORS IN THE ORAL CAVITY
LINGUISTICS 130 LECTURE #4 ARTICULATORS IN THE ORAL CAVITY LIPS (Latin labia ) labial sounds bilabial labiodental e.g. bee, my e.g. fly, veal TEETH (Latin dentes) dental sounds e.g. think, they ALVEOLAR
What is Otolaryngology? (pronounced oh/toe/lair/in/goll/oh/jee) is the oldest medical specialty in the United States.
What is Otolaryngology? (pronounced oh/toe/lair/in/goll/oh/jee) is the oldest medical specialty in the United States. Otolaryngologists are physicians trained in the medical and surgical management and
Chapter 10. The Respiratory System Exchange of Gases. Copyright 2009 Pearson Education, Inc.
Chapter 10 The Respiratory System Exchange of Gases http://www.encognitive.com/images/respiratory-system.jpg Human Respiratory System UPPER RESPIRATORY TRACT LOWER RESPIRATORY TRACT Nose Passageway for
Neoplasms that present as a swelling in the neck may be either
Problems in otolaryngology Inflammatory swellings Viral and bacterial infection are frequent causes of swellings in the neck. Enlargement of the cervical lymph nodes is most likely but a dormant branchial
Royal Victoria Hospital Montreal General Hospital Jewish General Hospital. Department of Otolaryngology Head and Neck Surgery
Royal Victoria Hospital Montreal General Hospital Jewish General Hospital Department of Otolaryngology Head and Neck Surgery A. GENERAL COMPETENCIES ( )denotes optional competencies At the completion of
WV OTORHINOLARYNGOLOGY. EAR, NOSE AND THROAT MEDICINE
WV OTORHINOLARYNGOLOGY. EAR, NOSE AND THROAT MEDICINE 1 Societies 11 History 13 Dictionaries. Encyclopaedias. Bibliographies Use for general works only. Classify with specific aspect where possible 15
If you suspect airway problems, get a second opinion before you anaesthetise, not after!
Assessing the airway It is more important to be aware of the various methods of dealing with difficult laryngoscopy than to expect to be able to accurately identify the rare difficult patients without
October Paediatric Respiratory Workbook APCP RESPIRATORY COMMITTEE
October 2017 Paediatric Respiratory Workbook APCP RESPIRATORY COMMITTEE This workbook is designed to introduce to you the difference between paediatric and adult anatomy and physiology. It will also give
Section 4.1 Paediatric Tracheostomy Introduction
Bite- sized training from the GTC Section 4.1 Paediatric Tracheostomy Introduction This is one of a series of bite- sized chunks of educational material developed by the Global Tracheostomy Collaborative.
Updated Friedman Staging System for Obstructive Sleep Apnea
Updated Friedman Staging System for Obstructive Sleep Apnea Michael Friedman a, b Anna M. Salapatas b Lauren B. Bonzelaar c a Section of Sleep Surgery, Rush University Medical Center, and b Section of
Faculty of Clinical Forensic Medicine Committee 1/2018
Guideline Subject: Clinical Forensic Assessment and Management of Non-Fatal Strangulation Approval Date: January 2018 Review Date: January 2021 Review By: Number: Faculty of Clinical Forensic Medicine
Chapter 13 Physics of the Ear and Hearing
Hearing 100 times greater dynamic range than vision Wide frequency range (20 ~ 20,000 Hz) Sense of hearing Mechanical system that stimulates the hair cells in the cochlea Sensors that produce action potentials
General Sensory Pathways of the Face Area, Taste Pathways and Hearing Pathways
General Sensory Pathways of the Face Area, Taste Pathways and Hearing Pathways Lecture Objectives Describe pathways for general sensations (pain, temperature, touch and proprioception) from the face area.
Why doesn t my doctor prescribe me any antibiotics?
Why doesn t my doctor prescribe me any antibiotics???? In respiratory tract infections, antibiotics are usually ineffective What is an acute respiratory infection? An acute respiratory infection occurs
Effectiveness of Grommet Insertion in Resistant Otitis Media with Effusion
Bahrain Medical Bulletin, Vol. 35, No.1, March 2013 Effectiveness of Grommet Insertion in Resistant Otitis Media with Effusion Ali Maeed S Al-Shehri, MD, Fach Arzt* Ahmad Neklawi, MD** Ayed A Shati, MD,
Medical Examiners' - Medical Manual
Medical Examiners' - Medical Manual Part 3 - Clinical Aviation Medicine 3.12 Otorhinolaryngology (ENT) ICAO Annex 1: 6.3.4, 6.4.4, 6.5.4 Civil Aviation Act: s27b CAR Part 67: 67.103 k & l, 67.105 k & l,
Inner ear: Cochlea Vestibule utricle & saccule 3 semi-circular canals Auditory nerve. rworks.
Intended learning outcomes ENT Health Assessment Julia Booth Senior Lecturer To recognise the need for clinical assessment in relation to ENT conditions Demonstrate the ability to obtain a detailed relevant
Paediatric Otolaryngology
Paediatric Otolaryngology Antony A Narula MA FRCS FRCS Ed Consultant St Mary s & Ealing Hospitals Hon. Professor, Middlesex University 17 th July 2004 Otology Acute Otitis Media Otitis Media with Effusion
Information for patients, families and carers. General Tonsillectomy Information An e-book
General Tonsillectomy Information An e-book Key Points The tonsils are a collection of cells in the back of the throat that fight infection. When there is inflammation of the tonsils, this is called tonsillitis.
Structure and Nerve Supply of The Larynx
Kingdom of Bahrain Arabian Gulf University College of Medicine and Medical sciences Structure and Nerve Supply of The Larynx This presentation was originally prepared by: Dr. Kumar Notes were added by:
The PHARYNX. Dr. Nabil Khouri MD Ph.D
The PHARYNX Dr. Nabil Khouri MD Ph.D PHARYNX Fibromuscular tube lined with mucous membrane extends from base of skull to lower border of cricoid cartilage (C-6). 12-14 cm long At the lower border of cricoid
Head and neck cancer - patient information guide
Head and neck cancer - patient information guide The development of reconstructive surgical techniques in the last 20 years has led to major advances in the treatment of patients with head and neck cancer.
Intubation techniques
Operative Techniques in Otolaryngology (2005) 16, 166-170 FEATURE ARTICLES Intubation techniques Geoffrey Lane, MB, BChir, FRCA From the Department of Anesthesiology, The University of Colorado Health
Cause and Prevention of OSA. Principles involved in OSA Hypothesis Prevention
Cause and Prevention of OSA Principles involved in OSA Hypothesis Prevention D1 Principles involved in airway collapse Vacuum Gravity Venturi principle Bernoulli principle D2 Vacuum D3 A vacuum can create
Scottish Parliament Region: Lothian. Case : Lothian NHS Board. Summary of Investigation. Category Health: Hospital; cancer; diagnosis
Scottish Parliament Region: Lothian Case 201202271: Lothian NHS Board Summary of Investigation Category Health: Hospital; cancer; diagnosis Overview The complainant (Mr C) attended the Ear, Nose and Throat
The Respiratory System
PowerPoint Lecture Slide Presentation by Vince Austin Human Anatomy & Physiology FIFTH EDITION Elaine N. Marieb The Respiratory System Dr Nabil Khouri. MD, Ph.D Respiratory System Consists of a conducting