Throat exercises from AJRCCM article

Dix Hallpike Testing

The Dix-Hallpike test is a common test performed by examiners to determine whether the posterior semicircular canal is involved. It involves a reorientation of the head to align the posterior semicircular canal (at its entrance to the ampulla) with the direction of gravity. This test will reproduce vertigo and nystagmus characteristic of posterior canal BPPV

Juvenile Angiofibroma Excision by Endoscopic & Mid facial degloving : Dr Janakiram(Trichy)

http://www.sinusvideos.com/

SinusVideos.com intends to provide high quality videos of sinus surgeries for the educational benefit of healthcare providers and their patients. New videos are continually being added and many have links to supplemental text and diagrams describing additional details of the surgery. We hope you enjoy the site and will share your comments with us at editors@sinusvideos.com.

Ralph Metson M.D.
Clinical Professor and Rhinology Fellowship Director
Harvard Medical School

Zachary Soler M.D.
Rhinology Fellow (former)
Harvard Medical School

Jamie Litvack M.D., M.S.
Rhinology Fellow (current)

Harvard Medical School

http://www.sinusvideos.com/

Bilateral Vocal cord Palsy

Bilateral Vocal Cord Paralysis:
In contrast to unilateral vocal cord paralysis, voice quality is not the primary concern in patients with bilateral vocal cord paralysis. The significant problem is airway compromise. This can range from unnoticeable to, more commonly, dyspnea and stridor. The patient's voice quality is usually only mildly affected (if just the recurrent laryngeal nerves are invulved) because the paralyzed cords tend to assume the natural position for phonation.
There are three basic ways that bilateral vocal cord paralysis is managed:
1) tracheotomy
2) vocal cord lateralization
3) reinnervation
Vocal Cord Lateralization:
This invulves several techniques that surgically widen the glottic opening. While this improves the airway, the patient's voice quality suffers. The three most commonly utilized techniques are arytenoidectomy, arytenoidopexy, and cordectomy.

Arytenoidopexy:(Dr Janaki Ram)

Invulves displacing the vocal fold and arytenoid without surgical removal of any tissue. It can be done endoscopically with a suture passed around the vocal process of the arytenoid and secured laterally.

Watch Laser Arytenoidectomy Surgery For Bilateral Vocal Fold Paralysis: Dr Nupur(Mumbai)

Surgical treatment of preauricular sinus:Standard Approach

A preauricular pit may mark the entrance to a sinus tract, which can vary in length, follow a tortuous course, and branch extensively. Preauricular sinuses and cysts have a component of close association with the auricular perichondrium. For this reason, some argue that complete removal of a sinus tract or cyst should also include a portion of the auricular perichondrium at the base of the lesion.

Preauricular sinuses or cysts are found lateral and superior to the facial nerve and parotid gland, whereas first branchial cleft malformations are found in close association with these structures, as well as with the external auditory canal.

How to read Sinus CT Scan:Dr Kevin Soh

TURN THE SOUND ON

Spot the Diagnosis

Amit said...
B/L alar collapse

mohit said...
alar collapse
FIRST COMMENT

Nasal Valve Reconstruction With a Monarch Implant

Treatment of external nasal valve (alar rim) collapse with
an alar strut

Video : Endoscopic Removal of Salivary Stone

source :Sialendoscopy CHU Montpellier France

Salivary gland stone removaL
When the diameter of the stone is 5mm or less, it can be removed purely by an endoscopic technique, particularly when the stone is located above the muscles that comprise the floor of the mouth. The four common techniques used to remove the salivary gland stones are:
The grasping technique
Using a small wire basket retrieval system
Mechanical Fragmentation
Laser fragmentation
When the diameter is larger than 5 mm, a twofold (endoscopic assisted) approach can be utilized. The endoscope is introduced and the stone localized, and then dissected and removed in an intraoral approach. After a sialolith is removed from an affected gland, a sialastic stent is inserted into the duct for two to four weeks for the duration of the healing process of the oral region and until normal function of the gland is restored. This prevents scar formation which can develop overlying the ductal opening into the mouth.

"Say Ahh!" GE Commercial Acknowledging What ENTs Do Best

For those curious, the music was taken from Beethoven's 9th Symphony, 4th movement, otherwise known as "Ode to Joy."

Courtesy : FAUQUIER ENT CONSULTANTS
WARRENTON, VA, UNITED STATES