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Answers to Round 3:-
Q.1
The petrosquamous suture line persists as
Korner’s septum
Q.2
The middle turbinate is
part of the ethmoid bone
Q.3
The parafollicular cells of the thyroid are derived from the
ultimobranchial body
Friday, 25 February 2011
Surgical management of Puberphonia:
When all the conservative methods fail then surgery will have to be resorted to. Isshiki type III relaxation thyroplasty has shown promise in managing these patients. This surgical procedure lowered the pitch of voice in these patients by shortening the length of the vocal folds. In the classic Isshiki type III thyroplasty 2 – 3 mm of vertical strips of cartilage were excised on each side of midline of thyroid cartilage. This procedure caused retrusion of the middle portion of the thyroid cartilage causing a reduction in the length of the vocal fold
Read Further... For Dr Balu Link
Saturday, 19 February 2011
Can Tympanic membrane perforation may occur with valsalva maneuver ?
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Tympanic membrane perforation may occur when ear pressures are excessive, including valsalva maneuver associated with active labor and vaginal delivery. A pressure differential across the eardrum of about 5 psi can cause rupture; the increased intraabdominal pressure spikes repeatedly manifested by “pushing” during second-stage labor easily approach (and may exceed) this level
Reference
Tympanic membrane perforation may occur when ear pressures are excessive, including valsalva maneuver associated with active labor and vaginal delivery. A pressure differential across the eardrum of about 5 psi can cause rupture; the increased intraabdominal pressure spikes repeatedly manifested by “pushing” during second-stage labor easily approach (and may exceed) this level
Reference
Friday, 18 February 2011
Thursday, 17 February 2011
ENT QUIZ ROUND 3 :Answers
First Two correct responses:(Total 106 responses till date )
DR.SUNEEL B.ALLAMPALLEWAR,NANDED
Dr VAISHALI SHAH,VADODARA
Question on Ear-
1]“Leaky integrator” helps to explain
A]Tullio phenomenon
B]Alexander’s Law
C]Coriolis phenomenon
D]Ewald’s Law
Question on Nose-
2]Regarding the nasal septum,the following statement is untrue-
A]the vomer is always in the midline
B]septoplasty is the most cost-effective method to control idiopathic epistaxis
C]the results of septoplasty are always consistent with the surgical correction
D]nasal packing helps to prevent haematoma formation and resorption of
the nasal septum
Question on Throat-
3]Pick out the correct statement-
A]the palatine tonsils have both afferent and efferent pathways
B]tonsillectomy is not prophylactic for rheumatic heart disease
C]secondary haemorrhage is the most common complication of tonsillectomy
D]laser and cold steel give similar results in tonsillectomy
1-B:
"Leaky integrator" refers to the VOR,which tends to always correct the gaze towards the centre in the event of a vestibular lesion,and thus explains Alexander's 3 laws.
2-C:
It has been proved beyond doubt that the final results of septoplasty are often unsatisfactory and not as expected from the surgical correction.
3-B:
Tonsillectomy does not offer any protection against rheumatic heart disease as the latter is an immune-complex reaction resulting from streptococcal sore throat,which is not common any more.Even in the preantibiotic era,removal of the tonsils was not advocated as a means to protect against RHD.
- Show quoted text -
--
Dr Jayita Poduval
Associate Professor
Department Of ENT
AIMST University
Kedah Darul Alam
Malaysia
DR.SUNEEL B.ALLAMPALLEWAR,NANDED
Dr VAISHALI SHAH,VADODARA
Question on Ear-
1]“Leaky integrator” helps to explain
A]Tullio phenomenon
B]Alexander’s Law
C]Coriolis phenomenon
D]Ewald’s Law
Question on Nose-
2]Regarding the nasal septum,the following statement is untrue-
A]the vomer is always in the midline
B]septoplasty is the most cost-effective method to control idiopathic epistaxis
C]the results of septoplasty are always consistent with the surgical correction
D]nasal packing helps to prevent haematoma formation and resorption of
the nasal septum
Question on Throat-
3]Pick out the correct statement-
A]the palatine tonsils have both afferent and efferent pathways
B]tonsillectomy is not prophylactic for rheumatic heart disease
C]secondary haemorrhage is the most common complication of tonsillectomy
D]laser and cold steel give similar results in tonsillectomy
1-B:
"Leaky integrator" refers to the VOR,which tends to always correct the gaze towards the centre in the event of a vestibular lesion,and thus explains Alexander's 3 laws.
2-C:
It has been proved beyond doubt that the final results of septoplasty are often unsatisfactory and not as expected from the surgical correction.
3-B:
Tonsillectomy does not offer any protection against rheumatic heart disease as the latter is an immune-complex reaction resulting from streptococcal sore throat,which is not common any more.Even in the preantibiotic era,removal of the tonsils was not advocated as a means to protect against RHD.
- Show quoted text -
--
Dr Jayita Poduval
Associate Professor
Department Of ENT
AIMST University
Kedah Darul Alam
Malaysia
Readers Forum:laryngeal papilloma
D/L of 45 years male who is non smoker.
Biopsy from the lesion suggest it to Squamous papilloma.
Comment on further management.
The diagnosis is laryngeal papilloma and the treatment is excision (MLS). One can use either LASER or cold instrument for excision. Also larger part of papilloma can be removed by a laryngeal microdebridder and the final touch can be done by LASER. Dr Ravi Meher
MS(ENT), DNB(ENT), MNAMS
Associate Professor(ENT)
Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi
ravimeher@gmail.com
*dr skmenon said...
laser excision is treatment of choice
*rajisampath nalamati
laser excision biopsy and follow up
*Admiral [Dr] V K Singh
mucosal changes ,do a total excision & Send for histopath study at a good centre.
* Dr Shashidhar
WE NEED TO GET CECT/ CONTRAST MRI OF LARYNX TO LOOK FOR PARAGLOTTIC, CARTILLAGE AND GLOTTIC INVOLVEMENT. LASER OR COLD KNIFE EXCISION IS A MATTER OF CHOICE AND FEASIBILITY EACH HAVING THEIR MERITS. THE IMPORTANT POINT IS SQ CELL CA USUALLY PRESENTS LIKE THIS AND BIOSPY FROM NONE REPRESENTATIVE PLACE MAY SHOW SQ PAPILLOMA. NEVERTHELESS HE NEEDS LONG TIME CLOSE FOLLOW UP FOR RISK OF MALIGNANCY
Biopsy from the lesion suggest it to Squamous papilloma.
Comment on further management.
The diagnosis is laryngeal papilloma and the treatment is excision (MLS). One can use either LASER or cold instrument for excision. Also larger part of papilloma can be removed by a laryngeal microdebridder and the final touch can be done by LASER. Dr Ravi Meher
MS(ENT), DNB(ENT), MNAMS
Associate Professor(ENT)
Maulana Azad Medical College and associated Lok Nayak Hospital, New Delhi
ravimeher@gmail.com
*dr skmenon said...
laser excision is treatment of choice
*rajisampath nalamati
laser excision biopsy and follow up
*Admiral [Dr] V K Singh
mucosal changes ,do a total excision & Send for histopath study at a good centre.
* Dr Shashidhar
WE NEED TO GET CECT/ CONTRAST MRI OF LARYNX TO LOOK FOR PARAGLOTTIC, CARTILLAGE AND GLOTTIC INVOLVEMENT. LASER OR COLD KNIFE EXCISION IS A MATTER OF CHOICE AND FEASIBILITY EACH HAVING THEIR MERITS. THE IMPORTANT POINT IS SQ CELL CA USUALLY PRESENTS LIKE THIS AND BIOSPY FROM NONE REPRESENTATIVE PLACE MAY SHOW SQ PAPILLOMA. NEVERTHELESS HE NEEDS LONG TIME CLOSE FOLLOW UP FOR RISK OF MALIGNANCY
Tuesday, 15 February 2011
International Course on "BAHA", April 1-2, 2011 at UCMS & GTB Hospital
The Deptt of ENT, UCMS & GTB Hospital is pleased to announce a course on "Bone Anchored Hearing Aids".
Lectures detailing the indications, operative technique and outcomes will be delivered by the international faculty.
Also, issues relating to osseointegration will be discussed in detail. Live surgical implantation of BAHA will be demonstrated
in patients with different indications. The sessions will be interactive and delegates' participation will be encouraged.
Course Director: Prof P P Singh
International Guest Faculty: Dr Patrick Sheehan, UK
Contact: Prof Arun Goyal
arungoyal150@yahoo.co.in
09868399552
www.otologyindia.blogspot.com
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