1.

2.

Ear emergency
Laceration of the auricle
Hematoma of the auricle

3. Perichondritis and Chondritis

4. Foreign body in ear canal

Assoc. Prof. Darunee Junhavat 6 June 2013

radj1 @ yahoo.com
1

Ear emergency

Laceration of the auricle

5. Malignant otitis externa

6. Traumatic rupture of ear drum
7. Barotrauma
8. Sudden hearing loss
3

Hematoma of the auricle

Laceration of the auricle

Aseptic technique dressing

-
- Antibiotic and Analgesic*
- +/- Refer


Enzyme : Danzen, Denzo, Papase
(Serratiopeptidase, Proteolytic enzyme)

Aspirate Antibiotic

Pressure dressing Aspirate

Perichondritis and Chondritis

Perichondritis

Hematoma, Laceration

:

Chondritis

Chondritis

10

Antibiotic

Dressing
11

12

Cauliflower ear

Post- perichondritis

13

Foreign bodies in ear canal

Post -Perichondritis

Post-chondritis

14

15

16

Alligator/ Ear forceps

Ear wax curette

17

18

Foreign bodies in ear canal

-
:
:

19

20

Tragus

21

22

100 F

23

24



25

26

Malignant (Necrotizing) otitis externa

Pseudomonas
aeruginosa
steroid

:
granulation tissue
facial nerve paralysis

toxin
7,9,10,11 12

parotid

27

28

Traumatic rupture of ear drum

R


antibiotic aminoglycoside
penicillin

29

?
:

CSF

30


Wait and see
Suction

1 3-10
CSF
Audiogram

Barotrauma

31

Eustachial tube

: Serum

32

Barotrauma

.
. Decongestant Analgesic
. Valsalva
. 12

33

34

Sudden hearing loss

(Myringotomy)
PE (Pressure equalizer) Tube

36-50

35

36

1. Virus, Bacteria 2. Vascular ischemia
3. Rupture window
4. Acoustic tumor
5. Intra-cochlear membrane break
6. Systemic disease: DM Aids Blood disease
7. etc

3

Tinnitus 70 % Vertigo

30 dB 3

37

Anti-emetic drug plasil

Dimenhydrinate
(Drammamine)
3
Low salt diet

Vasodilator : Betahistine diHCL Serc;

Betahistine mesylate Merislon ;
Cinnarizine HCl Stugeron

Steroid + Antacid
Vit. B1-6-12

38

39

:
CBC, TFT, VDRL, Anti-HIV,
Blood chemistry LFT
UA
Film internal acoustic canal
41

40

Nasal emergency
Epistaxis
Fracture of nasal bone
Foreign body in nasal cavity
Acute infection of nose and
paranasal sinuses
42

Epistaxis

Anterior septal bleeding

Anterior septal bleeding

Posterior epistaxis

Kisselbachs plexus
Littles area
43

44

45

46

Littles area

Vital sign

Venous pressure
5-8
Pack Adrenaline 0.1 %
or Ephedrine 1 % ( HT)
47

48

 ()
Cold compress
Trichloracetic acid 30%

6
49

Anterior nasal packing Gel foam

Finger cot Vaseline gauze
Ivalon, Surgicel
Mouth care and Rest
50

Gel Foam

Finger cot

Vaseline gauze packing

51

52

Surgicel

Ivalon
FIBRILLAR Absorbable Hemostat

Hydroxylated polyvinyl acetal (PVAc) sponge

53

54

Epistaxis
Posterior nasal bleeding
:

Juvinile Angiofibroma

Sphenopalatine artery

Anterior nasal packing

55

56

Sphenopalatine artery

57

58

()
Cold compress
Hematocrit Bleeding
mouth care
* Aspirin

Vital sign, Pain

cold compress

Posterior nasal packing

Vital sign, Pain

59

60

10

61

62

63

64

Foreign body in nasal cavity

:

65

66

11




Nasal hook
Antibiotic
ointment

Nasal hook
67

68

Fracture of Nasal Bone

Fracture of Nasal Bone

(continue)

: Trauma:-
:

:

Cribriform plate CSF
Dextrostick
69

()

Dx :

x-ray

Stop bleeding

70

Asch septum straightening forceps

Close reduction
Splint 5-7

Nasal packing
Deform
Rhinoplasty
71

72

12

Walsham septum straightening forceps

Goldman displace septum elevator

73

74

Vestibulitis

Acute nasal infection

Vestibulitis
Furunculosis
Septal abscess
Complication of acute sinusitis

75

76

Furunculosis
:


Septal abscess
77

Septal perforation
78

13

Complication of acute sinusitis

Antibiotic*
Cavernous sinus thrombosis

Periorbital abscess < 6

Orbital cellulitis

Brain abscess
Meningitis
Cavernous sinus thrombosis
79

Paranasal sinuses

81

80

Sinusitis

82

Orbital cellulitis

Orbital abscess
83

84

14

FB in oral cavity and oropharynx

FB in upper aero-digestive tract

FB in oral cavity and oropharynx

FB in esophagus
FB in larynx and tracheobronchial tree

Peritonsillar abscess
85

86

87

1.
2.
3.
4.
5.

88

FB in esophagus

89

90

15

Esophagoscopy

91

92

FB in larynx and tracheobronchial tree

:
:

cyanosis
Cafe' coronary
93

94

95

96

16

Hiemlich by self

Heimlich maneuver
(Abdominal thrust or Chest thrust)

97

98

99

100

101

Foreign bodies removed from bronchus and esophagus

102

17

Peritonsillar abscess

()

wheezing

Bronchoscopy
NPO

103

Peritonsillar abscess

104

Abscess

105

*
Antibiotic *
Mouth care
Analgesic* Rest

106

Sudden stricture or collapse of tracheostoma

Sign and symptom
Dilate stoma

107

108

18

Tracheal Dilator or
Trousseau Tracheal Dilator

Nasal speculum
109

110

Aphthous ulcer

111

112

113

19