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ENT CONCEPTS FOR JIPMER

CONCEPT-1

Status at birth Adult size 1st Radiological

evidence

Maxillary sinus Present 15 yrs 4-5mth

Ethmoid sinus Present 12 1 yr

A
Frontal sinus Not present Until teens 6 yrs

R
Sphenoid sinus Not present 15 to adult
O
4 yrs
AR
K
PA
EE

CONCEPT-2
OPENING OF POSTERIOR ETHMOIDAL SINUS
D

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CONCEPT-3

A
R
O
AR
CONCEPT-4
K
PA
EE
D

Endoscopic laser cordectomy, also known as Kashima operation, is an endoscopic

laser surgical procedure performed for treating the respiratory difficulty caused as a result of
bilateral abductor vocal fold paralysis.

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CONCEPT-5
THYROPLASTIES

A
R
O
AR
K
PA
EE
D

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A
R
O
AR
K
PA
EE
D

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CONCEPT-5
RECURRENT LARYNGEAL PAPILLOMATOSIS

A
R
O
AR
Recurrent laryngeal papillomatosis
Human papilloma virus
K

Type 6 and 11*

PA

Juvenile papillomatosis –
✓ Most common 3 to 5 years
EE

✓ Present with hoarseness of voice or stridor

✓ Anterior commissure
✓ Recurrence is common
D

✓ Rarely undergo malignant change

Adult onset papilloma
✓ 30-50 years of age
✓ Single
✓ No recurrent
✓ More common in males (M:F = 2:1)
✓ Increased malignant potential

The mainstay treatment is CO2 laser

Medical therapy
Interferon alpha-2a Anti-reflux medications
Zinc Indole-3-carbinol
Acyclovir Ribavirin
Intralesional cidofovir COX-2 inhibitors
Retinoids

ENT CONCEPTS BY DR DEEPAK ARORA

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CONCEPT-6

A
R
O
AR

CONCEPT-7
K
PA

OTOSCLEROSIS:
1.Autosomal dominant so hereditary factors are most important
EE

2.Measles is associated
3.More common in females but in India its more common in males.
D

4.Carhart notch is at 2000 Hz in BC curve

5.Impedance Audiometry :As
6.Fissula ante fenestram
7.Sodium fluoride is drug of choice(Increase osteoblasts Decrease
osteoclasts)
8.Stapedotomy is treatment of choice.

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CONCEPT-8

A noise of 90 dB (A) SPL, 8 h a day for 5 days per week is the maximum safe limit
as recommended by Ministry of Labour, Govt. of India
WHO:85 dB

A
R
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AR
K
PA
EE
D

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CONCEPT-9

A
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K
PA

Muller’s maneuver
EE

• Main advantage is that no sedation is required

• It helps us to evaluate the level and degree of upper airway narrowing
• Predictive value for the OSAS surgery
D

VOTE criteria (Level Of Collapse):

• Velum (soft palate and uvula)
• Oropharyngeal lateral walls
• Tongue base
• Epiglottis

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CONCEPT-10

A
R
O
AR
K
PA
EE
D

ENT CONCEPTS BY DR DEEPAK ARORA