A BSOLUTE CONTRAINDICATION OF A/T Leukemia Purpura Aplastic anemia Hemophilia Uncontrolled systemic disease (Diabetes, Seizure, Heart disease)

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Presentation transcript:

A BSOLUTE CONTRAINDICATION OF A/T Leukemia Purpura Aplastic anemia Hemophilia Uncontrolled systemic disease (Diabetes, Seizure, Heart disease)

C O 2 LASER A/T G.A by Endotracheal tube (stainless steel) Co2 Laser 15 W. Surgical Microscope with Lens (300) Mirror & Adenoid Cover Head & Neck of patient

L ASER A DVANTAGE Less pain after surgery Quick healing Less bleeding(1-2 CC) Less duration of surgery Lingual tonsil (choice)

O ROPHARYNGEAL D ISEASE Simple Acute Pharyngitis Rhinoviruses (more common) Fever Oropharyngeal mucosa Posterior pharyngeal wall

G RANULAR P HARYNGITIS HRONIC P HARYNGITIS & Pollution Passive and active smoker Mouth breathing (humidifying, tempering & cleansing function) Posterior pharyngeal lymph node hypertrophies (granula r hypertrophy)

S IGN & S YMPTOMS Dryness(most common) Pharyngeal Irritation Patients wants clean her/his pharynx frequently Brightness of P.P.W. Unknown etiology  Difficult treatment (Smoking, Nasal obstruction&……)

A CUTE FOLLICULAR TONSILLITIS & A DENOIDITIS Etiology (Streptococcus beta hemolytic,Staphylococcus Pneumoco &…) Age Adult Sore Throat & Odynophagia Sudden attack Headache and arthralgia Adenoid Inflammation & otalgia Pseudomembanous on tonsils Cervical adenopathy

C OMPLICATION Peritonsiller abscess Deep neck infection Septicemia Otalgia & acute otitis Acute Nephritis Rheumatismal complication (occasionally) Treatment : Bed rest- anti analgesic &…. systemic antibiotic such as Penicillin or Erythromycin for ten days

P LUMMER - VINSON SYNDROME Anemia Dysphagia Glossite Achloridria Unknown Origin More common in female Some time Spleen neoplasm Hypochrome Anemia Esophagus ( Hyperkeratosis, Web, band ) Most important sign is Dysphagia (On & Off)

C ANDIDIASIS Today is common disease (antibiotic & uncontrolled diabetes) Light form ( in children) Uncontrolled (Sever form) trachea Larynx &Esophagus Topical Nystatin (drug of choice)

B LACK H AIRY T ONGUE

I NFECTIOUS M ONO Self limited disease Lymphadenopathy Related to Epstein Barr Virus

منبع : مرکز تحقیقات گوش، گلو،بینی، جراحی سروگردن دانشگاه علوم پزشکی مشهد