1. BENAZIR BHUTTO HOSPITAL
ENT DEPARTMENT
BENAZIR BHUTTO HOSPITAL

2. KARTAGENER SYNDROME
1904 Siewert described triad Situs inversus Chronic Sinusitis & Bronchiectasis
1933 Mane’s Kartagener recognized this syndrom
Situs inversus , Chronic Sinusitis, Bronchiectasis is inherited via autosomal recessive
Symptoms results from Defective cilia motility
Normal motile cilia are responsible
Clearance of mucus membrane with regular, fast and synchronous beating pattern dust viruses bacteria are illuminated

3. UPPER RESPIRATORY TRACT

4. Upper Respiratory Tract

5. “The united airways concept”
Kartagener Syndrome

6. KARTAGENER SYNDROME (E.N.T. PROBLEMS)
Recurrent Upper respiratory tract infections
Rhinosinusitis
Otitis media with effusion
Acute otitis media
Chronic otitis media
General morbidity
Temporary relieved by repeated antibiotics
Surgical intervention needed myringotomy + gromet & FESS

9. RHINOSINUSITIS Chronic, Thick, Mucoid Rhinorea from early childhood
Pale, swollen nasal mucosa, Mucoprulent secretion, impaired sense of smell
Nasal polyps 30%
Sinus pressure headache
Symptoms improve with antibiotic therapy
Recurrence common

11. Otitis media

12. OTITIS MEDIA Common menifestation Otitis media with effusion
Acute Otitis Media
Chronic Otitis Media
Tympanosclerosis
Cholesteatoma

13. Ear Infection

15. QUALITY OF LIFE IS IMPROVED BY
EARLY RECOGNITION
MEDICAL MANAGEMENT
NASAL DOUCHING
REPEATED ANTIBIOTICS
ANTI-ALERGIC
SURGICAL TREATMENT
MYRINGOTOMY TUBE
F.E.S.S.

16. THANKYOU