practical

ENT photos

د. سنمار

Wooden tongue depressor

Used for examination of oral cavity and oro-pharynx.

Metallic tongue depressor

Used for examination of oral cavity and oro-pharynx + naso-pharynx + removal of F.B + in minor operations + cold spatula test (mist test) for choanal atresia.

Laryngeal mirror

Don’t use it in presence of increased gag reflex more than normal.
Replaced by flexible fiberoptic endoscopy (enter from the nose).
Used to see the larynx and help in removing F.B. with other instruments

Killian nasal speculum

Non self retaining.
Used for anterior rhinoscopy  examination of anterior nasal cavity.
Used to remove the F.B. – minor operation.

Crocodile forceps

Has distal joint.
Used to remove F.B and clots, wax removal, biopsy, packing.

Auroscope (Otoscope)

Contain: power, light, speculum, magnification lens.
Uses: examination, suction, removal of F.B, drainage, minor operations.
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Aural dressing forceps

Head mirror

Thudichum

Self retaining.
Used for anterior rhinoscopy  examination of anterior nasal cavity.
Used to remove the F.B. – minor operation.







Jobson horne probe
Used in removal of F.B, cleaning or mobbing of nose and ear, chemical cautery, probing (differentiate between hematoma and polyp and turbinate)

Telly’s nasal forceps

Used in packing and removal of F.B

Cuffed (portex) tracheostomy tube

Used to obtain a closed circuit for ventilation
Metal Tracheostomy Tube
Not used as frequently anymore. Many of the patients who received a tracheostomy years ago still choose to continue using the metal tracheostomy tubes.





Post-auricular cyst
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Antrochoanal polyp

Description: mass dumppell large (5-6 cm), avascular (no bleeding), pale, whitish fibrostrak, yellowish color, gelly like appearance, with streak connected to other small red mass.
If inside the nasal cavity it is ethemoidal polyp (treated by local or systemic steroids)

Septal hematoma

History: child – trauma.
Exam: bilateral – painful – tender – color (red, white, blue).
Treatment: emergency surgical evacuation.

Septal deviation

History: adult – congenital or with trauma.
Exam: pale color – arise from one side only.
Management: rhinoplasty.