ENT emergency Dr Abdussalam M jahan ENT depart

ENT emergency Dr. Abdussalam M jahan ENT depart, Misurata university, faculty of medicine

Otalgia: pain in the ear either due to pathology in the ear or referred from other remote area.

Barotrauma: trauma in the middle ear due to rapid and marked decrease of middle ear pressure bellow atmospheric pressure.

pathogenesis: 1 - at the sea level: the atmospheric pressure = zero 2 - During ascent: out pr become more decreased, the ear try to escape air through the ET to decrease the Pr to equalize both sides. 3 - During descent: the atmospheric pr rapidly increased, in this time the ET must open to allow air to enter the ME , which will increase the Pr. Failure to open ET, will lead to Barotrauma

Causes nasal Obstruction 1. Allergic: AR 2. Nasopharyngeal mass : Adenoid. 3. Nasal trauma. 4. Hypertrophy of inferior turbinates. 5. Nasal polyposis. 6. DNS: If S – shaped. 7. Congenital : as Bilateral choanal atresia ( Emergency) 8. Tumors.

Fracture Nasal bone

Epistaxis:

Packin g

STRIDOR Difficult noisy breathing due to partial obstruction of the airway.

Treatment: - Stridor is a symptom not a disease. Once the diagnosis has been made , treatment of exact cause can be planned Mild & moderate: stridor need medical treatment according to cause. Mod. Stridor need admission and observation. sever stridor: intubation or surgical intervention

Tracheostomy:

Other important instruments:

THANK YOU Dr. Abdussalam www. Zahrawi. ly