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Important knowledge

Important knowledge

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Cottle test for nasal patency Posative indicate sever obstruction due to nasal deviation in the valve area
Cottle test for nasal patency Posative indicate sever obstruction due to nasal deviation in the valve area

⚡️First step in nasal examination is inspection

Ddx of mixed type hearing loss 1- cholestatoma extention 2- advanced otosclerosis

Review
Review

Grommet Insertted in tympanic membrane (at light cone site ) in case of otitis media with effusion (recurrent meddle ear infection ) to drian pus collection in middle ear

Ear syringing, (or ear irrigation, ) is a process that is performed on the NHS to remove ear wax blockages

Wax softening by 1- sodium bicarbonate 2- normal saline 3- dewax dropps

Contraindication for ear syringing - infection - perforated T M - DM - elderly

One of its indication is myringotomy

myringotomy ( اطلاع) is a procedure to create a hole in the ear drum to allow fluid that is trapped in the middle ear to drain out.

Lop (constricted/ cup ) ear deformity Due to poor developed helix تكون ملفوفه من برة ع داخل
Lop (constricted/ cup ) ear deformity Due to poor developed helix تكون ملفوفه من برة ع داخل

Bat ear deformity Due to poor developed anti-helix
Bat ear deformity Due to poor developed anti-helix

Eustachian tube is normally closed and open only during: 1- swallowing 2 - chewing 3 - yawning 🥱 (تثآؤب)