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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

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⚡️First step in nasal examination is inspection

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

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Review
Review

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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

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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

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One of its indication is myringotomy

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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)