- Subglottic area of larynx
Pharynx
Nasolacrimal duct
Nose
(Sites of rhinoscleroma )
- TTT: Rifampicine , excission of mass , if atrophy :Saline or alkaline wash
-
Cancer Maxilla
- Cl\p: Cachexial /Anemia
Swelling , Bloody discharge ,
Blood metastasis :Rare
Lymphatic :submandibular & upper cervical
local : _manifestation in Eye
_Dental Pain ,Oroantral fistula
_Cheek swelling
_Unilateral nasal obs
_Trismus (pterygo palatine fossa affection)
- Inv : Biobsy , Endoscope , CT scan
- TTT :Maxillectomy , Radiotheraby , if infected lymph nodes : Radical neck dissection
-
Oral complication (ethmoid most)
- Sub periosteal : Causing directional Proptosis
infection doesnot affect vision (diplopia ,mild diminution of vision)
- Orbital stage : Vision affected
- Preiseptal :Edema in upper eyelid
-
Nasal Polypi
- herniated mucosa
Adult (allergic) |old age (2ry to tumor)|Child (septic fibrosis)
- maxillary :Antrochoanal
Ethmoid :Polypi
- obstruction
mucous dis.
Maxilary is Unilateral \_ Ethmoid is bilateral :(Snoring & Anosia)
-
Rhinoscelroma : Klebsiella Rhino scleromatis
- Invasive stage :Flow like
- Active stage : Nodules unite forming Mass
Atrophy : in Mucosa or Turbinate ( enlarged wide cavity)
- Fibrotic stage : Deformity
-
Deviated septum
- Manifestation : HAEF REA
H :headache ,Hyposia
A : asymptomatic , anosia
E :Epistaxis , Nasal deformity
F :fixed nasal obs
Most Common : Asymptmatic Then fixed
R :recurrent sinusitis
E :eustichian tube obs
A :atrophy or hypertrophy of turbinate
- Septal Haematoma
-
Septal Perforation
- Cartilage : _submucal disection
_Addiction
_TB
Bone : _ Syphylis
- Cl/P:
_if small :Asymp
_Mediuam : whistling
_Big :Atrophic Rhinitis
Most Common : Asymptomatic
-
Sinusitis
- Sym :
_Discharge ,obstruction , facial pain , swelling