1. Subglottic area of larynx Pharynx Nasolacrimal duct Nose (Sites of rhinoscleroma )
  2. TTT: Rifampicine , excission of mass , if atrophy :Saline or alkaline wash
  3. Cancer Maxilla
    1. 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)
    2. Inv : Biobsy , Endoscope , CT scan
    3. TTT :Maxillectomy , Radiotheraby , if infected lymph nodes : Radical neck dissection
  4. Oral complication (ethmoid most)
    1. Sub periosteal : Causing directional Proptosis infection doesnot affect vision (diplopia ,mild diminution of vision)
    2. Orbital stage : Vision affected
    3. Preiseptal :Edema in upper eyelid
  5. Nasal Polypi
    1. herniated mucosa Adult (allergic) |old age (2ry to tumor)|Child (septic fibrosis)
    2. maxillary :Antrochoanal Ethmoid :Polypi
    3. obstruction mucous dis. Maxilary is Unilateral \_ Ethmoid is bilateral :(Snoring & Anosia)
  6. Rhinoscelroma : Klebsiella Rhino scleromatis
    1. Invasive stage :Flow like
    2. Active stage : Nodules unite forming Mass Atrophy : in Mucosa or Turbinate ( enlarged wide cavity)
    3. Fibrotic stage : Deformity
  7. Deviated septum
    1. 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
  8. Septal Haematoma
  9. Septal Perforation
    1. Cartilage : _submucal disection _Addiction _TB Bone : _ Syphylis
    2. Cl/P: _if small :Asymp _Mediuam : whistling _Big :Atrophic Rhinitis Most Common : Asymptomatic
  10. Sinusitis
    1. Sym : _Discharge ,obstruction , facial pain , swelling