Complications in ENT

Question 1

Cranial complications ?

Answer 1

Acute Mastoiditis
Petrositis
Facial nerve paralysis
Labyrinthine fistula and labyrinthitis

Question 2

Diagnosis of acute mastoiditis

Answer 2

Defelected pinna 
Tympanic membrane changes 
Sagging of posterosuperior meatal wall 
Otorrhea 
Retroauricular swelling 
Subperiosteal and Bezold's abscess 
General manif

Question 3

Diagnosis of petrositis

Answer 3

Gradenigo’s syndrome

Imagining

Question 4

What’s Gradenigo’s syndrome ?

Answer 4

Otitis media (otorrhea) 
Retro-orbital pain 
Squint = Strabismus (VI cranial nerve palsy)

Question 5

Facial paralysis in acute otitis media is mostly due to ? (Characteristics, treatment)

Answer 5

Pressure on a dehiscent nerve by inflammatory products
Usually Partial and sudden onset
Treatment: Antibiotics and myringotomy or surgical drainage

Question 6

Facial paralysis in Chronic otitis media ? (cause, onset, treatment)

Answer 6

Due to pressure by cholesteatoma or granulation tissue
Insidious in onset
May be partial or complete
Treatment is by immediate surgical exploration