EENT Disorders

Question 1

Dental Abscesses and Trauma

Answer 1

Dental abscess is an infectious emergency and should be managed as soon as possible.

Question 2

Mastoiditis

Answer 2

Presents as tender mass behind the ear pinna.

• Inpatient management includes blood culture and IV antibiotics.
• Outpatient management includes continued oral antibiotics.

Question 3

Peritonsillar Abscess

Answer 3

Tonsillar infection which spreads to surrounding tissues causing necrosis and abscess formation.

Tx: Initiation of antibiotics with ENT consultation is warranted. Surgical excision and drainage can be needed.

Question 4

Retropharyngeal Abscess

Answer 4

Infection of retropharyngeal nodes with formation of abscess.

Tx: Surgical emergency for incision and drainage. Treat with broad spectrum antibiotics.

Question 5

Orbital and Preseptal Cellulitis

Answer 5

Acute inflammatory process caused by infectious origin.

S/S: Presenting with marked erythema and edema of the eyelid and surrounding skin.

Tx: Hospitalization, imaging, and treatment with antibiotics is warranted in most cases of orbital cellulitis. Mild cases of preseptal cellulitis can be managed outpatient.

Question 6

Obstructive Sleep Apnea

Answer 6

Recognition of problem, diagnosis with sleep study, need for cardiac evaluation.
- Use of CPAP or BiPAP prior to Tonsillectomy and Adenoidectomy.