ENT for Dentist

Question 1

Hx of ear pain?

Answer 1

Ear pain, hearing loss, dizziness, tinnitus, discharge from ear

Question 2

Conditions affect external ear canal?

Answer 2

1. Otits externa - inflammatory and infective process of external auditory canal
2. Perichondritis - skin and soft tissue infection

Question 3

Conditions affecting middle ear?

Answer 3

1. Otitis media w/ effusion - glue ear
2. Acute otitis media - inflammation of middle ear
3. Chronic otitis media - persistant or intermittent discharge via non-intact tympani membrane
4. Ramsay hunt - ear pain and varicella-like cutaneous lesion

Question 4

Why is glue ear more common in children

Answer 4

Build up behind tympanic membrane - Eustachian tube horizontal - hard to equalise pressure
Tx: grommet +- adenoidectomy

Question 5

Cause epistaxis?

Answer 5

Bleeds from vessel on septum - in older people from arterial region known at Little’s area
Cause: idiopathic, trauma, coagulopathy, drug, neoplastic

Question 6

Difference between acute and chronic sinusitis?

Answer 6

1. Chronic - post-nasal drip of mucus and bad taste at back of mouth
2. Acute - yellow/ green nasal discharge (raised temp - follow bacterial/ viral infection)