ENT micro

Question 0

Complications of cholesteatoma (7)

Answer 0

Extracranial :VIIth nerve palsy, suppurative labarynthitis, perimastoid abscess
Intracranial: abscess, meningitis, sigmoid sinus thrombosis, hydrocephalus

Rx: SURGICAL
Central perf of TM safe, peripheral perf can lead to cholesteatoma

Question 1

Most common bacterial and viral pathogens - otitis media

Answer 1

Bacterial- S.pneumoniae, s.pyogenes, M.catarrhalis, H.inf

Virus: RSV & Rhino >influenza, parainfluenza, adeno

Question 2

What’s the difference between:

• Herpangina
• HSV gingivostomatitis
• Ludwig angina

Answer 2

HERPANGINA: viral infection (usually coxsackie) with vesicles/ ulcers in posterior parts of oral cavity.

HSV GINGIVOSTOMATITIS: vesicles/ ulcers more anterior in oral cavity, including lips. Does not usually need antivirals.

LUDWIG ANGINA: Bacterial infection causing swelling +++ of submandibular and sublingual spaces. Can cause airway compromise.