ENT other

Question 1

What is a pinna haematoma?

Answer 1

Trauma to the pinna causes blood to fill the space between the perichondrium and cartilage

Question 2

What is the management of a pinna haematoma?

Answer 2

• 1. Analgesia, antibiotics if indicated e.g. if >24hrs old
     Surgical:;
• Aspirate or drain
• Washout if refractory
• Cartilage grafting if ear permanently deformed

Question 3

Name the 3 pairs of salivary glands.

Answer 3

Parotid (serous)
Submandibular (mixed)
Sublingual (mucous)

Question 4

What is the is the most common pathology associated with salivary gland lumps?

Answer 4

80% parotid
80% of these are pleomorphic adenomas
Rarely malignant (short hx, painful, hot, hard, fixated, CN VII involvement)

Question 5

Who is most affected by pleomorphic adenomas of the salivary gland?

Answer 5

Middle aged, slow growing painless lumps

Question 6

What is the risk associated with superficial parotidectomy for pleomorphic adenomas?

Answer 6

CN VII damage

Question 7

What is the second most common tumour of the salivary glands?

Answer 7

Warthin’s tumour, benign, ‘adenolymphomas’ (10%)

Question 8

Who is most affected by Warthin’s tumour?

Answer 8

Males, middle aged

Question 9

What are the clinical features of a Warthin’s tumour?

Answer 9

Soft, fluctuant and more mobile (although difficult to differentiate from pleomorphic adenomas)

Question 10

What is the pain associated with an infected salivary gland stone called?

Answer 10

Ludwig’s angina

Question 11

What is the location of most salivary stones?

Answer 11

80% submandibular

Question 12

How are salivary stones diagnosed and what is their management?

Answer 12

Plain XR/sialography
Surgical removal

Question 13

What are the other causes of salivary gland enlargement?

Answer 13

Mumps or other acute viral
Acute bacteria e.g. 2nd to dehydration diabetes
Sicca syndrome and Sjogren’s (e.g, RA)