ENT- paediatric rhinology Flashcards
what surgery comprises rhinology
Nose & Paranasal Surgery
Anterior Skull Base Surgery
Facial Plastic Surgery
(Cleft Lip & Palate Surgery)
(Cranio-Facial Surgery)
what are some common rhinology symptoms
Nasal obstruction +/- snoring
Nasal discharge
Epistaxis
less easily established
- sense of smell
- sinus discomfort
what examinations should be carried out
Nasal speculum
Auriscope (Otoscope)
Spatula test
Nasal endoscopy
- difficult
- may need E.U.A
what investigations can be carried out
Allergy tests
- R.A.S.T.
- Skin prick testing
Plain X-ray
- Adenoid hypertrophy
CT scanning
- Choanal atresia
what must be considered as a cause in a child with epistaxis
digital trauma
coagulopathy/haematological abnormality
what is the management of epistaxis
appropriate first aid
antibiotic ointments
cautery
nasal packing
what can cause nasal obstruction
rhinitis
adenoidal hypertrophy
foreign body
- unilateral discharge
what is the management of nasal obstruction
medical
- decongestants
- steroids
- nasal hygiene - saline douching
surgery
- diathermy/reduce turbinates
- adenoidectomy
- correct choanal atresia
what does periorbital cellulitis result from
complicated ethmoid sinusitis
swollen eye -potentially sight threatening
risk of intracranial sepsis
when might you see nasal polyposis in children
result of chronic rhinosinusitis
CF
angiofibroma
