Trauma To The ENT

Question 1

Trauma to the ENT are (common or not uncommon?) in clinical practice

Common causes are from road traffic accidents, assaults, fall, sports

ENT injuries may contribute to Significant morbidity and mortality

Answer 1

Not uncommon

Question 2

TRAUMA TO THE EAR

•_________ is most commonly involved in ear trauma

Answer 2

External ear

Question 3

TRAUMA TO THE EAR- TM

Causes:

•__________ injuries
•use of _________
• ______trauma
• __________ injuries

Answer 3

•compression injuries
•use of cotton bud
• Barotrauma
• Thermal injuries

Question 4

TRAUMA TO THE EAR- TM AND
OSSICLES

Can cause:
•_________________
•__________ injury
•_______________ injury

Answer 4

ossicular discontinuity

facial nerve

chorda tympani

Question 5

TRAUMA TO THE TEMPORAL BONE

Could be ___________ or __________

Answer 5

Longitudinal

Transverse

Question 6

Longitudinal TRAUMA TO THE TEMPORAL BONE
•_______ % of temporal bone fractures
•_________ to the long axis of petrous pyramid
•facial nerve injury is (more or less?) common
•there is ________________________

Answer 6

70-90; Parallel ; less

Ossicular chain disruption.

Question 7

Transverse TRAUMA TO THE TEMPORAL BONE

•_______ % of temporal bone fractures
•_____________ to the petrous pyramid
•facial nerve injury is (more or less?) common
•_________ and ____________ structures are more involved.

Answer 7

10-30

Perpendicular

More

Cochlear and vestibular

Question 8

NASAL TRAUMA

•It is a common injury
• May be an isolated injury or co-exist with others.
• The mechanism of injury is important in approach of nasal trauma
• characterized by Nasal ________ , nasal __________ , nasal _________, _________

Answer 8

Nasal pain

nasal deviation

nasal obstruction

epistaxis

Question 9

NASAL TRAUMA- Septal Haematoma

• Shearing forces, separating the _________ from ____________
• Appears as _______,_________ swelling.
• Can lead to septal ________ with _________ and _____________ complications
• Septal perforation, Saddle nose
• Rx- ________ and __________

Answer 9

perichondrium; septal cartilage.

boggy, fluctuant

abscess

orbital and intracranial

Incision and Drainage

Question 10

NASAL TRAUMA-Nasal Fracture
• Account for nearly _____ of facial injury.
• Present with nasal _________, nasal _________, __________

RX
•_________ under anaesthesia
•_____________

Answer 10

half; deformity; obstruction

epistaxis

Reduction; Septoplasty

Question 11

MAXILLOFACIAL TRAUMA
•___________ Classification

Answer 11

Le Forte

Question 12

NECK TRAUMA
•could be _________ VS __________
•Laryngotracheal, Pharyngo-esophageal, Vascular, Neurologic

Answer 12

Blunt

Penetrating

Question 13

Neck trauma to the airway

• Airway
___________
_______ breathing
________ in breathing
Haemoptysis
Subcutaneous __________
_________ wound
Trachea _________

Answer 13

• Airway
Hoarseness
Noisy breathing
Difficulty in breathing
Haemoptysis
Subcutaneous emphysaema
Sucking wound
Trachea deviaton

Question 14

Neck trauma to the Esophageal

Symptoms
__________
_____________
Hem_________
Haem________
Fever
Tachycardia

Answer 14

Dysphagia
Odynophagia
Haematemesis
Haemoptysis
Fever
Tachycardia

Question 15

NECK TRAUMA
• Hard Signs
_________ haemorrhage
Large/expanding haematoma
________
________/________
________
Extensive ________ ________

Answer 15

On-going haemorrhage
Large/expanding haematoma
Stridor
Hemiparesis/Hemiplegia
Bruit
Extensive subcutaneous emphysaema