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Laryngomalacia

Laryngomalacia in newborn 30 days

The laryngomalacia is a congenital disorder characterized by flaccidity of laryngeal cartilages and in particular of the epiglottis that tends to “curl up” and to replicate themselves inside during inspiration. This phenomenon causes an inspiratory stridor also very strong which tends to alarm the parents. Occasionally the laryngomalacia is able to clog the Airways causing a real shortness of breath.
Despite being a congenital stridor problem generally begins after 4-6 weeks, worst progressively up to 6-8 months and tend to resolve spontaneously after the 2 years.
Only rarely is necessary a surgical procedure.

Neck, hypopharynx, larynx, thyroid and salivary glands Pediatric ENT Pathologies | adminpilolli |

Laryngeal Papillomatosis

Left vocal cord Papillomatosis

The laryngeal Papillomatosis is a disease caused by viruses belonging to the family of Papovaviridae (HPV) mainly 6 and 11 which is characterized by the appearance of papillary lesions laryngeal mucosa morphology exophytic lesions, characterized by high rate of recurrence after treatment.
The main location of the disease is laryngeal level, the lesions are seen less frequently throughout the aero-digestive tract.
The disease is characterized by recurrent clinical course, time-varying, ranging from spontaneous resolutions up to multiple relapses over periods of wellness 20 years.
And’ a benign disease, However, associated with high morbidity for possible wide diffusion the Airways, for the recurrent and trend for malignant transformation even though infrequent. Continue reading →

Neck, hypopharynx, larynx, thyroid and salivary glands ENT Operations Pediatric ENT Pathologies | adminpilolli |

Forestier syndrome

Forestier's disease or idiopathic skeletal HYPEROSTOSIS (DISH) is a syndrome, with no known cause, characterized by the formation of osteophytes spinal cord with ossification of paravertebral muscles and ligaments.
Osteophyte and ossifications can remain asymptomatic for long, can limit spinal movement. Sometimes they collapse the pharynx and esophagus making it difficult transit of food bolus and cause dysphagia.
Radiological monitoring is recommended in the early stages of ossifications, in the case of important dysphagia can consider surgery.

Oral cavity and oropharynx Neck, hypopharynx, larynx, thyroid and salivary glands Pathologies ENT disorders of interest | adminpilolli |

Rinolito

Rinolito right nasal fossa

The rinolito is a concretion of calcium salts that can form in your nose. Typically represents a reaction of our body to a foreign body penetrated in the nose. Formed a hard formation, which can promote infections.
The rinolito can cause pain, bad smell (cacosmia), epistaxis, sinusitis.

TC in the same patient who documents the presence of rinolito
Nose, sinuses and nasopharynx Pathologies | adminpilolli |

Nasal Endoscopy

Nasal Endoscopy is a non-invasive outpatient procedure of exploration of the nasal cavity by means of a rigid endoscope or fiberscope. The procedure is generally well tolerated and causes a slight annoyance. Sometimes you may need to use local anesthetic and/or decongestant to reduce swelling of the mucous membranes and make more accessible the exploration of the nasal cavities. Continue reading →

ENT Exams Nose, sinuses and nasopharynx Pediatric ENT | adminpilolli |

Head impulse test

The head impulse test is a clinical examination is very useful in the evaluation of patients with dizziness or balance deficit.
And’ a noninvasive test very quickly but not always easy to evaluate.
It asks the patient to fix a point in the vicinity of the eyes of the operator (the tip of the nose or a shirt button) and they make the patient's head of short, but very quickly to the right or left unpredictably.
Under normal conditions the brain uses information from the sight and the organ of balance and manages to keep the fixed pupils on target.
If the organ of balance does not work correctly, Turning her head to the side sick, the pupil will fail to stay on target and will tend to go sideways; later the brain realizes the mistake and fixes his gaze with a quick movement of the pupil (saccade).

ENT Exams Ear and balance Pathologies | adminpilolli |

Cocaine damage to his nose and face

Fig 1 hard palate drilling from cocaine abuse

Cocaine is a drug with anesthetic and vasoconstrictor effect, hired mainly for nasal.
Cocaine reduces the vascularization of the mucous membranes that crosses causing a major pain (Fig 2). The mucous membranes of the nasal septum and, subsequently, of the entire nasal cavity and nasopharynx go necrosis. You have a repair attempt with abundant secretions and scabs. In most cases the continuous exposure to this drug leads to a complete destruction of structures. In other cases, scarring attempts lead to the formation of granulation tissue (Fig 3) that tends to clog and completely close the nasal passages making breathing impossible.

Continue reading →

Oral cavity and oropharynx Nose, sinuses and nasopharynx Pathologies | adminpilolli |

Abscess of the ear – otoematoma

Left auricle abscess after piercing placement (removed)

Trauma and foreign bodies can cause infections of the ear, If the pus can't escape outside can accumulate in the Hall, creating a swelling.
Sometimes an ear trauma can cause bleeding that accumulates in the Hall by creating a otoematoma, a swelling that look very similar to an abscess but in the absence of infectious processes.

Continue reading →

ENT Operations Ear and balance Pediatric ENT | adminpilolli |