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Pediatric ENT

Acute Otomastoidite

Otomastoidite left
  • The otomastoidite is a rare infection of the mastoid, more frequent in children, born as a complication of an acute otitis media.
    Mastoid cells are communicating with the middle ear and the pus that forms in the middle ear in all cases of acute otitis media It flows into the mastoid cells.
    In some rare cases, the infection involves the periosteum and the bone causing a Osteitis, process underlying the acute mastoiditis proper.
    The mastoiditis is characterized by earache, ovattamento headset, fever, ear swelling sore that displace the auricle anteriorly and laterally.
    The pus can cut through bone and get underneath the skin behind the ear or flowing into the neck, in other cases much more severe pus can get inside the skull causing a brain abscess.
    The acute mastoiditis is a serious infection that needs often intravenous antibiotic therapy.
    In many cases the antibiotics fail to arrive at the infected bone and surgery is needed to remove diseased bone which mastoidectomy.
  • Ear swelling

    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.

    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

    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

    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.

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    Accidental ingestion of foreign bodies

    Fish bone penetrated into the lodge right tonsil

    Accidental ingestion of foreign objects is a frequent cause of evaluation at the emergency room. Foreign bodies can be foodborne (fish bones or bone) or toys (typical of children) or other materials (especially in psychiatric patients) and can penetrate mucous membranes aereodigestive tract and then have an evaluation by the Otolaryngologist. Continue reading

    vocal cord nodules

    Vocal cord nodules in girl 8 years, abducted vocal cords

    Vocal cord nodules are benign lesions that form for an incorrect use of voice or vocal abuse, both in adults and in children.
    Incorrect use of the item may cause chronic microtrauma of the vocal cords which react by creating a thickening to try and protect yourself. Such thickening (the nodules) don't allow a correct closure of the vocal cords during phonation and cause then an entry “dirty” (dysphonia).
    It triggers a vicious circle whereby the patient trying to get a better entry further dimension by getting a larynx aggravation endeavors of nodules.

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    Complications of acute otitis media ’

    notiziabambinomortootiteI don't usually do terrorism. My personal opinion is that the physician is required to know all the possible complications, including the most recondite and serious but must communicate to the patient more realistic ones only, updating if necessary the patient as the clinical situation evolves.
    Say to the family of a child 7 years with male all ’ ear from 1-2 days that could die is pure and simple terrorism. If after 7 GG important symptoms, in aggravation, do not make a therapy … then the risk life exists! Continue reading