The mycotic otitis externa is an infection of the external ear canal from fungus that causes symptoms nuanced and often underestimated by the patient. May cause mild pain (ear pain), itching, hearing loss (hearing loss), sometimes tinnitus. Continue reading
Granulomas are typically the vocal cord lesions located on the posterior third of the vocal cords, at the vocal process.
Inverted papilloma or schneideriano is a generally benign neoformation polypoid sinus ethmoidal cells or from which originates the maxillary sinuses and commonly cause symptoms when it cantilevers out in nasal cavity.
Despite the benign histological nature, inverted papillomas are able to infiltrate the adjacent structures, deforming and eroding bone structures.
For sudden hypoacusis means a decrease of hearing greater than 30 DB to tonal audiometric test covering at least 3 contiguous frequencies and occur in less than 3 days.
Patients experience a decrease in hearing or deafness that appears suddenly, upon waking or at any moment, almost always on one side and often associated with wheezing (Tinnitus), feeling of weight headset, noise distortion. Continue reading
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.
I 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
Endoscopic images obtained through rigid optic 0° a picture of acute sinusitis left jaw. the second picture shows a clear improvement of the picture intent just a week of treatment antibiotic and steroid.
1: Head of middle turbinate
2: the medial wall of the maxillary sinus left mediated environment from infection process
3: purulent secretions
4: Middle meatus
Movie showing the head shaking test positive, triggering important swing-right nystagmus
The term congenital nystagmus is an incessant movement of the eyes, commuter trend that is present from birth or the first weeks of life.
Unlike the nystagmus, pathologic found in vertiginous syndromes, are not recognizable quick phase and the slow phase of nystagmus.
The brain of affected subjects learn to exclude image determined by eye movement and get a stable image ’.
Dizzy and the Unsteadiness ’ are a very frequent problem, can affect both young and old, both healthy people who with Comorbidities and can be extremely disabling.
Our balance depends on a great number of factors, in fact, our brain processes much information coming from 2 organs of ’ balance (placed in the ’ inner ear), from view, from our touch and our joints. Integrating this information we are able to perceive our position in space. When one of the mechanisms at play or the brain's ability to integrate information are compromised here is that you can check the ’ instability and dizziness.
The shapes that depend on ’ organ of ’ balance ’ are framed and followed by Otolaryngologist, While those who depend on our brains are followed by neurologist. Only rarely do the shapes are quite separate so the patient often giddy is evaluated for the first time by ’ Otolaryngologist also for neurological forms.
L ’ Otolaryngologist has thereby the responsibility first of all to identify the shapes which can pose a real risk to the life of the patient (some forms of stroke may present with Vertigo) and then differentiate into shapes of Central and peripheral set a correct diagnosis. Continue reading
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