Final Practical Revision.

‫مراجعة العملي‬ ‫د‪ .‬حسام رميح‬ ‫أستاذ الذن والنف والحنجرة‬

Contents  Instruments  Anatomical Illustrations  Radiographs  Audiological Investigations  Clinical Lesions

.Head mirror. Used in ENT examination

.Aural speculum. Used in examination of the ear

(. Siegle’s Speculum (Pneumatic Speculum

 Used in examination of the ear with magnification  Test drum mobility  Fistula test

. Short bladed nasal speculum Used in examination of the nose (Anterior (.Rhinoscopy

Straight Metallic Tongue Depressor Used in examination of the oral cavity and .oropharynx

Curved Metallic Tongue Depressor Used in examination of the oral cavity and .oropharynx

Wooden Tongue Depressor Used in examination of the oral cavity and .oropharynx

Laryngeal mirror Used in examination of the larynx (Indirect (laryngoscopy

Post-nasal mirror Used in examination of the posterior part of the nasal cavity and nasopharynx (Posterior (.Rhinoscopy

(Probe (Cotton Applicator .Used in cleaning the ear canal

Tuning fork .Used in tuning fork tests

Davis Boyle Mouth Gag Used in Tonsillectomy and adenoidectomy .operations

Tonsil Holding Forceps Used in Grasping the Tonsil in Tonsillectom Operation

Straight Tonsillar Artery Forceps Used in Clamping Bleeding Vessels in Tonsillectomy .operation

. Curved tonsillar artery forceps :Used in Tonsillectomy operation

 Clamping Lower of Pole of the Tonsil  Ligation of blood vessels

Tonsillar Scissors

.Used in Tonsillectomy operation

Combined Dissector and Retractor Used in Tonsillectomy operation:

 Dissecting tonsil from tonsillar bed  Lateral Retraction of the anterior pillar.

Long bladed nasal speculum Used in SMR and Turbinectomy

Local anesthesia syringe Used in Infiltration Anesthesia in Nasal .operations

Nasal dressing forceps Used in:

 Anterior Nasal Pack  SMR & Turbinectomy.

Nasal scissors .Used

in Septal Surgery and Turbinectomy

. Luc’s Forceps Used in:

 Septal Surgery  Turbinectomy  Biopsy

Scalpel Handle Used in all surgical operations e.g. SMR, .Tonsillectomy, Tracheostomy

Septal dissector .Used in SMR and Septoplasty operations

Chisel .Used in Septal Surgery & Caldwell Luc’s operations

Hammer Used in Septal Surgery and Caldwell-Luc .operations

. Swivel knife Used in Cartilage Resection in SMR

(Metallic Sucker (Suction Tip Used for Suction of Blood and Secretions in all Nasal Surgery

Walsham’s Forceps .Used in reduction of fracture nasal bones

Ash forceps .Used in Reduction of Fracture Nasal Septum

Anterior Nasal Pack .Used in management of anterior epistaxis

Posterior nasal pack. Used in

 Management of posterior epistaxis  Post-adenoidectomy bleeding  After resection of nasopharyngeal masses.

Myringotomy Knife Used in myringotomy operation

. Non-toothed forceps .Used in tracheostomy and neck operations (.To hold delicate structures(

Toothed forceps Used in tracheostomy and other neck operations. (To hold tough structures(.

Towel forceps Used to fix the towels in any surgical .operation

Tissue retractor .Used in tracheostomy and other neck operations

Tracheostomy Tube (Non-Metallic( Used in:

 URT obstruction  Lower Resp. Tract Obst.  Preoperative  Prolonged Ventilation

Microtia

Auricular Hematoma

Subtotal Central

Drum Perforation

Cholesteatoma

Right Facial Nerve Paralysis

Right Mastoid Abscess

Rt. Ear Drum – Grommet’s Tube

Pure Tone Audiogram Normal Hearing

Pure Tone Audiogram Conductive Hearing Loss

Pure Tone Audiogram Sensorineural Hearing Loss

Pure Tone Audiogram Mixed Hearing Loss

Tympanogram Type A “ Normal”

Tympanogram Type As “ Ossicular Fixation”

Tympanogram Type AD “Ossicular Discontinity”

Tympanometry Type B “ Fluid Behind the Drum”

Tympanogram Type C “ET Malfunction”

 Septal Hematoma  Septal Abscess

Caudal Dislocation of the Septum

Nasal Polyp

Caldwell-Luc Operation “Radical Antrum Operation”

Indirect Laryngoscopy

Flexible Laryngoscopy

Post-Tonsillectomy Position

Larnygeal Web

Diagrame of Laryngoscopic picture Laryngomalacia

Left Vocal Cord Nodule

Left Vocal Fold Polyp

Bil Intubation Granuloma

Singer’s Nodules

Left Vocal fold Mass Clinically Malignant

Lat. X-Ray Nasopharynx Enlarged Adenoids

Coronal CT Scan On The Nose & PNS Sinusitis

Axial CT Scan on The Nose Rt Choanal Atresia

Plain X-Ray Neck & Chest – Lat. & PA FB (Coin( in the Hypopharynx

Barrium Swallow Achalasia of the Cardia

Auditory Ossicles

Anatomical Illustration Recurrent Laryngeal Nerves