ent cases
Post-Laryngectomy Atrophy of the Inferior Turbinate
Following a laryngectomy, there is no longer any flow of air through the nasal cavity, and the mucosa atrophies and develops a pale purple discolouration. Note the characteristic shrunken appearance of...
Vasomotor Rhinitis
Vasomotor rhinitis is a common cause of watery rhinorrhea which is currently believed to be caused by an imbalance in the autonomic nerve supply to the nasal mucous membranes. Vasomotor rhinitis is characterized...
Rhinitis Medicamentosa
The chronic use of topical nasal decongestants produces a state of chronic rhinitis, which is known as "Rhinitis Medicamentosa". Topical vasoconstrictors cause such severe constriction of the...
Chronic Bacterial Rhinitis
The thick yellow crust covering the floor of this right nasal cavity overlies an area of local bacterial rhinitis caused by Pseudomonas aeruginosa.. Note the inferior meatal antrostomy.
Chronic Bacterial Rhinitis
The mucosa of the nasal cavity may become chronically infected and colonized by bacteria. Note the yellow dry patches of exudate. A swab taken for culture and sensitivity is often of value.
Acute Viral Rhinitis Second Stage
If a bacterial superinfection develops, the mucus increases in amount and becomes coloured. As the acute phase resolves, mucosa gradually returns to normal, although for a time there is still an overproduction...
Acute Viral Rhinitis [URI]
During the prodromal phase of an acute upper respiratory infection [URI] the mucous membranes lining the nasal cavity are reddened, the nose is often abnormally patent and the mucus is frequently scanned...
Purulent Postnasal Discharge
This patient had been complaining about a continuous postnasal discharge. On examination a thick greenish mucopurulent discharge can be seen on the posterior pharyngeal wall descending from the nasopharynx....
Oroantral Fistula [sinuscopic view]
Following tooth extraction and oroantral fistula has developed that did not close spontaneously. The patient visited the doctor several weeks later when an Aspergillus mycosis of the sinus had developed....
Cauliflower Ear
Severe or repeated trauma to the auricle may produce areas of subperichondrial separation, shearing, and localized hemorrhage, which result in devitalization of the underlying cartilage. This devitalization...
Maxillary Sinus Cyst [CT scan]
The round "moon like" structure seen in the center of this left maxillary sinus was a simple benign cyst which was filled with a clear golden yellow watery fluid.
Oroantral Fistula
This oroantral fistula seen from below was the cause of chronic suppurative maxillary sinusitis.
Maxillary Sinus Cyst [sinuscopic examination]
A large cyst can be seen arising from the roof of the maxillary sinus. The cyst was sitting on a dehiscent infraorbital nerve and causing mid facial pain.
Kartagener's Syndrome
Maxillary sinoscopy on the left. Despite a wide and unobstructed natural maxillary sinus ostium, thick glassy mucus cannot leave the ostium due to ciliary insufficiency. This patient had Kartagener's...
The Infraorbital Nerve Seen on the Roof of the...
This is a view into the right maxillary sinus through a large ostium in the middle meatus following previous ethmoid surgery. The course of the infraorbital nerve over the roof of the maxillary sinus...
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