Miscellaneous ear, nose, and throat disorders

Last updated: July 8, 2022

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Drainage or aspiration of auricular hematomas is always indicated.

References:[1][2]

Cerumen impaction should always be considered in individuals presenting with hearing loss.

References:[3]

In individuals with ear foreign bodies, the other ear canal and both nostrils should also be inspected, as it is common for multiple foreign bodies to be present.

References:[5][6]

References:[7][8]

Overview of nasal septal ulceration and perforation
Nasal septal ulceration [9] Nasal septal perforation [10][11]
Definition
  • Perforation through all of the layers of the nasal septum (including cartilage), resulting in a communication between the nasal cavities
Etiology
Clinical features
Diagnostics
Treatment
  • General measures: routine saline lavage, application of nasal emollients
  • Etiology-directed treatment (e.g., penicillin in patients with syphilis)
  • General measures: routine saline lavage, application of nasal emollients
  • Etiology-directed treatment (e.g., penicillin in patients with syphilis)
  • Surgical repair
  • Patients who are not suitable for surgery (e.g., inoperable perforation, high risk): nasal septal prosthesis

References:[15][16]

Although severe weight loss may cause patulous eustachian tube, weight gain is generally not effective at reversing the condition and, therefore, is not recommended.

References:[18][19]

References:[20][21][22]

Children with congenital external auditory canal atresia may have other congenital anomalies; therefore, a thorough assessment is required.

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