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Monishabasavaraj

Autoclave register

Health & Medicine

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mmmc ent 05

Nadzirah Saffian

Anticholinergics

Vinayak Regmi

OME is defined as presence of serous or mucoid fluid in the middle ear cleft without frank pus Synonyms are: Glue ear Serous otitis media Secretory otitis media Seromucinous otitis media Exudative otitis media Catarrhal otitis media Symptoms of OME: Decreased hearing in a young child that increases during U.R.T.I. Mild earache Blocking sensation in ear/ aural fullness Delayed & defective speech due to deafness Signs of OME: 1. Otoscopy : Dull /pinkish/blue eardrum with restricted mobility Retraction of T.M. in early stage Bulging of T.M. in later stages Fluid level and air bubbles seen behind the T.M. 2. Tuning Fork Tests Conductive deafness Medical Treatment: Antibiotic (Co - amoxyclav) for 2-4 weeks Nasal decongestants (systemic + topical) H1 anti-histamines Auto-inflation of the Eustachian tube by Valsalva maneuver Analgesic for acute earache Low dose topical steroids and steroid sprays Surgical Treatment: Myringotomy (Tympanocentesis) + grommet (Pressure Equalization / Ventilation tube) Insertion Radial incision made in antero-inferior quadrant For thick fluid, 2 incisions made in antero-inferior quadrant and antero-superior quadrant (Beer can principle) Cortical mastoidectomy for refractory cases with loculated fluid in mastoid Treatment for predisposing factors like adeno-tonsillectomy ,antral wash ,polypectomy

Otitis Media With Effusion

DrKrishnaKoiralaENT

Otitic barotrauma by Dr Manohar Suryawanshi ENT resident INHS Asvini, Mumbai

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MENIERE'S DISEASE

Suraj Dhara

Coblation in ent

Dr. Pruthvi Raj S

symptomatology of nasal diseases

Muhammad Ahmad

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mmmc ent 05

Anticholinergics

Otitis Media With Effusion

Otitic barotrauma by Dr Manohar Suryawanshi ENT resident INHS Asvini, Mumbai

MENIERE'S DISEASE

Coblation in ent

symptomatology of nasal diseases

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