Archive for ENT Tit-Bits

Thyroidectomy in Pregnant Women.

Thyroidectomy can be undertaken during second trimester of pregnancy in case of

  • Airway compromise
  • Aggressive cancer

Drugs not affecting skin prick tests for allergies.

  • ​Angiotensin-Converting Enzyme (ACE) Inhibitors
  • Topical nasal steroid sprays.
  • Serotonin Reuptake Inhibitors (SNRIs)
  • Proton Pump Inhibitors (PPIs)
  • Norepinephrine Reuptake Inhibitors (SNRIs)
  • Immunosuppressants.

Stop these drugs before skin prick tests.

  • ​First Generation Antihistamines
  • Second Generation Antihistamines
  • Antihistamine Nasal Sprays
  • Antihistamine Eye Drops
  • Tricyclic Antidepressants and Tranquilizers
  • Histamine2 Antihistamines (H2 Blocker)
  • Topical Corticosteroids

Skin Prick Test and Antihistamines

Stop antihistamine drugs five days before doing skin prick test for allergies.

Drugs for esophageal relaxation

Three drugs used for relaxation of esophageal musculature are :

  1. Nifedipine
  2. Nitroglycerin
  3. Botulinum toxin

Chronic Sinusitis: when to order CT Scan of Parnasal Sinuses ?

After maximum medical therapy has been delivered.

Best Radiological Investigation for Occult Primary

PET CT SCAN : before biopsy.

1 out of the 3 occult primaries might be detected.

Semicircular Canals & Nystagmus 

Nystagmus approximates the plane of semicircular canal stimulated.

Horizontal Canal : horizontal nystagmus 

Superior Canal: rotatory nystagmus 

Posterior Canal: vertical nystagmus 

Pemphigus v/s Pemphigoid

Pemphigoid : bullae are deep hence mostly intact when presenting.

Pemphigus: bullae are superficial hence mostly already ruptured when examined.

Nasopharyngeal Malignancies

NASOPHARYNGEAL LYMPHOMA

  • HIV

NASOPHARYNGEAL CARCINOMA

  • EPSTEIN-BARR VIRUS