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ENT MCQ Bank Forum Hot - Unanswered
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dionneSend an Instant Message to dionne  




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Quick Scroll 2-ENT questions 01.22.06 (2 years ago) #1
q.1 TOC for traumatic perforation of tympanic membrane-
1.ear drops
2.oral antibiotics
3.ear packs
4.steroides

q,.2-a 10 yrs old child wth recurrent epistaxix & uy/l nasal mass, diagnosis is-

1.angiofibroma
2.nasal polyp
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Quick Scroll traumatic TM perforation 01.22.06 (2 years ago) #2
dionne wrote:
q.1 TOC for traumatic perforation of tympanic membrane-
1ear drops
2.oral antibiotics
3ear packs
4.steroides



traumatic perforation is irregular and a/w ossicular discontinuity

Small perforations - heal in 6- 8wks

Rx - same as that of ASOM - Antibiotics ear drops . If therez purulent discharge - go for systemic antibiotics.In case of head injury ear drops are not advised.Also avoid ear drops containing alcohol or acid

If it doesnt heal with the above treatment - myringoplasty or tympanoplasty
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Quick Scroll 01.23.06 (2 years ago) #3
angiofibroma as typical presentation is recurrent epistaxis with a mass and nasal polyps are not common in children under 10yrs unless assc with cystic fibrosis
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Quick Scroll 01.23.06 (2 years ago) #4
tamponic perforation most common cause is Infection

treatmeat of choice : oral antibiotic
topical antibiotics contraindicated

2: angiofibroma
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Quick Scroll 01.23.06 (2 years ago) #5
tamponic perforation most common cause is Infection

treatmeat of choice : oral antibiotic
topical antibiotics contraindicated

2: angiofibroma
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Quick Scroll 01.23.06 (2 years ago) #6
i agree with vanshu as oral antibiotics are contraindicated in traumatic perforation...
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Quick Scroll 01.23.06 (2 years ago) #7
i meant that topical antibiotics are contraindiacted in traumatic peroration...
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Quick Scroll 01.23.06 (2 years ago) #8
thanx evrybody
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Quick Scroll reply 02.12.06 (2 years ago) #9
anti biotic drops & angiofibroma is the answer
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Quick Scroll 02.12.06 (2 years ago) #10
ya thanks for that details mist........
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