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Transcript 
ABSOLUTE CONTRAINDICATION OF A/T
Leukemia
Purpura
Aplastic
anemia
Hemophilia
Uncontrolled systemic
disease
(Diabetes, Seizure, Heart
disease)
CO2 LASER A/T
G.A
by Endotracheal tube (stainless
steel)
Co2 Laser 15 W.
Surgical Microscope with Lens (300)
Mirror & Adenoid
Cover Head & Neck of patient
LASER ADVANTAGE
Less
pain after surgery
Quick
healing
Less
bleeding(1-2 CC)
Less
duration of surgery
Lingual
tonsil (choice)
OROPHARYNGEAL DISEASE
Simple Acute Pharyngitis
Rhinoviruses (more
common)
Fever
Oropharyngeal mucosa
Posterior pharyngeal
wall
HRONIC
PHARYNGITIS & GRANULAR PHARYNGITIS

Pollution

Passive and active smoker

Mouth breathing
(humidifying , tempering & cleansing function)
Posterior pharyngeal lymph node hypertrophies
(granular hypertrophy)
SIGN & SYMPTOMS

Dryness(most common)

Pharyngeal Irritation

Patients wants clean her/his pharynx frequently

Brightness of P.P.W.

Unknown etiology  Difficult treatment
(Smoking , Nasal obstruction&……)
ACUTE FOLLICULAR TONSILLITIS & ADENOIDITIS
Etiology
(Streptococcus beta hemolytic,Staphylococcus Pneumoco &…)
Age
Adult
Sore Throat & Odynophagia
Sudden attack
Headache and arthralgia
Adenoid Inflammation & otalgia
Pseudomembanous on tonsils
Cervical adenopathy
COMPLICATION
 Peritonsiller
abscess
 Deep neck infection
 Septicemia
 Otalgia & acute otitis
 Acute Nephritis
 Rheumatismal complication (occasionally)
Treatment : Bed rest- anti analgesic &….
systemic antibiotic such as Penicillin or
Erythromycin for ten days
PLUMMER-VINSON SYNDROME
 Anemia
Dysphagia Glossite Achloridria
 Unknown
Origin
 More
common in female
 Some
time Spleen neoplasm
 Hypochrome

Anemia
Esophagus ( Hyperkeratosis, Web, band )
 Most
important sign is Dysphagia (On & Off)
CANDIDIASIS
 Today
is common disease (antibiotic &
uncontrolled diabetes)
 Light
form ( in children)
 Uncontrolled
Larynx

(Sever form)
&Esophagus
Topical Nystatin (drug of choice)
trachea
BLACK HAIRY TONGUE
INFECTIOUS MONO
Self
limited disease
Lymphadenopathy
Related to Epstein Barr
Virus
‫منبع ‪:‬مرکز تحقیقات گوش‪ ،‬گلو‪،‬بینی‪ ،‬جراحی‬
‫سروگردن دانشگاه علوم پزشکی مشهد‬
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