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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