SlideShare a Scribd company logo
1 of 11
Download to read offline
DISEASES OF EXTERNAL
 NOSE AND VESTIBULE

     DEPT OF OTORHINOLARYNGOLOGY
                JJM M C
              DAVANAGERE
Diseases of external nose and
                     vestibule
Nasal deformities:
1.    Saddle nose: depressed nasal dorsum may involve bony, cartilagenous
      or both components of nasal dorsum.

     Etiology: a} nasal trauma causing depressed fractures(most common)
                 b} excessive removal of septum in SMR.
                 c} destruction of septal cartilage by haematoma or abscess, or
      syphilis, tuberculosis or leprosy.

     Treatment: augmentation rhinoplasty by filling the dorsum with cartilage
       ,bone or synthetic implant.
                 - if destruction is only cartilagenous cartilage is taken from nasal
       septum or auricle and laid in single or multiple layers.
                  -if involves both bone and cartilage cancellous bone from iliac
       crest is taken.
                   -autografts are preferred over allografts.
                   -synthetic implants used are silicone or teflon (likely to be
       extruded)
Diseases of external nose and
             vestibule
2. Hump nose-this may involve the bone
   or cartilage or both. corrected by reduction
   rhinoplasty
3. Crooked nose-midline of dorsum from
   frontonasal angle to tip is curved in a C or S
   shape.
    Deviated nose-midline is straight but deviated
   to one side.
   -usually these deformities are traumatic in
   origin (birth, neonatal or childhood) .With
   growth of nose these are identified.
   - corrected by rhinoplasty or septorhinoplasty.
Nasal deformities
Diseases of external nose and
                 vestibule
Meningoencephalocele or encephalocoele:
It is the herniation of brain tissue with meninges through
    a congenital bony defect.

 types: a} nasofrontal-subcutaneous pulsatile swelling in
  the midline at the root of nose.
         b} nasoethmoid - swelling at side of nose.
         c} naso-orbital-on the antero medial aspect of
  orbit.
  Swellings show cough impulse and may be reducible.
  Treatment: neurosurgical-severing the stalk from brain
  and repairing the bony defect.
Diseases of external nose and
               vestibule
Glioma:
  It is a nipped off portion of encephalocele
  during embryonic development.
   60%-extranasal-firm subcutaneous swelling
  on the bridge, side of nose or inner canthus.
   30%-intranasal,10%-both
 extranasal gliomas are encapsulated and can
  be easily removed by external nasal approach.
Diseases of external nose and
                 vestibule
Benign tumors:
 Rhinophyma (potato tumour)-it is a slow growing benign tumour
  due to hypertrophy of the sebaceous glands of the tip of nose.
   -seen in long standing cases of acne rosacea.
    -patient comes for unsightly appearance of tumour,
  obstruction in breathing and vision due to large of tumour.
     -presents as pink, lobulated mass over the nose with
  superficial vascular dilations.
      -mostly affect men past middle age.
     -treatment consists of paring the bulk of the tumour with
  sharp knife or CO2 laser and the area allowed to re-
  epithelialise. sometimes completely excised and skin grafting is
  done.
    -other benign tumours are Papilloma (warts), haemangioma,
  pimented naevus, seborrhoeic keratosis, neurofibroma.
Rhinophyma
Diseases of external nose and
                        vestibule (rodent ulcer):
Malignant tumours:Basal cell carcinoma
 -Most common malignant tumour of the skin of nose(87%).
 -affects males and females equally in the age group of 40-60.
 -common sites: tip and the ala.
 -may present as a cyst or papulo-pearly nodule or an ulcer with
   rolled edges.
  -very slow growing and remains confined to skin for a long time.
   underlying bone and cartilage may get invaded. nodal
   metastasis extremely rare.
   -treatment-depends on size,location and depth .early lesions
   can be cured with cryosurgery, irradiation or surgical excision
   with 3-5mm margin. Recurrent lesions, extensive or with
   involvement of bone or cartilage are excised and surgical defect
   closed by local or distant flaps or prosthesis.
-Other malignant tumors are-squamous cell carcinoma,
   melanoma.
Diseases of external nose and
                  vestibule
Furuncle (boil): -acute infection of hair follicle by staphylococcus
  aureus.
  -trauma from nose picking, plucking nasal vibrissae are
  predisposing factors.
  -lesion is small but extremely painful and tender. inflammation
  may spread to skin of nasal tip and dorsum which may become
  red and swollen. Fever, malaise and head ache may be
  present. furuncle may rupture spontaneously in vestibule.
 -special significance as it lies in the dangerous area of face
  which drains into inferior orbital veins and cavernous sinuses.
 -treatment-warm compress, analgesics, topical and systemic
  antibiotics. if fluctuation is seen incision and drainage is done.
  furuncle should not be squeezed or prematurely incised
  because of danger of cavernous sinus Thrombophlebitis.
 -complications- cellulitis of face and upper lip, septal abscess,
Diseases of external nose and
                 vestibule
Vestibulitis: it is a diffuse dermatitis of nasal vestibule.
-causative organism- staph aureus
-predisposing factors-nose picking, plucking of nasal
  vibrissae, nasal discharge due to any cause coupled
  with trauma due to handkerchief.
-acute form-vestibular skin is red, swollen and tender,
  crusts and scales cover an area of skin erosion or
  excoriation. upper lip may also be involved.
-chronic form- induration of vestibular skin with painful
  fissures and crusting.
 -treatment-removal of crusts with hydrogen peroxide
  and application of antibiotic steroid cream. chronic
  fissure can be cauterized with silver nitrate.

More Related Content

What's hot

Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm, 20.03.17
Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm,   20.03.17Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm,   20.03.17
Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm, 20.03.17ophthalmgmcri
 
Granulomatous diseases of nose
Granulomatous diseases of noseGranulomatous diseases of nose
Granulomatous diseases of noseRITURAJANMBBS
 
Granulomatous diseases in ENT
Granulomatous diseases in ENTGranulomatous diseases in ENT
Granulomatous diseases in ENTsarita pandey
 
Vasomotor rhinitis & nares
Vasomotor rhinitis & naresVasomotor rhinitis & nares
Vasomotor rhinitis & naresMalarvizhi R
 
Symposium Vocal Nodules And Polyp
Symposium Vocal Nodules And PolypSymposium Vocal Nodules And Polyp
Symposium Vocal Nodules And PolypRohit Sinha
 
Hiv manifestations in ent
Hiv manifestations in entHiv manifestations in ent
Hiv manifestations in entNayeem Baig
 
Acute & chronic inflammations of larynx clinical features treatment types oto...
Acute & chronic inflammations of larynx clinical features treatment types oto...Acute & chronic inflammations of larynx clinical features treatment types oto...
Acute & chronic inflammations of larynx clinical features treatment types oto...TONY SCARIA
 
Abscesses in relation to pharynx
Abscesses in relation to pharynxAbscesses in relation to pharynx
Abscesses in relation to pharynxVinay Bhat
 
Atrophic rhinitis.pptx
Atrophic rhinitis.pptxAtrophic rhinitis.pptx
Atrophic rhinitis.pptxSayan Banerjee
 
Granulomatous diseases of nose
Granulomatous diseases of noseGranulomatous diseases of nose
Granulomatous diseases of noseDr Krishna Koirala
 

What's hot (20)

Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm, 20.03.17
Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm,   20.03.17Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm,   20.03.17
Eustachian tube, anatomy, test and disorders, dr.vijaya sundarm, 20.03.17
 
Fungal sinusitis
Fungal sinusitis Fungal sinusitis
Fungal sinusitis
 
Granulomatous diseases of nose
Granulomatous diseases of noseGranulomatous diseases of nose
Granulomatous diseases of nose
 
Granulomatous diseases in ENT
Granulomatous diseases in ENTGranulomatous diseases in ENT
Granulomatous diseases in ENT
 
Vasomotor rhinitis & nares
Vasomotor rhinitis & naresVasomotor rhinitis & nares
Vasomotor rhinitis & nares
 
Common ENT emergencies
Common ENT emergenciesCommon ENT emergencies
Common ENT emergencies
 
Symposium Vocal Nodules And Polyp
Symposium Vocal Nodules And PolypSymposium Vocal Nodules And Polyp
Symposium Vocal Nodules And Polyp
 
Hiv manifestations in ent
Hiv manifestations in entHiv manifestations in ent
Hiv manifestations in ent
 
Tumours of pharynx
Tumours of pharynxTumours of pharynx
Tumours of pharynx
 
Rhinoscleroma
RhinoscleromaRhinoscleroma
Rhinoscleroma
 
Cholesteatoma
CholesteatomaCholesteatoma
Cholesteatoma
 
Laryngeal tuberculosis
Laryngeal tuberculosisLaryngeal tuberculosis
Laryngeal tuberculosis
 
Acute & chronic inflammations of larynx clinical features treatment types oto...
Acute & chronic inflammations of larynx clinical features treatment types oto...Acute & chronic inflammations of larynx clinical features treatment types oto...
Acute & chronic inflammations of larynx clinical features treatment types oto...
 
Atrophic Rhinitis
Atrophic RhinitisAtrophic Rhinitis
Atrophic Rhinitis
 
Abscesses in relation to pharynx
Abscesses in relation to pharynxAbscesses in relation to pharynx
Abscesses in relation to pharynx
 
Atrophic rhinitis
Atrophic rhinitisAtrophic rhinitis
Atrophic rhinitis
 
Atrophic rhinitis.pptx
Atrophic rhinitis.pptxAtrophic rhinitis.pptx
Atrophic rhinitis.pptx
 
Nasal polyps
Nasal polypsNasal polyps
Nasal polyps
 
Granulomatous diseases of nose
Granulomatous diseases of noseGranulomatous diseases of nose
Granulomatous diseases of nose
 
Rhinitis
RhinitisRhinitis
Rhinitis
 

Similar to Diseases of external nose and vestibule

DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAHDISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAHrehmath
 
Diseases of external nose
Diseases of external noseDiseases of external nose
Diseases of external noseUtkal Mishra
 
Disease of External Nose & Nasal Cavity
Disease of External  Nose & Nasal CavityDisease of External  Nose & Nasal Cavity
Disease of External Nose & Nasal CavityDr Harjitpal Singh
 
Disease of external nose deviated nasal septum, fb in nose 02.05.16, dr.bini...
Disease of external nose deviated nasal septum, fb in nose  02.05.16, dr.bini...Disease of external nose deviated nasal septum, fb in nose  02.05.16, dr.bini...
Disease of external nose deviated nasal septum, fb in nose 02.05.16, dr.bini...ophthalmgmcri
 
Dental Presentation E.N.T.
Dental Presentation E.N.T.Dental Presentation E.N.T.
Dental Presentation E.N.T.AbdulAziz Bakhsh
 
Neoplasms of nasal cavity and nasal polypi
Neoplasms of nasal cavity and nasal polypiNeoplasms of nasal cavity and nasal polypi
Neoplasms of nasal cavity and nasal polypiVinay Bhat
 
Neoplasms of nose and pns
Neoplasms of nose and pnsNeoplasms of nose and pns
Neoplasms of nose and pnsMd Roohia
 
Orbital Complications of Sinusitis
Orbital Complications of SinusitisOrbital Complications of Sinusitis
Orbital Complications of SinusitisSimrat Kaur
 
Complications of sinusitis
Complications of sinusitisComplications of sinusitis
Complications of sinusitisSivendu P
 
The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)
The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)
The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)Shekhar Krishna Debnath
 
invertedpapilloma-200629130120.pdf
invertedpapilloma-200629130120.pdfinvertedpapilloma-200629130120.pdf
invertedpapilloma-200629130120.pdfsaitsulimani
 
chronic otitis media part 2
chronic otitis media part 2 chronic otitis media part 2
chronic otitis media part 2 Balqees Majali
 
Nasal septum & its diseases
Nasal septum & its diseasesNasal septum & its diseases
Nasal septum & its diseasesNavas Shareef
 
Mbbs final part 1 2019 paper discussion
Mbbs final part  1 2019 paper discussionMbbs final part  1 2019 paper discussion
Mbbs final part 1 2019 paper discussionSantoshSir2
 
Neoplasms of nasal cavity
Neoplasms of nasal cavityNeoplasms of nasal cavity
Neoplasms of nasal cavityaaryaserin
 

Similar to Diseases of external nose and vestibule (20)

DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAHDISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
DISEASES OF EXTERNAL NOSE AND VESTIBULE BY DR.SYED REHMATHULLAH
 
Diseases of external nose
Diseases of external noseDiseases of external nose
Diseases of external nose
 
Disease of External Nose & Nasal Cavity
Disease of External  Nose & Nasal CavityDisease of External  Nose & Nasal Cavity
Disease of External Nose & Nasal Cavity
 
Disease of external nose deviated nasal septum, fb in nose 02.05.16, dr.bini...
Disease of external nose deviated nasal septum, fb in nose  02.05.16, dr.bini...Disease of external nose deviated nasal septum, fb in nose  02.05.16, dr.bini...
Disease of external nose deviated nasal septum, fb in nose 02.05.16, dr.bini...
 
Dental Presentation E.N.T.
Dental Presentation E.N.T.Dental Presentation E.N.T.
Dental Presentation E.N.T.
 
Neoplasms of nasal cavity and nasal polypi
Neoplasms of nasal cavity and nasal polypiNeoplasms of nasal cavity and nasal polypi
Neoplasms of nasal cavity and nasal polypi
 
Neoplasms of nose and pns
Neoplasms of nose and pnsNeoplasms of nose and pns
Neoplasms of nose and pns
 
Orbital Complications of Sinusitis
Orbital Complications of SinusitisOrbital Complications of Sinusitis
Orbital Complications of Sinusitis
 
Complications of sinusitis
Complications of sinusitisComplications of sinusitis
Complications of sinusitis
 
The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)
The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)
The frontal sinus(osteoma, inverted papilloma, fibrous dysplasia)
 
Inverted papilloma
Inverted papillomaInverted papilloma
Inverted papilloma
 
invertedpapilloma-200629130120.pdf
invertedpapilloma-200629130120.pdfinvertedpapilloma-200629130120.pdf
invertedpapilloma-200629130120.pdf
 
chronic otitis media part 2
chronic otitis media part 2 chronic otitis media part 2
chronic otitis media part 2
 
Nasal septum & its diseases
Nasal septum & its diseasesNasal septum & its diseases
Nasal septum & its diseases
 
Mbbs final part 1 2019 paper discussion
Mbbs final part  1 2019 paper discussionMbbs final part  1 2019 paper discussion
Mbbs final part 1 2019 paper discussion
 
7) complications of active com
7) complications of active com7) complications of active com
7) complications of active com
 
Neoplasms of nasal cavity
Neoplasms of nasal cavityNeoplasms of nasal cavity
Neoplasms of nasal cavity
 
nasal septum.pptx
nasal septum.pptxnasal septum.pptx
nasal septum.pptx
 
Paranasal sinuses
Paranasal sinuses Paranasal sinuses
Paranasal sinuses
 
The septum
The septumThe septum
The septum
 

More from Vinay Bhat

Tumours of oropharynx
Tumours of oropharynxTumours of oropharynx
Tumours of oropharynxVinay Bhat
 
Tumours of hypopharynx
Tumours of hypopharynxTumours of hypopharynx
Tumours of hypopharynxVinay Bhat
 
Nasopharynx and its diseases
Nasopharynx and its diseasesNasopharynx and its diseases
Nasopharynx and its diseasesVinay Bhat
 
Miscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavityMiscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavityVinay Bhat
 
Laryngotracheal trauma
Laryngotracheal traumaLaryngotracheal trauma
Laryngotracheal traumaVinay Bhat
 
Laryngeal paralysis
Laryngeal paralysisLaryngeal paralysis
Laryngeal paralysisVinay Bhat
 
Inner ear anatomy
Inner ear anatomyInner ear anatomy
Inner ear anatomyVinay Bhat
 
Granulomatous conditions of larynx
Granulomatous conditions of larynxGranulomatous conditions of larynx
Granulomatous conditions of larynxVinay Bhat
 
Granulamatous diseases of nose
Granulamatous diseases of noseGranulamatous diseases of nose
Granulamatous diseases of noseVinay Bhat
 
Congenital lesions of larynx
Congenital lesions of larynxCongenital lesions of larynx
Congenital lesions of larynxVinay Bhat
 
Complications of rhinosonusitis
Complications of rhinosonusitisComplications of rhinosonusitis
Complications of rhinosonusitisVinay Bhat
 
Benign tumours of larynx
Benign tumours of larynxBenign tumours of larynx
Benign tumours of larynxVinay Bhat
 
Anatomy of pharynx
Anatomy of pharynxAnatomy of pharynx
Anatomy of pharynxVinay Bhat
 
Anatomy of larynx and trachea final
Anatomy of larynx and trachea finalAnatomy of larynx and trachea final
Anatomy of larynx and trachea finalVinay Bhat
 
Acute and chronic inflammations of larynx
Acute and chronic inflammations of larynxAcute and chronic inflammations of larynx
Acute and chronic inflammations of larynxVinay Bhat
 
Anatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinusesAnatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinusesVinay Bhat
 
Management of epistaxis
Management of epistaxisManagement of epistaxis
Management of epistaxisVinay Bhat
 

More from Vinay Bhat (20)

Tumours of oropharynx
Tumours of oropharynxTumours of oropharynx
Tumours of oropharynx
 
Tumours of hypopharynx
Tumours of hypopharynxTumours of hypopharynx
Tumours of hypopharynx
 
Tonsillitis
TonsillitisTonsillitis
Tonsillitis
 
Pharyngitis
PharyngitisPharyngitis
Pharyngitis
 
Nasopharynx and its diseases
Nasopharynx and its diseasesNasopharynx and its diseases
Nasopharynx and its diseases
 
Miscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavityMiscellaneous disorders of nasal cavity
Miscellaneous disorders of nasal cavity
 
Laryngotracheal trauma
Laryngotracheal traumaLaryngotracheal trauma
Laryngotracheal trauma
 
Laryngeal paralysis
Laryngeal paralysisLaryngeal paralysis
Laryngeal paralysis
 
Inner ear anatomy
Inner ear anatomyInner ear anatomy
Inner ear anatomy
 
Granulomatous conditions of larynx
Granulomatous conditions of larynxGranulomatous conditions of larynx
Granulomatous conditions of larynx
 
Granulamatous diseases of nose
Granulamatous diseases of noseGranulamatous diseases of nose
Granulamatous diseases of nose
 
Epistaxis
EpistaxisEpistaxis
Epistaxis
 
Congenital lesions of larynx
Congenital lesions of larynxCongenital lesions of larynx
Congenital lesions of larynx
 
Complications of rhinosonusitis
Complications of rhinosonusitisComplications of rhinosonusitis
Complications of rhinosonusitis
 
Benign tumours of larynx
Benign tumours of larynxBenign tumours of larynx
Benign tumours of larynx
 
Anatomy of pharynx
Anatomy of pharynxAnatomy of pharynx
Anatomy of pharynx
 
Anatomy of larynx and trachea final
Anatomy of larynx and trachea finalAnatomy of larynx and trachea final
Anatomy of larynx and trachea final
 
Acute and chronic inflammations of larynx
Acute and chronic inflammations of larynxAcute and chronic inflammations of larynx
Acute and chronic inflammations of larynx
 
Anatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinusesAnatomy of nose and paranasal sinuses
Anatomy of nose and paranasal sinuses
 
Management of epistaxis
Management of epistaxisManagement of epistaxis
Management of epistaxis
 

Recently uploaded

Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Vaikunthan Rajaratnam
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologyDeepakDaniel9
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfHongBiThi1
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsMedicoseAcademics
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfMedicoseAcademics
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024EwoutSteyerberg1
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .Mohamed Rizk Khodair
 

Recently uploaded (20)

Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.Generative AI in Health Care a scoping review and a persoanl experience.
Generative AI in Health Care a scoping review and a persoanl experience.
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
pA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacologypA2 value, Schild plot and pD2 values- applications in pharmacology
pA2 value, Schild plot and pD2 values- applications in pharmacology
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
Immune labs basics part 1 acute phase reactants ESR, CRP Ahmed Yehia Ismaeel,...
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdfSGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
SGK LEUKEMIA KINH DÒNG BẠCH CÂU HẠT HAY.pdf
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
AUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functionsAUTONOMIC NERVOUS SYSTEM organization and functions
AUTONOMIC NERVOUS SYSTEM organization and functions
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
Red Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdfRed Blood Cells_anemia & polycythemia.pdf
Red Blood Cells_anemia & polycythemia.pdf
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024Trustworthiness of AI based predictions Aachen 2024
Trustworthiness of AI based predictions Aachen 2024
 
Neurological history taking (2024) .
Neurological  history  taking  (2024)  .Neurological  history  taking  (2024)  .
Neurological history taking (2024) .
 

Diseases of external nose and vestibule

  • 1. DISEASES OF EXTERNAL NOSE AND VESTIBULE DEPT OF OTORHINOLARYNGOLOGY JJM M C DAVANAGERE
  • 2. Diseases of external nose and vestibule Nasal deformities: 1. Saddle nose: depressed nasal dorsum may involve bony, cartilagenous or both components of nasal dorsum. Etiology: a} nasal trauma causing depressed fractures(most common) b} excessive removal of septum in SMR. c} destruction of septal cartilage by haematoma or abscess, or syphilis, tuberculosis or leprosy. Treatment: augmentation rhinoplasty by filling the dorsum with cartilage ,bone or synthetic implant. - if destruction is only cartilagenous cartilage is taken from nasal septum or auricle and laid in single or multiple layers. -if involves both bone and cartilage cancellous bone from iliac crest is taken. -autografts are preferred over allografts. -synthetic implants used are silicone or teflon (likely to be extruded)
  • 3. Diseases of external nose and vestibule 2. Hump nose-this may involve the bone or cartilage or both. corrected by reduction rhinoplasty 3. Crooked nose-midline of dorsum from frontonasal angle to tip is curved in a C or S shape. Deviated nose-midline is straight but deviated to one side. -usually these deformities are traumatic in origin (birth, neonatal or childhood) .With growth of nose these are identified. - corrected by rhinoplasty or septorhinoplasty.
  • 5. Diseases of external nose and vestibule Meningoencephalocele or encephalocoele: It is the herniation of brain tissue with meninges through a congenital bony defect. types: a} nasofrontal-subcutaneous pulsatile swelling in the midline at the root of nose. b} nasoethmoid - swelling at side of nose. c} naso-orbital-on the antero medial aspect of orbit. Swellings show cough impulse and may be reducible. Treatment: neurosurgical-severing the stalk from brain and repairing the bony defect.
  • 6. Diseases of external nose and vestibule Glioma: It is a nipped off portion of encephalocele during embryonic development. 60%-extranasal-firm subcutaneous swelling on the bridge, side of nose or inner canthus. 30%-intranasal,10%-both extranasal gliomas are encapsulated and can be easily removed by external nasal approach.
  • 7. Diseases of external nose and vestibule Benign tumors: Rhinophyma (potato tumour)-it is a slow growing benign tumour due to hypertrophy of the sebaceous glands of the tip of nose. -seen in long standing cases of acne rosacea. -patient comes for unsightly appearance of tumour, obstruction in breathing and vision due to large of tumour. -presents as pink, lobulated mass over the nose with superficial vascular dilations. -mostly affect men past middle age. -treatment consists of paring the bulk of the tumour with sharp knife or CO2 laser and the area allowed to re- epithelialise. sometimes completely excised and skin grafting is done. -other benign tumours are Papilloma (warts), haemangioma, pimented naevus, seborrhoeic keratosis, neurofibroma.
  • 9. Diseases of external nose and vestibule (rodent ulcer): Malignant tumours:Basal cell carcinoma -Most common malignant tumour of the skin of nose(87%). -affects males and females equally in the age group of 40-60. -common sites: tip and the ala. -may present as a cyst or papulo-pearly nodule or an ulcer with rolled edges. -very slow growing and remains confined to skin for a long time. underlying bone and cartilage may get invaded. nodal metastasis extremely rare. -treatment-depends on size,location and depth .early lesions can be cured with cryosurgery, irradiation or surgical excision with 3-5mm margin. Recurrent lesions, extensive or with involvement of bone or cartilage are excised and surgical defect closed by local or distant flaps or prosthesis. -Other malignant tumors are-squamous cell carcinoma, melanoma.
  • 10. Diseases of external nose and vestibule Furuncle (boil): -acute infection of hair follicle by staphylococcus aureus. -trauma from nose picking, plucking nasal vibrissae are predisposing factors. -lesion is small but extremely painful and tender. inflammation may spread to skin of nasal tip and dorsum which may become red and swollen. Fever, malaise and head ache may be present. furuncle may rupture spontaneously in vestibule. -special significance as it lies in the dangerous area of face which drains into inferior orbital veins and cavernous sinuses. -treatment-warm compress, analgesics, topical and systemic antibiotics. if fluctuation is seen incision and drainage is done. furuncle should not be squeezed or prematurely incised because of danger of cavernous sinus Thrombophlebitis. -complications- cellulitis of face and upper lip, septal abscess,
  • 11. Diseases of external nose and vestibule Vestibulitis: it is a diffuse dermatitis of nasal vestibule. -causative organism- staph aureus -predisposing factors-nose picking, plucking of nasal vibrissae, nasal discharge due to any cause coupled with trauma due to handkerchief. -acute form-vestibular skin is red, swollen and tender, crusts and scales cover an area of skin erosion or excoriation. upper lip may also be involved. -chronic form- induration of vestibular skin with painful fissures and crusting. -treatment-removal of crusts with hydrogen peroxide and application of antibiotic steroid cream. chronic fissure can be cauterized with silver nitrate.