Procedures E N T 1 ear examination

Been on vacation last few weeks of 2015 first post in 2016 happy new year

Ear Examination

Objective

To visualize the external auditory canal and the tympanic membrane conditions:

•   Foreign body

•   Wax

•   Furuncle

•   Supportive otitis media

•   Perforation.

Positionwww.surginstruatlas.blogspot.com

Sitting up:

•   Examination with Head mirror.

Supine:

•   Examination with self-illuminating otoscope. No anesthesia required.

Procedure

1.  Pull the auricle upward, backward and laterally.

2.  Introduce aural speculum into the outer part of the auditory canal.

3.  Care should be taken not to introduce the speculum into the bony meatus, as it is very sensitive.

Instruments

•   Head light 

•   Aural speculum 

•   Electrical Otoscope

•   Jobson’s aural probe 

•   Tuning fork 

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Extraction Wisdom tooth 5

Removal of Impacted Wisdom Tooth

Objective

The removal of the third molar tooth, the eruption of which is partially or completely prevented by its contact against the second molar tooth (Fig. 15.17).

Position

Supine, with some reverse Trendelenburg.

Anesthesia

Local or general.

Procedure

1.  Incise gum overlying the tooth.

2.  Cortex of the bone also removed.

3.  Tooth loosened with drill or gouge.

4.  Tooth removed with forceps.

5.  Incision closed with chromic catgut.

Instruments

Dental tray.

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DENTAL OPERATION 4 wisdm tooth percoronitis

Pericoronitis

Objective

To remove pus and infected gum and pus near infected wisdom tooth (Box 15.1).

Box 15.1: Wisdom tooth

A wisdom tooth, usually a lower one, starts to emerge (erupt).

There may not be enough room in the mouth for it to break completely through the gums.

The tooth will push upward on the gums and may only partially expose itself. Some portion of the tooth may remain covered by a flap of gum tissue.

Food particles and bacteria may lodge under the flap, causing a low-grade infection and subsequent swelling.

Position

Supine.

Anesthesia

2% Lidocaine.

Procedure

1.  Identify the pocket remove overlaying flap clean the area thoroughly to remove damaged tissue or pus.

2.  If the area is infected, give oral antibiotics as well. Keep the area clean, which is the best way to prevent recurrences with mouth wash several times a day.

3.  If the condition recurs, remove the unerupted tooth.

Instruments

•   Mouth mirror

•   Explorer

•   2% Lidocaine

•   Syringe for irrigation

•   Saline and hydrogen peroxide

•   Surgical blade.

Any questions be sent to drmmkapur@gmail.com

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site,please write to address above.

To create consumer/provider engagement visit www.surginstruatlas.blogspot.com

www.drmmkapur.blogspot.com            www.surgseminar.blogspot.com