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    28bidishanath
    This document contains descriptions and images of various ENT specimens: 1. An antrochoanal polyp specimen with three parts: a choanal, nasal, and antral part. 2. A post-operative tonsil specimen with crypts on one side and a capsule on the other. 3. Examples of foreign bodies, including coins, dentures, fish bones, and maggots found in various parts of the body. 4. A specimen showing a total laryngectomy with partial pharyngectomy, displaying the anterior and posterior views. 5. A total laryngectomy with partial pharyngectomy and neck dissection specimen containing a right supraglott

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    Ent Specimen

    Uploaded by

    28bidishanath
    93 views8 pages
    This document contains descriptions and images of various ENT specimens: 1. An antrochoanal polyp specimen with three parts: a choanal, nasal, and antral part. 2. A post-operative tonsil specimen with crypts on one side and a capsule on the other. 3. Examples of foreign bodies, including coins, dentures, fish bones, and maggots found in various parts of the body. 4. A specimen showing a total laryngectomy with partial pharyngectomy, displaying the anterior and posterior views. 5. A total laryngectomy with partial pharyngectomy and neck dissection specimen containing a right supraglott

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    ENT SPECIMEN

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    This document contains descriptions and images of various ENT specimens: 1. An antrochoanal polyp specimen with three parts: a choanal, nasal, and antral part. 2. A post-operative tonsil specimen with crypts on one side and a capsule on the other. 3. Examples of foreign bodies, including coins, dentures, fish bones, and maggots found in various parts of the body. 4. A specimen showing a total laryngectomy with partial pharyngectomy, displaying the anterior and posterior views. 5. A total laryngectomy with partial pharyngectomy and neck dissection specimen containing a right supraglott

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    93 views8 pages

    Ent Specimen

    Uploaded by

    28bidishanath
    This document contains descriptions and images of various ENT specimens: 1. An antrochoanal polyp specimen with three parts: a choanal, nasal, and antral part. 2. A post-operative tonsil specimen with crypts on one side and a capsule on the other. 3. Examples of foreign bodies, including coins, dentures, fish bones, and maggots found in various parts of the body. 4. A specimen showing a total laryngectomy with partial pharyngectomy, displaying the anterior and posterior views. 5. A total laryngectomy with partial pharyngectomy and neck dissection specimen containing a right supraglott

    Copyright:

    © All Rights Reserved
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    of 8

    ENT SPECIMEN

    1. Antrochoanal polyp

    Nasal

    Antral

    Choanal part

    Well preserved wet mounted soft tissue specimen which is pale in colour and has
    three in parts

    -Choanal part: globular in shape, biggest


    -Nasal part: Flat
    -Antral: stalk, solitary
    So it is a specimen of antrochoanal polyp

    Qsns-
    Why antrochoanal polyp is backward?
    Ans: 1. Direction of maxillary sinus is backward
    2. Sloping of nasal cavity is backward
    3. Nasociliary clearance is backward
    4. Inspiratory force is greater than expiratory

    Polyp def.

    Cause- infection (antrochoanal) ethmoidal- allergy


    2. Tonsil

    Tonsils

    Well preserved specimen which are two in number, almond shaped. One side has capsule and
    other side (medial side) has crypts
    So it is a post operative specimen of tonsils (chronic parenchymatous tonsil since big)

    3. Foreign Bodies

    Coins

    Specimen of coins
    Foreign body in oesophagus, tracheobronchial tree, trachea
    Removal: Esophagoscopy under GA
    Larynx: tracheostomy (if airway obstruction), laryngoscopy, bronchoscopy
    Denture (artificial teeth)

    Artificial teeth

    FB in food pipe, trachea (rarely)


    Radiolucent usually unless and until wire is present
    X-ray may not help in diagnosis
    History should be taken
    Diagnostic esophagoscopy under GA with foreign body forceps
    Lateral pharnygoesophagoctomy under GA if foreign body doesn’t come out by esophagoscopy
    Fish bone

    Fish bone

    Radiopaque FB in esophagus
    Diagnosis: history, x-ray
    Esophagoscopy and remove by foreign body forceps under GA

    Maggots
    Well preserved soft tissue specimen multiple in number, serrated body, light brown in colour
    and tapered in both ends seems to be specimen of maggots (larval stage)
    Cause- 1. Atrophic rhinitis
    2. Unsafe CSOM
    3. Neglected ill maintained tracheostomy wound
    4. Ulcerated and necrotizing neck in debilitating patient
    Foul smelling, tissue destruction, have tendency to go inside
    Symptoms: Irritation, pain

    Removal: Chloroform water- forceps, suction


    Chloroform water- paralysis of maggots
    Terpentine oil- Irritation of maggots

    Atrophic rhinitis (maggots’ complication)


    -destruction of bone
    -encephalitis
    -meningitis
    -aspiration in tracheobronchial tree
    -sinusitis

    Genus- chrysomyia

    Fish

    FB in esophagus
    Esophagoscopy under GA
    4. Total laryngectomy with partial pharyngectomy

    Anterior view

    R L

    Posterior view

    Hyoid bone

    Epiglottis

    Growth

    L R
    Growth in the right pyriform sinus and part in AEF
    Cut open posteriorly

    5. Total laryngectomy with partial pharyngectomy with neck


    dissection with right supraglottic growth

    Anterior view
    Posterior view

    Epiglottis

    Growth

    Thyroid

    Neck tissue

    L R
    Right side- neck dissection
    Left side- thyroid

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