1. Name of the location of 90% of epistaxis
2. A genetic disorder that forms AV malformations in the skin, lungs, brain etc
3. Name of posterior vascular plexus in the nasal cavity causing posterior epistaxis
4. 1st line treatment for all epistaxis
5. The common brand name for anterior nasal packing
6. Chemical used in cautery sticks
7. Physically scaring complication of posterior nasal packing with foleys catheter
Coming soon..
Adenotonsillectomy
It is said we have three sets of tonsils;
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Palatine tonsils (as seen below - visualised in the oropharynx)
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Lingual tonsils (at the base of tongue)
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Adenoids (in the nasopharynx)
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Collectively these tissues are known as Waldeyer's ring
Normal oropharynx
(large tonsils)
Post tonsillectomy appearance
Tonsillectomy
Removal of the palatine tonsils. (seen in the oropharynx above)
Indications
Recurrent tonsillitis or quinsy, obstructive sleep apnoea, suspected malignancy.
Risks
Risks of hospital admission, anaesthesia, damage to teeth, jaw ache and click, neck ache, bleeding (7%) (may require blood transfusion (<0.5%)/return to theatre (2%)).
Lingual tonsillectomy
Removal of the lingual tonsils at the base of tongue (not seen in the diagram). It is possible to get lingual tonsillitis post palatine tonsillectomy and on rare occasions, a lingual tonsillectomy can be performed.
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Adenoidectomy
Removal of the adenoidal tissue from the nasopharynx.
Indications
Nasal obstruction and purulent discharge in children, bilateral persistent or recurrent otitis media with effusion, obstructive sleep apnoea (with tonsillectomy).
Risks
Risks of hospitalisation, anaesthesia, bleeding (<1%) (may require blood transfusion/ return to theatre)
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There are specific criteria that a patient should fulfill to fit the criteria for a tonsillectomy. The original SIGN guidelines for these can be found in the following PDF.
Indication for tonsillectomy
