Low set auricle may signify chromosomal abnormality. •  Skin cancer - often nodular, with induration, scaling and superficial ulceration. Contact. It begins with a review of ear anatomy and continues with a discussion of normal variances and common abnormalities. tel 1-703-836-4444, Contact Us Swab any discharge and remove any wax. © 1998 – 2005 by the Rector & Visitors of the University of Virginia. •  Insert otoscope slowly, avoiding bumping the canal - "Look your way in" - while manipulating the auricle. Extra cartilage tags/pre-auricular sinuses or pits. — Head and Neck Surgery, 1650 Diagonal Rd Disclaimer. Size and shape of the pinna. Click on the player to watch the video: QT_WriteOBJECT( 'Videos/EarsOtoscopy.mov', '340', '276', '', 'autoplay', 'false', 'controller', 'true', 'emb#bgcolor', 'gray', 'align', 'middle' ); •  Use largest speculum that is comfortable, •  Learn a comfortable hold for the otoscope. Detailed images of numerous ear conditions are provided. A thorough review of the anatomy of the face and of the interior and exterior aspects of the nose is provided. In addition, normal variances and common abnormalities found in these areas are illustrated. © Copyright 2020. Privacy Policy •  Tophi-   deposits of uric acid crystals found in patients with gout, •  Chondritis- infection of cartilage, often caused by piercing, •  "Cauliflower"-repeated trauma causes cartilage necrosis, •  Otitis externa- "swimmer's ear", pulling on lobe often painful. In addition, the Weber and Rinne tuning fork tests are demonstrated. The ENT Exam Video Series℠ depicts how to perform a thorough examination of the ear, oral cavity, face, nose, neck, nasopharynx, and larynx. Images and video of normal anatomy, normal variances, and common abnormalities have been added to enhance the learning experience… •  In an adult pull posteriorly and superiorly to straighten the auditory canal. Look for obvious signs of abnormality. This episode covers the essential parts of an ear examination. • External ear - observe position and shape, inspect for symmetry, lesions, drainage from external auditory meatus • Position: Top of auricle should be abo ve line drawn between outer canthus of eye and occipital protuberance. Low set auricle may signify chromosomal abnormality. American Academy of Otolaryngology This episode covers the essential parts of an examination of the oral cavity and neck. Alexandria, VA 22314 •  Cerumen spoon- often causes EAC bleeding, •  Irrigation - contraindicated if TM perforation, •  assesses mobility and compliance of TM, •  Air pressure should move TM- light reflex looks like a sail in wind, •  Effusion (fluid in middle ear) will hamper TM mobility, •  Retraction from eustachian tube dysfunction may allow movement only with negative pressure, •  A specially designed speculum (soft rubber tip) allows you to seal EAC more easily, •  Bulging, no mobility                Pus in middle ear- otitis media (OM), •  Retracted, no mobility              Eustacian tube dysfunction +/- effusion, •  Red                                           Infection, crying, •  Deep red or blue                       Blood (from trauma), •  White flecks, plaques               Healed inflammation, •  Bubbles                              Serous fluid. For more information, read the Clinical Practice Guidelines on Sudden Hearing Loss, Cerumen Impaction, Acute Otitis Externa, and Otitis Media with Effusion. This episode covers the essential parts of an examination of the nasopharynx and larynx. • External ear - observe position and shape, inspect for symmetry, lesions, drainage from external auditory meatus. Signs of trauma to the pinna. Images and video of normal anatomy, normal variances, and common abnormalities have been added to enhance the learning experience. External ear - observe position and shape, inspect for symmetry, lesions, drainage from external auditory meatus, •  Position: Top of auricle should be abo. ● Conduct your ENT exam in a routine way each time and when you are uncertain of what you find, just describe what you see ● Airway, Breathing and Circulation are Paramount to all ENT emergencies and resuscitation ● Clinician recognition and understanding abnormal anatomy stems from extensive exposures to what normal looks like