ENT Neoplasms Flashcards Preview

Respiratory 2 > ENT Neoplasms > Flashcards

Flashcards in ENT Neoplasms Deck (11):
1

H and N cancer risk

50-70

Males

Laryngeal CA is most common

2

H and N causes

Tobacco and alcohol explain 70%

90% are squamous cell CA

P16 expression negative in tobacco induced

3

HPV

INduces p16

INfects basal epithelial cells

dsDNA virus

Induces squamous epithelial tumors

4

Sino-nasal polyps

Can't breathe through the nose

1/3 have associated allergies

Arise from sinus ostea

Topical and oral steroid tx

5

Sinonasal tumors

Inverting papilloma - unilateral polyps

Carcinoma - rapidly enlarging and destructive

Angiofibroma - teenage boys with unilateral epistaxis

6

Nasopharynx tumor

Nasal obstruction

Rhinorrhea

Snotring

ETD

7

Otolaryngologic pseudohemoptysis

Hx of epistaxis

Coughing up blood

Hacking

8

Bilateral vocal paralysis

Usually abductor
Inspiratory stridor
Phonation noram

BEWARE of airway obstruction

9

Laryngeal caricnoma presentation

Flow loop with cutoff

Hoarseness for over 1 mo

Pain, dysphagia, odynophagia

New refractory dyspnea

Responsibe to steroids

10

How to manage tumor obstruction

Prepare for surgical airway

Awake laryngoscopy with care

Flexible bronchoscopic intubiation with topical anesthesia

Awake cricothyrotomy

11

Indications for tracheostomy

Prolonged need for mechanical ventilation

Bypass of upper airway obstruction

Need for pulm toilet

Inability to inbtubate airway safely in pt with need for intubation