1 / 17

Gerard Kelly MD MEd FRCS (ORL-HNS) FRCS (Ed) ENT surgeon, Leeds

ENT. a lump in my throat an update on voice, swallowing, globus & cancer. and general practice. Gerard Kelly MD MEd FRCS (ORL-HNS) FRCS (Ed) ENT surgeon, Leeds 6 th March 2014, Leeds Masonic Hall. The Leeds Teaching Hospitals NHS Trust. aims.

halil
Download Presentation

Gerard Kelly MD MEd FRCS (ORL-HNS) FRCS (Ed) ENT surgeon, Leeds

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. ENT a lump in my throat an update on voice, swallowing, globus & cancer and general practice Gerard Kelly MD MEd FRCS (ORL-HNS) FRCS (Ed) ENT surgeon, Leeds 6th March 2014, Leeds Masonic Hall The Leeds Teaching Hospitals NHS Trust

  2. aims • give an overview of common (EN)T conditions • shows some example cases • refine our thinking of ENT problems

  3. objectives • list the main symptoms in throat conditions • relate each symptom to one condition • list the ways to examine the head and neck • identify an abnormal tonsil • list 4 differential diagnosis for dysphonia • name 3 treatments for head and neck cancer • sequence steps in assessment of a throat patient

  4. first though... • history and examination in ENT

  5. history • ears • otorrhoea • otalgia • itch • hearing • tinnitus • balance noses nasal obstruction rhinorrhoea facial pain smell epistaxis post nasal drip throats dysphagia dysphonia odynophagia pain neck lumps weight loss

  6. Throat- red flag symptoms • dysphagia • dysphonia • odynophagia • pain • neck lumps • weight loss

  7. Throat- red flag symptoms • dysphagia food sticking, level • dysphonia to be heard • odynophagia not acute • pain otalgia • neck lumps palpable • weight loss noticed

  8. head and neck cancer • almost all squamous cell carcinomas

  9. malignant head and neck disease • treatment consists of treating the primary disease and treating metastatic disease • metastatic disease is to the neck • bone, Liver, Lung, Brain metastases are rare

  10. malignant head and neck disease • treatment is by radiotherapy, surgery or a combination of both

  11. malignant head and neck disease • head and neck cancer is squamous cell carcinoma

  12. malignant head and neck disease • squamous cell carcinomas are radiosensitive • adenocarcinomas are NOT radiosensitive

  13. malignant head and neck disease • small tumours tend to be treated by radiotherapy • large tumours by radical surgery and post operative radiotherapy

  14. malignant head and neck disease • small tumours tend to be treated by radiotherapy • large tumours by radical surgery and post operative radiotherapy and most recently by chemoradiotherapy

  15. malignant head and neck disease • typical patient • old, male, smoker and drinker

  16. malignant head and neck disease • typical patient • old, male, smoker and drinker • increasing in younger patients due to HPV infection

  17. malignant head and neck disease • typical patient • old, male, smoker and drinker • increasing in younger patients due to HPV infection - • these patients can often be identified in GP

More Related