It begins with a review of ear anatomy and continues with a discussion of normal variances and common abnormalities. Images and video of normal anatomy, normal variances, and common abnormalities have been added to enhance the learning experience… In addition, normal variances and common abnormalities found in these areas are illustrated. For more information, read the Clinical Practice Guidelines on Sudden Hearing Loss, Cerumen Impaction, Acute Otitis Externa, and Otitis Media with Effusion. The ENT Exam Video Series℠ depicts how to perform a thorough examination of the ear, oral cavity, face, nose, neck, nasopharynx, and larynx. A thorough review of the anatomy of the oral cavity and of the neck is provided. A thorough review of the anatomy of the face and of the interior and exterior aspects of the nose is provided. Images and video of normal anatomy, normal variances, and common abnormalities have been added to enhance the learning experience. ● 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 Look for obvious signs of abnormality. Low set auricle may signify chromosomal abnormality. Privacy Policy •  Insert otoscope slowly, avoiding bumping the canal - "Look your way in" - while manipulating the auricle. Detailed images of numerous ear conditions are provided. tel 1-703-836-4444, Contact Us Signs of trauma to the pinna. Low set auricle may signify chromosomal abnormality. Contact. © 1998 – 2005 by the Rector & Visitors of the University of Virginia. •  In an infant and child, pull auricle posteriorly and inferiorly to straighten the auditory canal. This episode covers the essential parts of an examination of the face and nose. American Academy of Otolaryngology — Head and Neck Surgery, 1650 Diagonal Rd Alexandria, VA 22314 In addition, the Weber and Rinne tuning fork tests are demonstrated. Swab any discharge and remove any wax. A thorough review of the anatomy of the nasopharynx and larynx is provided. © Copyright 2020. This episode covers the essential parts of an examination of the oral cavity and neck. Terms of Use, AAO-HNSF The ENT Exam Episode 1: The Ear Exam, AAO-HNSF The ENT Exam Episode 2: The Oral Cavity and Neck Exam, AAO-HNSF The ENT Exam Episode 3: The Face and Nose Exam, Episode 4: The Nasopharynx and Larynx Exam, AAO-HNSF The ENT Exam Episode 4: The Nasopharynx and Larynx Exam. •  Position: Top of auricle should be above line drawn between outer canthus of eye and occipital protuberance. • 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. This episode covers the essential parts of an examination of the nasopharynx and larynx. •  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. The ENT Exam Video Series℠ depicts how to perform a thorough examination of the ear, oral cavity, face, nose, neck, nasopharynx, and larynx. This episode covers the essential parts of an ear examination. •  In an adult pull posteriorly and superiorly to straighten the auditory canal. In addition, normal variances and common abnormalities found in these areas are illustrated. In addition, normal variances and common abnormalities found in these areas are illustrated. Size and shape of the pinna. Inspect the external ear before examination with an otoscope/auriscope. Video clips of vocal cord polyps, nodules, and vocal cord paralysis are also provided. •  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. •  Skin cancer - often nodular, with induration, scaling and superficial ulceration. 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. • External ear - observe position and shape, inspect for symmetry, lesions, drainage from external auditory meatus. Suspicious skin lesions on the pinna, including neoplasia. Disclaimer. Extra cartilage tags/pre-auricular sinuses or pits. External ear - observe position and shape, inspect for symmetry, lesions, drainage from external auditory meatus, •  Position: Top of auricle should be abo.