ENT Pictures

Fig(1): Ear anatomy

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Fig(2): Auricle anatomy

Fig(3): Tympanic membrane anatomy

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1. Tip. 2. Perisinus.
3. Sinudural. 4. Perilabyrinthine.
5. Superficial dural. 6. Zygomatic.
6. Perifacial

Fig(4): Mastoid bone anatomy

Fig(5): Examination of the ear by: 1) ear speculum. 2) By otoscope.

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Fig(6): Normal right tympanic membrane Fig(7): Examination of the ear by microscope.

Fig(8): Otoscope siegles speculum otoendoscope aural speculum

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Fig(9): Rinnes test - Webers test

Fig(10): Pure tone audiometry

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Fig(11): Pure tone audiometry: A) Normal B) CHL C) SNHL

Fig(12): Tympanometry

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Fig(13): Tympanograms

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Fig(14): Frenzels glasses

Fig(15): Rotation test Fig(16): Caloric test

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Fig(17): Microtia Fig(18): Bat ear

Fig(19): Pre-auricular sinus

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Fig(20): Perichondrial Hematoma

Fig(21): Perichondriris Fig(22): Cauliflower auricle

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Fig(23): Impetigo Fig(24): Erysipelas

Fig(25): Rodent ulcer Fig(26): External ear carcinoma

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Fig(27): EAC stenosis Fig(28): EAC atrsia

Fig(29): F.B. in EAC (Sponge Seed Insect)

Fig(30): F.B. Hook

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Fig(31): Wax

Wrong direction Correct direction

Fig(32): Ear wash

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Fig(33): Diffuse otitis externa Fig(34): Frunculosis

Fig(35): Otomycosis

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Fig(36): Eczematous otitis externa Fig(37): Seborrhoic dermatitis

Fig(38): Multiple exostosis Fig(39): Single exsostosis

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L T

Fig(40): Fracture base of the skull (Longitudinal(L) Transverse(T))

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Fig(41): Traumatic perforation of the drum

Fig(42): Audio-tympanogram of a case ossicular disconnection

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Fig(43): AOM (Stage of acute salpingitis)

Fig(44): AOM (before rupture of TM)

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Fig(45): AOM (after rupture of TM)

Fig(46): Eustachian tube (Children - Adult)

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Fig(47): Cental perforations (Tubo-tympanic CSOM)

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Fig(48): Attic perforations (Cholesteatoma)

Fig(49): Marginal posterior perforations (Cholesteatoma)

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Fig(50): Cholesteatoma Fig(51): Aural polyp

Fig(52): Acute mastoiditis

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Fig(53): Sagging of the Fig(54): Post auricular and

posterosuperior meatal wall bezold abcesses

Fig(55): FN paralysis Partial and complete OR UMNL and LMNL

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Fig(56): Lareal sinus Fig(57): Cerebellar abscess

Fig(58): Temoral lobe abscess

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Fig(59): Secretory otitis media

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Fig(60): Grommets tube

Fig(61): Myringotmoy knife Grommets tube applicator

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Fig(62): Adhesive otitis media Fig(63): Tympanosclerosis

Fig(64): Ventilation tube (T tube)

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Fig(65): Glomus tympanicum

Fig(66): Middle ear carcinoma Fig(67): Pathology of otosclerosis

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Fig(68): Schwartz' sign Fig(69): Teflon piston

Fig(70): F.N. Anatomy

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Fig(71): Endolymphatic hydrops

Fig(72): Acoustic neuroma

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Fig(73): Cortical mastoidectomy

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Fig(74): Crocodile forceps Fig(75): Self retaining mastoid retractor

Fig(76): Gauge and hummer

Fig(77): Electical burr

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Fig(78): Electical burr

Fig(79): Electical burr

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Fig(80): Anatomy of the nasal septum

Fig(81): Structure of the nasal septum.

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Fig(82): Anatomy of the lateral nasal wall

Fig(83): Structure of the Lateral nasal wall

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Fig(84): Nasal sinuses

Fig(85): Osteomeatal unit

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Fig(86): Blood supply of the medial nasal wall

Fig(87): Blood supply of the lateral nasal wall

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Fig(88): Nerve supply of the medial nasal wall

Fig(89): Nerve supply of the lateral nasal wall

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Fig(90): Nasal specula Fig(91): Anterior rhinoscopy

Fig(92): Anterior rhinoscopy in children

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Nasal endoscopy: 1- Rigid endoscope (0 , 30 and 70 degree lenses).

Fig(93):
2- Flexible fiber optic nasopharyngoscope. 3- Fiber optic light cable.

Fig(94): Endoscopic appearance of the middle meatus

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Fig(95): Posterior rhinoscopy

Fig(96): Plain X-ray of PNS Fig(97): C.T. of PNS

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Fig(98): Arhinia Fig(99): Nasal clefts

Fig(100): Choanal atresia (C.T. axial view) Fig(101): Meningoencephalocele

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Fig(102): Dermoid cyst Fig(103): F.B. in the nose

Fig(104): F.B. in the nose (X-ray) Fig(105): Fracture nasal bone

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Fig(106): Fracture nasal bone (X-ray and CT)

Fig(107): Walshams forcep Fig(108): Ashs forcep

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Fig(109): Oroantral fistula (alveolar and sublabial types)

Fig(110): Nasal frunculosis Fig(111): Nasal vestiulitis

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Fig(112): Acute non specific rhinitis Fig(113): Chronic simple rhinitis

Fig(114): Chronic hypertrophic rhinitis Fig(115): Chronic atrophic rhinitis

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Fig(116):Late congenital Fig(117):Early congenital

syphilis (Saddle nose) syphilis (Snuffles)

Fig(118): 1ry syphilis (Chancre) Fig(119): 2ry syphilis (Snail track ulcers)

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3ry syphilis (Palatal

Fig(120): Antrior septal
Fig(121):
perforation) perforation (Nasal lupus)

Rhinoscleroma
Fig(122): Fig(123):Laryngoscleroma
(Hypertophic stage) (Fibrotic stage)

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1 3

Fig(124):Acute rhinosinusitis
1- Anterior rhinoscopy.
2- Nasal endoscopt.
3- C.T.

Fig(125): Frontal sinus trephine

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Fig(126): Maxillary sinus puncture and Fig(127): FESS

lavage Maxillary sinus Trocar & Cannula

Fig(128): Orbital cellulitis Fig(129): Cavernous sinus thrombosis

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Fig(130): Potts puffy tumor Fig(131): MRI brain frontal lobe abscess

Fig(132): Ethmoidal mucocele Allergic rhinis

Fig(133):
(bluish mucosa)

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Fig(134): Allergic hypertrophy Fig(135): Nasal polyposis

of inferior turbinate

Fig(136): Nasal polyp Fig(137): Nasal papillonma

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Capillary
Fig(138): Cavernous
Fig(139):
hemangioma on the septum hemangioma

Fig(140): Fibrous dysplasia Fig(141): Maxillary carcinoma

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Fig(142): Maxillary carcinoma Weber furgassons

Fig(143):
incision for total maxillectomy

Fig(144): Septal dislocation Fig(145): Deviated septum

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Fig(146): Septal spur Anterior small

Fig(147):
Septal perforation

Large posterior
Fig(148): Fig(149): Septal hematoma
septal perforation

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Fig(150): Nasal cautery Fig(151): Bleeding from Littles area

Fig(152): Posterior nasal pack

Fig(154): Nasal packing forcep Anterior and

Fig(153):
posterior nasal pack

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Fig(155): Anterior ethmoid artery ligation

Fig(156): Posterior ethmoid artery ligation

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Fig(157): Allergic polypi Fig(158): Antrochoanal polyp

Fig(159): Avulsion snare Fig(160): Nasal polypectomy

Fig(161): Antrochoanal polyp Fig(162): Antrochoanal polyp (removed)

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Fig(163): Septal surgery instruments

1- Suction Catheter.
2- Lucs Forceps.
3- Turbenectomy Scissors.
4- Hammer.
5- Swivel Knife (not used nowadays).
6- Nasal Gouge.
7- Septal Dissectors.
8- Long blade nasal speculum.
9- Self retaining long blade nasal
speculum.

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FESS instruments.
Fig(164):
Sinoscope Suction Tips - Sickle knife - Nasal
Cutting & Polyp Forceps - Rigid Fiberoptic
Sinoscope - Antral Currette Frontal Sinus
Cannula - Frontal Sinus Bougie Sickle knife

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Fig(165): Intranasal antrostomy instruments: Antral Perforators

- Antral Burr - Citelli Forceps - Combined Antral Perforator and Rasp.

Fig(166): Sinoscope Troacer and Cannula.

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Fig(167): Pharynx posterior view

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nasopharyngeal tonsil.

Eustachian tube orifice.

Salpingopharyngeal fold.

Fossa of Rosenmuller.

Palatoglossal fold.

Palatine tonsil.

Palalopharyngeal fold.

Fig(168): Lateral wall of the nasopharynx and oropharynx

Fig(169): Waldeyre ring

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Buccinator m.

Superior constrictor m.

Styopharyngeus m.

Middle constrictor m.

Inferior constrictor m
(oblique part).
Killians dehisence.

Inferior constrictor m
(transverse part or
cricopharyngeus m).

Fig(170): Pharyngeal muscles

Fig(171): Palatine tonsil (relations)

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Fig(172): Retropharyngeal space

Fig(173): Parapharyngeal space

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.
1- .

Soft palate.
Uvula.
Palatopharyngeal fold.
Palatoglossal fold
Palatine tonsil.
Pterygomandibular raphe
Posterior pharyngeal wall.
Tongue.

Fig(174): Pharynx posterior view

Fig(175): Cleft palate (bony and soft palate) Fig(176): Cleft palate (soft palate)

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Fig(177): Palatal wound Fig(178): Fish bone in right tonsil

Fig(179): Acute pharyngitis Fig(180): Diphteria

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Fig(181): Vincent angina Fig(182): Moniliasis

Fig(183): Herpes simplex Fig(184): Herpes Zoster

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Fig(185): Chancre in the Fig(186): Mucous

tongue (1ry syphilis) paches (2ry syphilis)

Fig(187): Palatal perforation (3ry syphilis)

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Fig(189): Adaenoid (by

Fig(188): Pharyngoscleroma
flexible nasopharyngoscope)

Fig(190): Adenoid face Fig(191): X-ray of a case of adenoid

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Fig(192): Angiofibroma
Fig(193): Angiofibroma (CT axial view)
(frog face deformity)

Fig(194): Angiofibroma
Fig(195): Transpalatal and
(Angiography)
lateral rhinotomy approaches

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Fig(196): Nasopharyngeal carcinoma Fig(197): Acute cattarhal tonsillitis

Fig(198): Acute follicular tonsilitis Fig(199): Chronic tonsillitis Kissing

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Fig(200): Tonsillar papilloma Fig(201): Hard palate tumor

Fig(202): hard palate carcinoma Fig(203): Lymphoma in palatine tonsil

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Fig(204): Hypopharyngeal atrophy Fig(205): Hypopharyngeal web

(Plummer vinson syndrome) (Plummer venson syndrome)

Fig(206): Atrophic glossitis and angular

Fig(207): Pharyngeal pouch
stomatitis (Plummer venson syndrome)

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Fig(208): Dohlman's operation Fig(209): Pharyngeal pouch (Barium swallow)

Fig(210): Pyriform fossa carcinoma Fig(211): Post cricoid carcinoma

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Fig(212): Pharyngeal suppurations

Fig(213): Peritonsillar abscess Fig(214): Parapharyngeal abcess

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Fig(215): Peritonsillar abscess drainage

Fig(216): Retropharyngeal abscess Fig(217): Retropharyngeal abscess drainage

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Fig(218): Ludwig angina Fig(219): Ludwig angina drainage

Fig(220): Infectious mononucleosis Fig(221): Kopliks spot

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Fig(222): Tongue leukoplakia - Tongue ulcer (dental)

Fig(223): Aphthus ulcer

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Fig(224): Adenoidectomy Fig(225): Tonsillectomy position

Adenoidectomy curette post tonsillectomy position

Fig(226): Tonsil dissection Fig(227): Avulsion of the lower pole

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2 3

4
8 9

Fig(228):Tonsillectomy instruments
1. Tonsil Dissector & Pillar Retractor
2. Tongue Plates:
3. Boyle- Davis Mouth Gag:
4. Tonsillar Clamp:
5
5. Tonsillar scissors
6. Needle Holder Forceps
7. Bipod with Plate
8. Tonsil Artery Forceps:
9. Tonsil holding forceps:
6

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Fig(229): Larynx, mucosal folds.

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Fig(230): Indirect laryngoscope.

Fig(231): Normal larynx by clinical examination

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Fig(232): Endoscopic laryngeal examination (flexible and rigid endoscopes)

Fig(233): Laryngeal appearance by endoscope

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Fig(234): Direct laryngoscope

Fig(235): Direct laryngoscope

instruments

Fig(236): Normal laryngeal

appearance by Direct
laryngoscope

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Fig(237): laryngomalacia Fig(238): Laryngeal web

Fig(139): Laryngeal cleft Fig(240): Subglottic stenosis

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Fig(241): Laryngeal trauma Fig(242): Foreign body in the

larynx

Fig(243): C.T of a case of Fig(244): Intubations granuloma

thyroid cartilage fracture

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Fig(245): Acute laryngitis Fig(246): Acute laryngitis in children

Fig(247): Acute epiglottitis Fig(248): Acute epiglottitis (X- ray)

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Fig(249): Chronic Fig(250): Chronic

hypertrophic laryngitis atrophic laryngitis

Fig(251): Leukoplakia of the larynx Fig(252): Singers nodules

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Fig(253): Laryngeal polyp Fig(254): Reinkes efema

Fig(255): Subglottic stenosis Fig(256): T.B Laryngitis

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Fig(257): Single papiloma Fig(258): Multiple papilomatosis

Fig(259): Left vocal cord mass Fig(260): Right vocal cord mass

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Fig(261): Left transglottic Fig(262): Stomal recurrence

mass (cancer) (after total laryngectomy)

Fig(263): Artifitial larynx Fig(264): Laryngocele

(after total laryngectomy)

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Fig(265): Trachea anatomy

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Fig(266): Cricothyrotmy set.

A B

Fig(267): Tracheostomy tube

A: Double lumen, non cuffed, fenestrated.
B: Single lumen ,cuffed, non fenestrated.

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Fig(268): Tracheostomy

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Fig(269): Cricoid hook Fig(270): Tracheal dilator

Fig(271): Rigid bronchoscope

Fig(272): Flexible bronchoscope

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Fig(273): Rigid esophagoscope Fig(274): Flexible esophagoscope

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Fig(275): Esophageal atresia Fig(276): Esophageal foreign body

A B C

Esophageal narrowing
Fig(277):
(A; post corrosive) (B: Cancer esophagus) (C:Cardiac achalasia)

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Fig(278): Cancer esophagus

Fig(279): Cardiac achalasis

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Fig(280): Dilatation of the cardia by hydrostatic bag

Cardia Dilator and

Fig(281):
Esophageal Bougie

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