Treatments

1. Furuncle	Icthymolglycerine
2. Diffuse Otitis externa	Irrigation with normal saline
3. Acute and chronic otitis externa	Gentamycin and Corticosteroids
4. Otomycosis	2 % Salicyclic acid in alcohol
5. Otitis externa with dandruff	Salicyclic acid, Sulphur and Petroleum Jelly
6. Keratosis obturrans	Soften with Sodium bicarbonate and syringing
7. Maggots in ear	Chloroform vapour application. Later removal
8. Migrainous neuralgia	Clonidine HCL
9. Epistaxis             Bleeding from above the middle turbinate  Bleeding from below the middle turbinate  If clotting factors are decreased  In children	Cautery is the treatment of choice except in children. Best agent is chromic acid. Safe is electric cautery Clip the Anterior Ethmoidal artery Clip the Maxillary artery and branch No pack, best is cautery Petroloeum jelly application is used
10. Angiofibroma	Surgery
11. Angiofibroma with bone destruction	Radiation
12. Nasopharyngeal carcinoma and lymphoma	Radiation including neck lymph nodes
13. Squamous cell carcinoma of the face	Radiotherapy
14. Squamous cell carcinoma with cartilage involvement	Surgery
15. Carcinoma Oesophagus
1) Upper 1/3 middle 1/3	Radiation ( if it recurs- surgery)
2) Lower 1/3
a) Squamous cell Carcinoma	Radiation ( if recurs- surgery)
b) Adenocarcinoma	Surgery
16) Larynx
a) Transglottic Ca	Total laryngectomy and radical neck dissection if lymph nodes are involved
b) Subglottic Ca	Radiation. If recurrence- Surgery
17) Pharynx
A) Oropharyngeal Tumours
a) Tonsil
1) No lymph nodal involvement	Radiation
2) Lymph nodes involved	Commando operation
b) Base of tongue	Radiation
c) Soft Palate	Radiation
d) Posterior pharyngeal wall	Radiation
e) Lymphoma tonsil	Surgery
Lymphoma other sites	Radiation
B) Carcinoma hypopharynx	Radiation and surgery after 3 weeks
C) Pyriform fossa
a) Small	Total laryngectomy, partial pharyngectomy and radical neck dissection
b) Large ( involving post cricoid area)	Total laryngopharyngectomy
D) Post cricoid carcinoma	Radiation- if it fails laryngo pharyngo Oesophagectomy
18. Post wall of Hypopharynx
a) Sarcoma	Surgery
b) Carcinoma
1) No lymph node involvement	Radiation
2) Lymph node involved	Surgery
19. Mouth
a) Mouth floor carcinoma	Surgery
b) Adenod cystic carcinoma of the Hard palate	Surgery and removal of greater palatine nerve
20. Chondroma of cricoid	Local removal
21. Carcinoma of Auricle -squamous cell carcinoma	Radiotherapy followed by surgery
22. Ceruminoma	Surgery and Radiotherapy
23. Glomus jugulare tumour
a) very small	Surgery
b) Little extended	Radiation ( Very Vascular, bleeds during surgery)
24. Buccal
a) Verrucous and Exophyte tumour	Surgery
b) Ulcerative	Radiation
25. External Auditory meatus--- squamous cell carcinoma	Radiotherapy  Surgery 2nd line of treatment.
26. Amyloid larynx	Local removal
27. Pierre Robbins Syndrome	Beverly Douglas Operation
28. ASOM: In Children In Adults	H. Influenza-----Ampicillin Pneumococci, Streptococci----- Pencillin
29. Congenital Laryngeal Hemangioma	(Subglottic) injection of Sclerosants