Dr Jahin ENT

18/08/2026

Eosinophilic Otitis Media (EOM):

Why it matters: it looks like ordinary "resistant glue ear" but behaves completely differently — and misdiagnosis risks sudden, irreversible hearing loss.

What it is:A refractory otitis media caused by eosinophil-dominant middle ear fluid, driven by type 2 (allergic-pattern) inflammation rather than infection

Who gets it: More common in women; mean age of presentation is around 53 years — think of it in an older patient with "glue ear that won't quit"

Classic triad clue:Strongly associated with bronchial asthma (95% of patients) and nasal polyposis (71% of patients) — chronic rhinosinusitis in these patients also tends to be treatment-resistant

The trap:Standard treatments fail — ventilation tubes work in only 2% of cases, and antibiotic drops/myringoplasty have high failure rates

Danger sign:Higher risk of sensorineural hearing loss (gradual or sudden) than typical otitis media with effusion (OME) — don't dismiss it as "just glue ear"

Must exclude:Eosinophilic granulomatosis with polyangiitis (EGPA, formerly Churg–Strauss disease) — a vasculitis that can look identical early on

Best treatment: Intratympanic steroids (triamcinolone beats topical betamethasone) — success rate ~45%; systemic steroids ~26% success; biologics (omalizumab, mepolizumab, benralizumab, dupilumab) show the best results at 44–86% success

17/08/2026

This case-control study reports on the use of oral corticosteroids and long-term adverse event risk in patients with chronic rhinosinusitis with nasal polyps.

17/08/2026

FCPS/DLO/MS Viva

Neo-sinus cavity after surgery.

Principles of FESS

* Restore natural sinus ventilation and drainage.

* Identify and relieve obstruction at the key drainage pathways/OMC.

* Preserve healthy respiratory mucosa as much as possible.

* Perform the minimum surgery necessary to control the disease.

* Maintain normal mucociliary clearance and avoid unnecessary disruption of anatomy.

11/08/2026

Buccal carcinoma

*Most common carcinoma- SCC, >90%.

Most common nodes involvement- IB

Type of differentiation- Well Differentiated SCC

Common presenting stage- III-IV

Most common pattern of recurrence -locoregional recurrence

Rate of occult metastasis- 36%
Rate of level II involvement- in advanced stage- nearly 43%.

10/08/2026

FCPS- Short Notes

Liquid Biopsy.

📝 JAMA Otolaryngology : In , circulating tumor DNA has emerging roles across diagnosis, treatment monitoring, minimal residual disease detection, and surveillance.

In virally mediated disease, especially human papillomavirus–associated oropharyngeal squamous cell carcinoma and Epstein-Barr virus–associated nasopharyngeal carcinoma, liquid biopsy approaches show promising diagnostic accuracy and may help identify recurrence earlier than current approaches.

https://ja.ma/4yVgA8X

10/08/2026

Buccal Carcinoma with Infrahyoid Flap Reconstruction.

28/07/2026

Central Neck Dissection in papillary thyroid carcinoma.

21/07/2026

Important.

Ameloblastoma is the most common benign odontogenic epithelial tumor.

It is benign but locally aggressive, with a high recurrence rate if treated inadequately.

✅️Most common site: Posterior mandible (molar–ramus)
✅️Most common radiological appearance: Soap-bubble/honeycomb radiolucency
✅️Most common histological type: Follicular
✅️Treatment of choice: Wide en bloc resection
✅️Reason for recurrence: Microscopic infiltration into cancellous bone beyond radiographic margins.

21/07/2026

Features of malignant lesion in parotid region-
1. Rapid increase in size of the swelling.
2. Pain in the parotid region.
3. Facial nerve palsy (most important clinical sign of malignancy).
4. Fixation to the overlying skin or deeper structures.
5. Skin involvement (ulceration, tethering, erythema).
6. Hard, irregular mass with ill-defined margins.
7. Cervical lymphadenopathy (metastatic neck nodes).
8. Trismus due to involvement of the masticator space.
9. Numbness or paresthesia from perineural invasion (e.g., greater auricular nerve).
10. Deep lobe involvement causing medial bulging of the lateral pharyngeal wall

Red Flag (Remember)

“Pain + Facial nerve palsy + Rapidly enlarging parotid mass + Neck node = Malignancy until proven otherwise.”

Common Malignant Parotid Tumors

* Mucoepidermoid carcinoma
* Adenoid cystic carcinoma
* Acinic cell carcinoma
* Salivary duct carcinoma
* Carcinoma ex pleomorphic adenoma

Viva question-

★ most common malignant tumour- Mucoepidermoid carcinoma
★Common childhood tumour-Mucoepidermoid carcinoma
★Common perineural spread- adenoid cystic carcinoma
★Good prognosis- Acinic cell carcinoma