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Medical Surgical Nursing - Ear, Nose & Throat (ENT) Disorders: Complete Lecture Notes with Latest 2026 Edition

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This comprehensive Medical-Surgical Nursing lecture presentation covers Ear, Nose, and Throat (ENT) disorders with detailed anatomy and physiology, pathophysiology, clinical manifestations, diagnostic evaluations, medical and surgical management, and nursing interventions. This latest 2026 edition includes extensive coverage of ear disorders (external otitis, cerumen impaction, foreign bodies, acute and chronic otitis media, serous otitis media, tympanic membrane perforation, Ménière's disease, labyrinthitis, motion sickness), nose disorders (epistaxis, nasal polyps, deviated septum, acute and chronic rhinitis, acute and chronic sinusitis), and throat disorders (acute and chronic pharyngitis, tonsillitis and adenoiditis, laryngitis). The document features detailed coverage of hearing assessment techniques including Weber and Rinne tests, whisper test, otoscopic examination, and audiometry. Includes comparison tables for acute otitis externa vs. acute otitis media, conductive vs. sensorineural hearing loss, and management protocols for various ENT conditions. Also covers surgical procedures including tympanoplasty, myringotomy, tonsillectomy, septoplasty, and sinus surgery. Perfect for nursing students preparing for Medical-Surgical Nursing exams, NCLEX-RN, or clinical practice. All content is evidence-based and aligned with current nursing practice standards.

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Ear , Nose , and Throat disorder
Prepared by Tesfa D. (B.Sc. in Nursing)

, Anatomic and Physiologic
Overview of Ear
The ears are a pair of complex sensory organs
located in the middle of both sides of the head
(that attaches to the temporal bone of cranium)
at approximately eye level. This position is
important b/c, it enables
Biaural hearing.
 To detect the direction of the sound.

Aid in maintaining equilibrium.


Lecture Note for Third Year Extension Nursing
Students, November 2003/2010. 2

, Cont…d




Lecture Note for Third Year Extension Nursing
Students, November 2003/2010. 3

, Anatomy of the external ear
 The external ear, housed in the temporal bone, includes
the auricle (i.e., pinna) and the external auditory
canal.
 The external ear is separated from the middle ear by a
disklike structure called the tympanic membrane (i.e.,
eardrum).
 Auricle- the auricle, attached to the side of the head by
skin, is composed mainly of cartilage, except for the fat
and subcutaneous tissue in the earlobe.
 The function of auricle is to collects the sound waves
and directs vibrations into the external auditory canal.
Lecture Note for Third Year Extension Nursing
Students, November 2003/2010. 4

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