Cabinet d'audiologie "Écouter et Vivre"

16/02/2026

15/02/2026

15/02/2026

Imaging Techniques in Salivary Gland Disorders
Imaging is essential for evaluating salivary gland swellings, obstruction, infection, and tumours.

✅ Ultrasound (US)
• First-line for superficial lesions
• Guides FNAC
• Doppler + elastography helpful

Disadvantages
-Limited pe*******on at mandible, calculi, or air interface
-Poor evaluation of deep facial spaces

✅ CT (CE-CT)
• Best for salivary calculi & acute infection
• Fast, widely available

Disadvantages
-Radiation exposure
-Artefact from dental implants/restorations
-Iodinated contrast risks in renal impairment and allergy
✅ MRI
• Superior soft tissue detail
• Best for tumour extent & deep space involvement

Disadvantages
-Smaller field of view compared with CT
-Longer scan time (30–45 min)
-Motion artefact common
-Contraindicated in pacemakers, -claustrophobia, uncooperative patients

✅ Sialography
• Excellent ductal mapping
• Invasive with complication risk

Disadvantages
-Invasive (retrograde contrast injection)
-Complications: bleeding, duct perforation, rupture
-No information proximal to complete obstruction
-Only indirect assessment of parenchymal disease
-Cannulation failure in 4–15% (submandibular duct)
‐Contraindicated in acute sialadenitis, contrast allergy, thyroid disease
✅ Scintigraphy
• Functional assessment (e.g., Sjögren’s syndrome)
• Limited anatomical detail
Disadvantages
-Poor anatomical detail
-Low radiation burden present

12/02/2026

Friedman’s Criteria for Malignant Otitis Externa (MOE)
Malignant Otitis Externa is a severe, persistent otitis externa that fails to respond to standard therapy and may progress to skull base osteomyelitis.

(Major) Criteria
All MUST be present for diagnosis
1. Severe ear pain (persistent, disproportionate)
2. Otorrhea (ear discharge)
3. Ear canal edema
4. Granulation tissue in external auditory canal
5. Positive bone scan
or failure of >1 week local treatment
6. Pseudomonas aeruginosa isolation

(Minor) Criteria
Supportive risk factors
1.Diabetes mellitus
2.Advanced age
3.Cranial nerve palsy
4.Radiographic evidence of bone involvement

MOE should be suspected when otitis externa is severe, persistent, and unresponsive, suggesting osteomyelitis of the skull base.

08/02/2026

08/02/2026

Blood supply of inner surface of
tympanic membrane

01/02/2026

La prévention vaut mieux que la guérison.
Prenez soin de votre santé auditive avec cette campagne de dépistage et de prise en charge qualifiée et promotionnelle de vos oreilles.

31/01/2026

Une de mes publications a obtenu plus de 70 réactions la semaine dernière. Merci à tout le monde pour votre soutien ! 🎉

28/01/2026

28/01/2026

🩺 Tonsillitis vs Tonsil Stones: Understanding the Difference

Tonsillitis and tonsil stones both affect the tonsils, but they are very different conditions. One is an infection, the other is a buildup of debris. Because both can cause throat discomfort or white spots on the tonsils, many people confuse them.

Let’s break it down clearly.

🟣 What they are

Tonsillitis
→ Inflammation and infection of the tonsils
→ Caused by viruses or bacteria
→ Common in children and young adults

Tonsil Stones (Tonsilloliths)
→ Small, hardened lumps formed from trapped food, dead cells, and bacteria
→ Not an infection by itself
→ More common in people with deep tonsil crypts

🟣 Cause

Tonsillitis
→ Viral or bacterial infection (like streptococcus)

Tonsil Stones
→ Debris + bacteria stuck in tonsil pockets that calcify over time

🟣 Pain

Tonsillitis
→ Severe sore throat
→ Painful swallowing
→ Ear pain may occur

Tonsil Stones
→ Usually mild discomfort or none
→ Sometimes a foreign-body sensation

🟣 Swelling

Tonsillitis
→ Marked tonsil swelling
→ Red, inflamed throat

Tonsil Stones
→ Minimal or no swelling

🟣 Fever

Tonsillitis
→ Common

Tonsil Stones
→ Absent

🟣 Bad breath

Tonsillitis
→ Occasional

Tonsil Stones
→ Very common and often severe
→ Caused by sulfur-producing bacteria

🟣 Appearance

Tonsillitis
→ Enlarged red tonsils
→ White or yellow patches of pus

Tonsil Stones
→ Small white or yellow pebble-like spots in tonsil crevices

🟣 Other symptoms

Tonsillitis
→ Fatigue
→ Body aches
→ Swollen neck glands

Tonsil Stones
→ Metallic taste
→ Chronic throat clearing
→ Feeling of something stuck in throat

How each is treated

🟣 Tonsillitis
→ Rest and fluids
→ Pain relievers
→ Antibiotics only if bacterial
→ Tonsillectomy in recurrent severe cases

🟣 Tonsil Stones
→ Gargling warm salt water
→ Good oral hygiene
→ Gentle removal if visible
→ Laser or tonsil removal for frequent recurrence

When to see a doctor

→ High fever with throat pain
→ Difficulty swallowing or breathing
→ Recurrent tonsillitis
→ Persistent bad breath despite hygiene
→ Large or painful tonsil stones

Key takeaway

→ Tonsillitis = infection with pain, fever, swelling
→ Tonsil stones = debris buildup with bad breath, usually no fever
→ Treatment differs completely
→ Proper diagnosis prevents unnecessary antibiotics

⚠️ Medical Disclaimer:
This content is for educational purposes only and does not replace medical advice. If throat symptoms persist, worsen, or recur frequently, consult an ENT specialist for proper evaluation and treatment.

28/01/2026

Un grand merci à mes nouveaux followers !

Christian SK, Deo L'irremplaç Makula, Albert Tshikupa, Akwempa Jean Claude