Signs in ENT

AQUINO'S SIGN is the blanching of the tympanic mass with gentlepressure on the carotid artery.Seen in Glomus tumors .
BATTLE SIGN - Bruising behind ear at mastoid region, due to petrous temporal bone fracture (middle fossa #)
BEZOLD'S SIGN / SYMPTOM
Inflammatory edema at the tip of the mastoid process in
mastoiditis
BOCCA’S SIGN - Absence of post cricoid crackle(Muir’s crackle) in Ca post cricoid
BROWNE'S SIGN
Refers to the blanching noted when applying positive pressure{with Siege's speculum } to the tympanic membrane of a patient with Glomus tumor .
BRYCE SIGN - If combined laryngocele & external laryngocele is presenting as a neck mass, compression will cause a hissing sound as the air escapes from it into the larynx. This test is fraught with danger in cases of combined laryngoceles because air from the external component may get forced into the internal component causing acute airwayobstruction.
DELTA SIGN
Lateral sinus thrombosis on CT or MRI with contrast shows an empty triangle appearance of the thrombosed sinus surrounded by contrast enhanced dura{since contrast may flow around the clot to outline the periphery of the sinus}. It is also called as empty triangle sign.
DODD’S SIGN/CRESCENT SIGN - X-ray finding-Crescent of air between the mass and posterior pharyngeal wall. positive in AC ployp Negative in Angiofibroma
FURSTENBERG'S SIGN - Positive in Encephaloceles .Owing to the intracranial connection, there is pulsation and expansion of the mass with crying, straining, or compression of the jugular vein ( Furstenberg test).This is used todifferentiate Nasal Encephaloceles from other congenital midline nasal masses like Nasal Gliomas.
GRIESINGER'S SIGN -Erythema and oedema posterior to the mastoid process resulting from septic thrombosis of the mastoidemissary vein. seen in lateral sinus thrombosis
HALO SIGN/ HANDKERCHIEF SIGN - A finding in CSF rhinorrhea when CSF is mixed with Blood.
*. In patients with head trauma, amixture of blood and CSF may make the diagnosis difficult.
*. CSF separates from blood whenit is placed on filter paper, and it produces a clinically detectable sign: the ring sign, double-ring sign, or halo sign.
*. CSF will separate from blood when the mixture is placed on filter paper resulting in a central area of blood with an outer ring or halo.
*. Blood alone does not produce aring.
*. The best ring is obtained with a50: 50 mix of blood and CSF.
*. More importantly, they found that the presence of a ring was not exclusive for CSF.
*. Blood mixed with tap water, saline, and rhinorrhea fluid alsoproduced a ring.
*. The halo sign does occur, but clearly does not clinch the diagnosis.
HITSELBERGER’S SIGN - In Acoustic neuroma - loss of sensation in the postero-superior part of external auditorymeatus supplied by Arnold’s nerve( branch of Vagus nerve to ear )
HOLMAN MILLER SIGN, ANTRAL SIGN -
The anterior bowing of the posterior wall of the antrum seenon lateral skull film . Pathognomic for juvenile nasopharyngeal angiofibroma .
HONDOUSA SIGN –X-ray finding in Angiofibroma .
indicating infratemporal fossa involvement characterised by widening of gap between ramus of mandible and maxillary body.
HENNEBERT'S SIGN
It is a false positive fistula test when there is no evidence of middle ear disease causing fistula of horizontal semicircular canal. It is seen in 25% cases of meniere's disease or congenital syphilis.In 25% cases of Meneire’s ,fibrous bands form connecting utricular macule to stapes footplate. In syphilis due to hypermobile stapes footplate.[ Hennebert sign - pressure induced nystagmus , Hennebert symptom - pressure induced dizziness ]
IRWIN MOORE’S SIGN ——– positive squeeze test in chronic tonsillitis .
LAUGIER'S SIGN -Blood behind the eardrum suggests basilar skull fracture .
LEUDET'S SIGN -Inflammation of the eustachian tube can produce a bright clicking sound heard by the examiner through the otoscope while the patient experiences it as tinnitus.caused by reflex spasm of the tensor palati muscle.
LIGHT HOUSE SIGN —A small pin hole perforation with a pulsatile ear discharge is seen in Acute suppurative otitis media.
LYRE’S SIGN - splaying of carotid vessels( at junction of External & internal carotid artery) in carotid body tumor .
MILIAN’S EAR SIGN - Erysipelas can spread to pinna(cuticular affection), where as cellulitis cannot.
Cellulitis and erysipelas manifest as areas of skin erythema, edemaand warmth in the absence of underlying suppurative foci.
They differ in that erysipelas involves the upper dermis and superficial lymphatics, whereas cellulitis involves the deeper dermis and subcutaneous fat.
As a result, erysipelas has more distinctive anatomic features than cellulitis; erysipelas lesions are raised above the level of surrounding skin, and there is a clear line of demarcation between involved and uninvolvedtissu