This document provides an overview of imaging techniques for the ear, nose, paranasal sinuses, and larynx. It describes various radiographic views for visualizing different structures, including the lateral, Caldwell, Waters, and submental vertical views. Computed tomography is described as the gold standard for preoperative evaluation. CT protocols include coronal and axial scans. Anatomical structures seen on different views and cuts are outlined in detail. Common anatomical variations are also discussed, along with the Keros classification system for olfactory fossa depth.
this prsentation incluses HRCT temportal bone cross sectional anatomy images axial saggital and coronal with labelled diagram. This presentation help alot for radiology resident. Thanks.
this prsentation incluses HRCT temportal bone cross sectional anatomy images axial saggital and coronal with labelled diagram. This presentation help alot for radiology resident. Thanks.
surgical anatomy of nose is a humble attempt to make the anatomy of nose simpler and easy for medical students and fellow physicians. at the end of the presentation the students will be able to identify all the structures.
surgical anatomy of nose is a humble attempt to make the anatomy of nose simpler and easy for medical students and fellow physicians. at the end of the presentation the students will be able to identify all the structures.
Definition and Terminology
PD is characterized by idiopathic progressive expansion of one or more paranasal sinuses beyond the normal margins, without evidence of mucous membrane changes. The expansion may involve the complete sinus or a part of it.3
The medical literature offers various labels to describe enlargement of the sinus by air, including frontal sinus hypertrophy, PD, pneumosinus frontalis, aerocele, pneumocele, sinus ectasia, hyperpneumatization, pneumatocele, air cyst, and others.1,4,5
The varying terminology used to describe abnormal expansion of the frontal sinus has caused some confusion about the etiology and diagnosis of the condition.1 Urken et al4 classified the deformity into three groups—hypersinus, pneumocele, and PD—as follows:
Hypersinus or hyperpneumatization was defined as an enlarged frontal sinus that has developed beyond the upper limits of normal. The walls are normal, and the hyperaerated sinus does not extend over the normal limits of the frontal bone. The patient is asymptomatic, and the condition requires no intervention.1
Pneumocele refers to an aerated sinus with variable thinning of the sinus walls. The thinning, focal or generalized, differentiates pneumocele from PD. It is a pathological abnormality.1
PD is a condition where the sinus abnormally expands beyond the normal limits of the frontal bone. The bony walls of the sinus are of normal thickness, but are displaced, causing frontal bossing. There is no evidence of erosion, and the mucosa is of normal appearance. The frontal sinus is most commonly affected, and the ethmoidal, sphenoidal, or unilateral maxillary sinus may be involved.6,7
Etiology
The etiology of primary PD has been the source of great debate for many years. It is still unknown, but eight possible mechanisms have been proposed as follows: a spontaneously draining mucocele, the presence of a gas-forming microorganism, the presence of a one-way valve, congenital abnormality, hormonal change, local growth disturbances, osteoclastic and osteoblastic activity, and trauma.1,7-9
Generally, frontonasal duct obstruction of any cause and the subsequent increase in sinus pressure seem to be the most important factors in the pathogenesis of PD.1,3,4 In this case, the ostium was inspected and found to be macroscopically normal, and we did not find a clear etiology.
Review of the literature reveals that age at presentation varies from puberty to the elderly, but PD has not been reported in children. This may be due to the age at which the normal paranasal sinus develops, as well as the gradual onset of PD.5,6
Diagnosis
Diagnosis is made by clinical examination, and confirmation by radiography (plain film or CT), when the characteristic enlargement of the sinus is seen.7,8
Clinical symptoms are typically related to the displaced structures. In the case of outward expansion, the typical signs are frontal bossing and prominence of the supraorbital ridge.
Lateral skull base anatomy and applied science by Dr, bomkar bamBomkar Bam
the lateral skull base is complex anatomy that is usually students finds difficult to understand. here concise literature is made to understand the skull base more easily.
osteology of head and neck and its applied aspectsSwetha Srivani
knowing the correct anatomy and applied aspect of osteology helps in accurate diagnosis.this ppt provides insight into different bones of head and neck and their applied aspects through images.
Anatomy of lateral wall of nose with relevanceMalarvizhi R
June 2014, a ppt for DLO and MS ENT postgraduate students lecture by Prof Dr.G.Gananathan MS DLO FICS, then HOD & Prof of MMC, on endoscopic and ct relevence to lateral wall of nose and paranasal sinus.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
57. PARANASAL SINUSES
Technical Factors
A medium kV range of 70to 80 is commonly
usedto provide sufficient contrast of the air-
filled paranasal sinuses. Optimum density as
controlled by the mAs is especially important
for sinus radiography to visualize pathology
within the sinus cavities. A small focal spot
should be usedfor maximum detail.
58. LATERAL VIEW
Lateral sideof the skull lies against the film
and x-ray beam is projected perpendicular
from the other side.
CenterCRto apoint midway between
outer canthus andEAM.
60. Respiration
Suspend respiration duringexposure.
Notes:Tovisualize air-fluid levels,anerect position
with ahorizontal beam is required. Fluid within the
paranasal sinus cavities is thick and gelatin-like,
causing it to cling to the cavity walls. Tovisualize
this fluid, allow ashort time (at least 5minutes) for
the fluid to settle after apatient's position has
been changed (i.e., from recumbent to erect
64. Part Position
Placepatient's noseand forehead against upright
table with neck extended to elevate theOML15°
from horizontal. A radiolucent support between
forehead and upright Bucky or table may be used
to maintain this position. CRremains horizontal.
(alternate method if Bucky canbe tilted 15°.)
CenterX-RAYto CRand to nasion, ensuring no
rotation.
Align CRhorizontal, parallel to floor.
68. WATER’SVIEW
A.K.A OCCIPITOMENTAL VIEW OR NOSECHIN
POSITION
IT IS TAKEN IN SUCH A WAYTHAT NOSE AND
CHIN OF THE PATIENT TOUCH THE FILMWHILE
X-RAY BEAM IS PROJECTED FROM BEHIND.
69. Part Position
Extend neck, placing chin and nose against table/film.
•Adjust head until MML is perpendicular to film; OML will forma
37° angle with the plane of the film.
• Ensure that no rotation or tilt exists.
• Center film to CR and to acanthion.
71. STRUCTURESSEEN
Maxillary sinuses (seenbest)
Frontal sinuses
Sphenoid sinuses(if the film is taken with
open mouth)
Zygoma
Zygomatic arch
Nasalbone
Frontal process ofmaxilla
72. Structures Shown: • Maxillary sinuses with the inferior aspect
visualized free from superimposing alveolar processes and petrous
ridges, the inferior orbital rim, and an oblique view of the frontal
sinuses
75. Part Position
Raise chin, hyperextend neck if possible until OMLis
parallel to table/film.
Head rests on vertex of skull.
Ensure no rotation or tilt
80. BASIC CONCEPTS
CTscanstypically obtained for visualizing the
paranasalsinusshould include coronal and axial (3-
mm) cross
sections.
Soft tissue and bony windows facilitate evaluation
of diseaseprocessesand the bony architecture.
The useof intravenous contrast material just prior
to scanning can help define soft tissue lesions and
delineate vascularized structures, such as vascular
tumors.
Contrast-enhanced CTis particularly useful in
evaluating neoplastic, chronic, and inflammatory
processes.
81. The CTscanis the GOLD STANDARD
investigation in all preoperative casesasit gives
detailed bony anatomy of the area and servesas
a‘road map’for the operating surgeon.
CTscansare best done after acourse of
antibiotics, sothat acute inflammation is not
mistaken forchronic mucosal disease.
83. The coronal cuts should be read from
anterior to posterior.
The most anterior cuts show frontal sinus
and nasalbone.
84.
85. The interfrontal septum is in midline
inferiorly, but may deviateto either side.
Theinterfrontal sinusseptum may at
times bepneumatised.
The multiple frontal septae show a
‘classicalscalloping’of the frontal sinus,
which is lost in casesof mucoceles.
86.
87. The inferior turbinate is visualised, any
hypertrophy of the inferior turbinate is looked
for.
Amucosal swelling is seenin the anterior part of
the septum.This is the SEPTALTUBERCLE.
The septum should be studied for deviations and
spurs.
88.
89. The middle turbinate is visualised, any
anatomical variations like concha bullosa or a
paradoxically curved middle turbinate should be
looked for.
The attachment of MT at the junction of the
medial and lateral lamellae of the cribriform
plate isseen.
The level of the cribriform plate and the depth
of the olfactory fossa should be assessedand
classified according to KEROSclassification.
90.
91. The ethmoidal bulla is seenlateral to the
middle turbinate.
Acell extending above the orbit, behind
the frontal sinus is seen here. This cell is
supraobital cell.
92.
93. Uncinate process: This is a3-dimensional
sickle-shaped (also described asahook- or L-
shaped) bone of the lateral nasal wall.
Anteriorly, the uncinate process attaches to
the lacrimal bone; inferiorly, the uncinate
process attaches to the ethmoidal process of
the inferior turbinate.Theposterior edgelies
in the hiatus semilunaris inferioris. Superiorly,
the uncinate process may attach to the
middle turbinate, lamina papyracea, and/or
the skullbase
94. Theuncinate processis seenbelow the
bulla.
Thegroove between the uncinate process
and the bulla is HIATUSSEMILUNARIS.
Hiatus semilunaris andinfundibulum are
seenleading into the normal maxillary
ostium
95.
96. The mode of attachment of the uncinate process
should be carefully studied so as to ascertain the
pathway of drainage of frontal sinus.
Variations in the anatomy of the uncinate
process,and the presence of Haller cell should be
looked for
97.
98.
99. 2-3 mm behind the bulla, the anterior ethmoidal artery is seen
asaclassical‘BEAKING’of the medial orbital wall.
Oncebranching from the ophthalmic artery, it accompanies
the nasociliary nerve through the anterior ethmoidal canal to
supply the anterior and middle ethmoidal cells, frontal sinus,
and anterosuperior aspect of the lateral nasalwall.
Ethmoidal artery is an important anatomical structure to be
recognized during endoscopic sinussurgery.
The anterior ethmoidal artery is the best landmark for the
roof of the ethmoid sinusor the anterior baseof the skull.
100.
101. After reaching the medial wall of the orbit, the Ophthalmic
Artery turns anteriorly. The posterior ethmoidal arteries
enters the nose via the posterior ethmoidal canal and
supplies the posterior ethmoidal sinuses and enters the skull
to supply the meninges.
The Ophthalmic Artery continues anteriorly, giving off
the anterior ethmoidal artery which enters the nose after
traversing the anterior ethmoidal canal and supplies the
anterior and middle ethmoidal sinuses as well as the frontal
sinus and also enters the cranium to supply the meninges
102.
103. Themiddle turbinate is attachedto lamina
papyracea by its ground lamella. This
lamella separates anterior ethmoid cells
from posterior ethmoid cells.
104.
105. The posterior ethmoidal cellsare larger and fewer
than the anterior ethmoidal cells.
The posterior ethmoid artery may occasionally be
identified in the region of the skull base.
The maxillary sinuschangesshape from triangular
to ovoid in its posterior cuts.
Theorbit changesfrom acircular outline to a
triangular shape.
106. Theposterior most attachment of middle
turbinate to the palatine bone is seen
107.
108. Posterior part of the orbit with the
extraocular musclesand the optic nerve is
seen.
The fissure between the orbit and the
maxillary sinusi.e. the INFERIORORBITAL
FISSUREis seen in thiscut.
The INFERIORORBITALFISSUREopensinto
the INFRATEMPORALFOSSA
109.
110. Sphenoid sinus isseen.
The sphenoid dominance should be noted when
the intersphenoidseptum is asymmetrical.
Sphenoid sinus ostium may also be visualised ,
though it is better seenin saggital cuts.
111.
112. The retort shaped ORBITALAPEX is seen
on either side of the sphenoid sinus in the
anterior cuts
113. The maxillary nerve passes through and exits
the skull via the pterygopalatine fossa and the
foramen rotundum.
Vidian canal transmits the nerveof pterygoid
canal (vidian nerve), artery of the pterygoid
canal and vein of the pterygoid canal)
114. Acanalmay beseenbelow the sphenoid
sinus between the Pterygopalatine fossa
and the posterior choana, this is
SPHENOPALATINEFORAMEN.
It transmits the sphenopalatine artery and
vein and thesuperior
nasal and nasopalatinenerves
115.
116. Coronal sections of the nasopharynx show the-
eustachian tube opening, torus tubaris. Fossaof
rosenmuller and the adenoids, if present.
Asymmetry of the Fossaof rosenmullershould
be lookedfor.
120. Widening of ForamenOvale may be seenin
nasopharyngeal angiofibroma.
Destruction of ForamenOvale may be seenin
carcinoma nasopharynx.
121. AXIAL SCANS
Axial scansare best read from inferior to
superior.
N.L.D., anteroposterior deviations of septum
and nasopharynx canbe studied well inAxial cuts
127. Agger nasi: This is a bony prominence that is often
pneumatized in the ascending process of the maxilla. Its
location below the frontal sinus also defines the anterior
limit of the frontal recess
128. Uncinate process: This is a 3-dimensional sickle-shaped
(also described as a hook- or L-shaped) bone of the
lateral nasal wall. Anteriorly, the uncinate processattaches
to the lacrimal bone; inferiorly, the uncinate process
attaches to the ethmoidal process of the inferior turbinate.
The posterior edge lies in the hiatus semilunaris
inferioris. Superiorly, the uncinate process may attach to the
middle turbinate, lamina papyracea, and/or the skull base.
129.
130. -drdhiru456@gmail.com
Concha bullosa: The concha bullosa is a pneumatized middle turbinate. An
enlarged middle turbinate may obstruct the middle meatus and theinfundibulum
causing recurrent disease. It may also serve as a focal area of sinus disease
132. -drdhiru456@gmail.com
Haller cell (infraorbital cell): The Haller cell is usually situated below the
orbit in the roof of the maxillary sinus. It is apneumatized ethmoid cell
that projects along the medial roof of the maxillary sinus. Enlarged Haller
cells may contribute to narrowing of the ethmoidal infundibulum and
recurrent sinusdisease,despite previous (incomplete)
surgery.
133. The anterior ethmoid cells may migrate into
frontal recessarea where they are then named
Frontal cells.
I – TypeI frontal cell (a single air cell above agger
nasi)
II – Type II frontal cell (a series of air cells above
agger nasi but below the orbital roof)
III – TypeIII frontal cell (this cell extends into the
frontal sinus but is contiguous with agger nasi )
IV – TypeIV frontal cell lies completely within
the frontal sinus (Loner cell)
137. KEROS CLASSIFICATION-
TheKeros classification is amethod of classifying the
depth of the olfactory fossa.
In adults, the olfactory recessisavariable depression in
the cribriform plate that medially is bounded by the
perpendicular plate and laterally by the lateral lamella. It
contains olfactory nervesand asmall artery
The depth of the olfactory fossa is determined by the
height of the lateral lamella of the cribriform plate. Keros
in 19621,classified the depth into three categories.
type 1: hasadepth of 1- 3mm (26.3%of population)
type 2: hasadepth of 4 - 7mm (73.3%of population)
type 3: hasadepth of 8 - 16mm (0.5%of population)