Endoscopic anatomy of nose ,paranasal sinus and anterior skull baseRajat Jain
This document provides an overview of nasal endoscopic anatomy and the endoscopic examination technique. It describes the three passes used in endoscopy to examine the different anatomical structures of the nose and paranasal sinuses. The first pass examines the nasal septum, inferior turbinate, and posterior choana. The second pass examines the superior turbinate, sphenoethmoidal recess, and sphenoid ostium. The third pass examines the middle meatus, uncinate process, bulla ethmoidalis, and maxillary ostium. It also describes important anatomical structures like the turbinates, sinuses, arteries and variations that can be observed during nasal endoscopy.
The document describes the anatomy and structures of the human ear. It is divided into three main parts:
1) The outer ear or external ear collects sound waves and directs them into the middle ear.
2) The middle ear contains the tympanic cavity with the ossicles (malleus, incus, stapes) that vibrate in response to sound and transmit the vibrations into the inner ear. It also contains muscles and nerves.
3) The inner ear or labyrinth contains the bony and membranous structures including the cochlea, vestibule and semicircular canals that sense sound and balance. The cochlea converts sound waves into neural signals that
The document describes the anatomy of the larynx. It discusses the cartilages that make up the larynx, including the thyroid, cricoid, arytenoid, epiglottis, corniculate and cuneiform cartilages. It describes the ligaments that connect the cartilages, including the thyrohyoid membrane, cricothyroid membrane, quadrangular membrane, thyroepiglottic ligament and conus elasticus. The larynx contains the vocal folds and is involved in sound production and airway protection during breathing and swallowing.
This document provides an overview of the anatomy of the paranasal sinuses. It describes the four pairs of paranasal sinuses - frontal, maxillary, ethmoidal, and sphenoidal. For each sinus, it outlines their location, relations to surrounding structures, blood supply, lymphatic drainage, and nerve supply. It also discusses the development of the paranasal sinuses from birth through adulthood.
1. The document discusses anatomical relationships between the ear, nose, and throat structures and the eye. It describes the bones that make up the orbit and pathways for spread of infection.
2. Chandler's classification of orbital inflammation and pathways of spread from paranasal sinuses to the orbit are outlined. Complications can include orbital cellulitis, abscess, and cavernous sinus thrombosis.
3. Imaging findings of various orbital and sinus conditions are shown, including mucoceles, fungal infections, tumors, and fractures. Infections and tumors can invade the orbit from neighboring sinus cavities.
All about uncinate process of nose and paranasal sinusesBikash Shrestha
Uncinate process is one of the important landmarks during the endoscopic sinus surgery. so it is important to know about the variation of unicinate process.
The document discusses the anatomy of the parotid gland, including its location near the ear, its parts, and its relations to surrounding structures like the facial nerve. The parotid gland is one of the three major salivary glands that produces saliva, and the document examines its surface anatomy and clinical relevance.
Endoscopic anatomy of lateral wall of sphenoid sinusAnkit Choudhary
This document discusses the endoscopic anatomy of the lateral wall of the sphenoid sinus and important relationships. It notes that the sphenoid ostium opens into the sphenoethmoidal recess 1-1.5cm above the roof of the choana. Below the ostium lies the Woodruff's plexus and the septal branch of the sphenopalatine artery runs across the anterior wall. Approaches to the sphenoid sinus include paraseptal, intermediate, and lateral. Precautions are discussed such as dilating the ostium inferiomedially first and taking care with dehiscent structures like the optic nerve or internal carotid artery.
Endoscopic anatomy of nose ,paranasal sinus and anterior skull baseRajat Jain
This document provides an overview of nasal endoscopic anatomy and the endoscopic examination technique. It describes the three passes used in endoscopy to examine the different anatomical structures of the nose and paranasal sinuses. The first pass examines the nasal septum, inferior turbinate, and posterior choana. The second pass examines the superior turbinate, sphenoethmoidal recess, and sphenoid ostium. The third pass examines the middle meatus, uncinate process, bulla ethmoidalis, and maxillary ostium. It also describes important anatomical structures like the turbinates, sinuses, arteries and variations that can be observed during nasal endoscopy.
The document describes the anatomy and structures of the human ear. It is divided into three main parts:
1) The outer ear or external ear collects sound waves and directs them into the middle ear.
2) The middle ear contains the tympanic cavity with the ossicles (malleus, incus, stapes) that vibrate in response to sound and transmit the vibrations into the inner ear. It also contains muscles and nerves.
3) The inner ear or labyrinth contains the bony and membranous structures including the cochlea, vestibule and semicircular canals that sense sound and balance. The cochlea converts sound waves into neural signals that
The document describes the anatomy of the larynx. It discusses the cartilages that make up the larynx, including the thyroid, cricoid, arytenoid, epiglottis, corniculate and cuneiform cartilages. It describes the ligaments that connect the cartilages, including the thyrohyoid membrane, cricothyroid membrane, quadrangular membrane, thyroepiglottic ligament and conus elasticus. The larynx contains the vocal folds and is involved in sound production and airway protection during breathing and swallowing.
This document provides an overview of the anatomy of the paranasal sinuses. It describes the four pairs of paranasal sinuses - frontal, maxillary, ethmoidal, and sphenoidal. For each sinus, it outlines their location, relations to surrounding structures, blood supply, lymphatic drainage, and nerve supply. It also discusses the development of the paranasal sinuses from birth through adulthood.
1. The document discusses anatomical relationships between the ear, nose, and throat structures and the eye. It describes the bones that make up the orbit and pathways for spread of infection.
2. Chandler's classification of orbital inflammation and pathways of spread from paranasal sinuses to the orbit are outlined. Complications can include orbital cellulitis, abscess, and cavernous sinus thrombosis.
3. Imaging findings of various orbital and sinus conditions are shown, including mucoceles, fungal infections, tumors, and fractures. Infections and tumors can invade the orbit from neighboring sinus cavities.
All about uncinate process of nose and paranasal sinusesBikash Shrestha
Uncinate process is one of the important landmarks during the endoscopic sinus surgery. so it is important to know about the variation of unicinate process.
The document discusses the anatomy of the parotid gland, including its location near the ear, its parts, and its relations to surrounding structures like the facial nerve. The parotid gland is one of the three major salivary glands that produces saliva, and the document examines its surface anatomy and clinical relevance.
Endoscopic anatomy of lateral wall of sphenoid sinusAnkit Choudhary
This document discusses the endoscopic anatomy of the lateral wall of the sphenoid sinus and important relationships. It notes that the sphenoid ostium opens into the sphenoethmoidal recess 1-1.5cm above the roof of the choana. Below the ostium lies the Woodruff's plexus and the septal branch of the sphenopalatine artery runs across the anterior wall. Approaches to the sphenoid sinus include paraseptal, intermediate, and lateral. Precautions are discussed such as dilating the ostium inferiomedially first and taking care with dehiscent structures like the optic nerve or internal carotid artery.
This document provides an anatomical overview of the structures of the middle ear and mastoid region. It describes the development, features, and contents of the eustachian tube, tympanic cavity, mastoid air cells, and related structures. Key structures discussed include the ossicles, muscles, nerves, blood supply, and the walls, openings and recesses of the middle ear cavity. Comparisons are made between adult and infant anatomy.
This document provides information on various benign vocal cord lesions including vocal nodules, vocal polyps, Reinke's edema, intubation granuloma, contact ulcer, laryngeal cysts, sulci, amyloidosis, and laryngeal keratosis. It describes the causes, symptoms, examination findings, and treatment options for each condition. The treatment may involve voice therapy, medical management, or surgical procedures like excision or laser ablation depending on the severity and type of lesion present. The goal of treatment is typically to resolve symptoms and prevent recurrence.
This document provides an overview of endoscopic nasal anatomy. It begins with a brief introduction to endoscopy and its historical evolution. It then describes the external nose, nasal septum, lateral nasal wall including the inferior, middle, and superior turbinates. Various anatomical variations are also discussed. The paranasal sinuses, anterior skull base, and endoscopic approaches to different nasal and sinus structures like the frontal sinus and sphenoid sinus are summarized. Key landmarks and variations are highlighted to provide a concise yet comprehensive summary of the essential endoscopic nasal anatomy concepts covered in the document.
Skull base anatomy by Dr. Aditya TiwariAditya Tiwari
The document discusses the anatomy and embryology of the skull base. It describes the various bones that make up the skull base, including the sphenoid, occipital and temporal bones. It outlines the boundaries and contents of the different cranial fossae: anterior, middle, and posterior. It also details important anatomical structures in the skull base like the cavernous sinus, foramina, and various nerves and vessels that pass through the skull base. Comprehensive knowledge of the skull base anatomy is important for understanding pathologies and surgical planning.
Glomus tumors are rare, slow-growing, hypervascular tumors that originate from glomus bodies. They most commonly occur in the middle ear (glomus tympanicum), jugular bulb region (glomus jugulare), or vagus nerve in the neck (glomus vagale). Surgical resection is the primary treatment, with the surgical approach depending on the size and extent of the tumor. While benign, glomus tumors can cause cranial nerve deficits if they invade local structures and have a small malignant potential. Long-term monitoring is important to check for recurrence.
This document provides information on glomus tumours, which are benign, slow-growing, hypervascular tumours that originate from glomus bodies in the middle ear or jugular bulb region. Key points include:
- Glomus tumours are the most common benign tumours of the middle ear. They can be classified based on their location as glomus tympanicum or glomus jugulare tumours.
- Patients typically present with pulsatile tinnitus and hearing loss. Large glomus jugulare tumours can cause cranial nerve palsies due to skull base erosion.
- Diagnostic workup involves audiological testing, imaging like CT/MRI to determine tumour size
The nasal cavity and sphenoid sinus are described. The nasal cavity is divided into two halves by the nasal septum and has three regions: the vestibule, respiratory region, and olfactory region. It is bounded by bones and cartilages. The sphenoid sinus is located in the sphenoid bone and has relationships superiorly to the cranial cavity and pituitary gland. It varies in size and can extend into surrounding bones. Both structures receive blood supply from ethmoidal arteries and nerve supply from ethmoidal nerves.
This document discusses various anaerobic organisms and infections they can cause in the head and neck region. It describes key anaerobes like Bacteroides, Prevotella, Peptostreptococcus, Fusobacterium, Clostridium, Actinomyces and infections associated with them such as peritonsillar abscess, actinomycosis, acute necrotizing ulcerative gingivitis. It also discusses complications of anaerobic head and neck infections that can spread locally or hematogenously. The approach to patients involves considering proximity of infection to colonized mucosal sites and polymicrobial nature of infections that often involve both aerobic and anaerobic organisms.
The document discusses the anatomy of the sinus tympani, a cavity located in the posterior region of the tympanic cavity. It describes how the sinus tympani was first named and discussed in 1820. It defines the two portions of the retrotympanum based on the position of the facial nerve. It outlines different shapes that the sinus tympani can take, including classical, confluent, partitioned, and restricted, and different types - A, B, and C - based on its extension in relation to the facial nerve. The shapes and types of the sinus tympani can influence the surgical approach used for cholesteatoma surgery.
Clinical anatomy of facial nerve and facial nerve palsy Ramesh Parajuli
The facial nerve is a mixed nerve that originates in the brainstem and has motor, sensory, and parasympathetic functions. It has several segments as it exits the brainstem and travels through the skull and internal auditory canal before exiting behind the ear. It gives off several branches and terminates in branches that innervate the muscles of facial expression. Facial nerve palsy can result from various causes like Bell's palsy, trauma, infection, tumors, or iatrogenic injuries. Clinical assessment and electrical tests can localize the site of injury which guides management including medications, physical therapy, or surgical interventions like decompression or repair.
Eustachian tube final PP ANATOMY,EMBRYOLOGY,FUNCTIONS,DYSFUNCTIONS TREATMENT,...social service
The Eustachian tube connects the middle ear cavity to the nasopharynx. It has important functions like regulating middle ear pressure and ventilation, protecting the middle ear, and facilitating mucociliary clearance and drainage. Dysfunction of the Eustachian tube can lead to negative pressure in the middle ear, retraction of the tympanic membrane, fluid accumulation, and acute otitis media. Tests for Eustachian tube function include the Valsalva maneuver, Toynbee's maneuver, and tympanometry. Treatment options for Eustachian tube dysfunction include medical management with nasal decongestants or steroids, as well as surgical procedures like my
This document discusses the differential diagnosis of nasal masses. It begins by listing common symptoms that may indicate a nasal mass such as nasal obstruction, rhinorrhea, congestion, and hyposmia. Physical examination findings related to different locations and extensions of masses are described. Nasal masses are then categorized anatomically as normal variants, congenital/developmental, inflammatory/infectious, and neoplasms. Specific conditions are discussed in detail, providing information on symptoms, appearance, relevant test findings, and other characteristics. Incidence data from one study on common nasal masses is presented. The document concludes with a brief overview of malignant nasal masses.
The facial nerve has a long and complex course through the skull. It is vulnerable to injury at several points due to anatomical variations and narrow segments. The reported rate of iatrogenic injury to the facial nerve during mastoid surgeries is 0.6-3.7% for primary surgeries and up to 10% for revision surgeries due to increased risk. Thorough knowledge of the facial nerve's anatomy and variations is important for surgeons to avoid injury during these procedures.
Endoscopic single handed septoplasty with batten graft for caudalDaria Otgonbayar
This study evaluated the effectiveness of an endoscopic single-handed septoplasty technique using a batten graft to correct deviations of the caudal septum. 17 patients underwent the procedure, which uses a modified Killian incision and preserves the L-strut to prevent deformities. Post-operation, CT scans showed significantly improved nasal cavity ratios and patient surveys found improvements in nasal obstruction and other symptoms. The technique provides an easy, minimally invasive option to correct caudal septum deviations in select cases.
Facial nerve decompression is a surgical procedure to relieve pressure and reduce compression on the facial nerve fibers. It involves opening the bony canal and nerve sheath. There are several surgical approaches depending on the location of injury, including transmastoid, middle cranial fossa, and translabyrinthine. The middle cranial fossa approach provides exposure of the internal auditory canal and labyrinthine segments without risk of hearing loss. Landmarks are used to identify the various segments of the facial nerve during decompression. The goal is to maximize functional recovery from facial paralysis.
The document provides details on the anatomy and clinical examination of the facial nerve (CNVII). It discusses the supranuclear, nuclear/intra-axial, and peripheral components of the facial nerve. Key points include that CNVII has four nuclei in the lower pons and exits the brainstem in two roots. It describes the intra- and extra-axial course of the nerve through the internal auditory canal, facial canal, and branches after exiting the stylomastoid foramen. Clinical tests for assessing motor, sensory, and parasympathetic function are outlined. Localization of lesions is discussed in relation to upper and lower motor neuron palsies.
This document does not contain any meaningful information to summarize in 3 sentences or less. The text simply repeats "Dr. Shalima PS" multiple times without providing any additional context or details.
Surgical Management of Nasal Valve Insufficiency .pptxGierelma J.T.
This document discusses the surgical management of nasal valve insufficiency. There are multiple techniques used to address internal and external nasal valve collapse, including spreader grafts, butterfly grafts, batten grafts, and lateral crural strut grafts. For the external valve, techniques include lateral crural repositioning and strut graft placement to provide support to the lateral wall. Surgical management aims to improve nasal breathing and patency by strengthening weak nasal wall structures and correcting structural abnormalities.
Superior Semicircular Canal Dehiscence SyndromeAde Wijaya
Superior semicircular canal dehiscence syndrome is caused by a thin or missing bone over the superior semicircular canal. This allows abnormal transmission of sound and pressure into the inner ear, causing symptoms like vertigo, dizziness, autophony, and pressure- or sound-induced vertigo. Diagnosis is based on clinical presentation and imaging evidence of a dehiscence. Treatment options include avoiding triggering environmental factors or surgical repair of the dehiscence. It is an uncommon but important cause of vestibular symptoms that requires consideration in patients with dizziness or auditory symptoms.
This document describes the anatomy and physiology of the nose and paranasal sinuses. It discusses the development, external anatomy, internal anatomy including the nasal septum and lateral nasal wall, blood supply, nerve supply, paranasal sinuses, and physiology of the nose. Key structures mentioned include the nasal valve, osteomeatal complex, turbinates, and mucociliary clearance mechanism that protects the lower airways.
The nasal cavity is divided by the nasal septum into left and right cavities. Each cavity has a roof, floor, lateral wall, and medial wall. The lateral wall contains 3 conchae, 3 meatuses, openings of the paranasal sinuses and nasolacrimal duct. The mucous membrane lining the nasal cavity includes olfactory mucosa in the upper regions and respiratory mucosa in other areas. The nose receives nerve supply from the olfactory and general sensory nerves and blood supply from arteries of the face and skull. Lymph from the nose drains to cervical lymph nodes in the neck.
This document provides an anatomical overview of the structures of the middle ear and mastoid region. It describes the development, features, and contents of the eustachian tube, tympanic cavity, mastoid air cells, and related structures. Key structures discussed include the ossicles, muscles, nerves, blood supply, and the walls, openings and recesses of the middle ear cavity. Comparisons are made between adult and infant anatomy.
This document provides information on various benign vocal cord lesions including vocal nodules, vocal polyps, Reinke's edema, intubation granuloma, contact ulcer, laryngeal cysts, sulci, amyloidosis, and laryngeal keratosis. It describes the causes, symptoms, examination findings, and treatment options for each condition. The treatment may involve voice therapy, medical management, or surgical procedures like excision or laser ablation depending on the severity and type of lesion present. The goal of treatment is typically to resolve symptoms and prevent recurrence.
This document provides an overview of endoscopic nasal anatomy. It begins with a brief introduction to endoscopy and its historical evolution. It then describes the external nose, nasal septum, lateral nasal wall including the inferior, middle, and superior turbinates. Various anatomical variations are also discussed. The paranasal sinuses, anterior skull base, and endoscopic approaches to different nasal and sinus structures like the frontal sinus and sphenoid sinus are summarized. Key landmarks and variations are highlighted to provide a concise yet comprehensive summary of the essential endoscopic nasal anatomy concepts covered in the document.
Skull base anatomy by Dr. Aditya TiwariAditya Tiwari
The document discusses the anatomy and embryology of the skull base. It describes the various bones that make up the skull base, including the sphenoid, occipital and temporal bones. It outlines the boundaries and contents of the different cranial fossae: anterior, middle, and posterior. It also details important anatomical structures in the skull base like the cavernous sinus, foramina, and various nerves and vessels that pass through the skull base. Comprehensive knowledge of the skull base anatomy is important for understanding pathologies and surgical planning.
Glomus tumors are rare, slow-growing, hypervascular tumors that originate from glomus bodies. They most commonly occur in the middle ear (glomus tympanicum), jugular bulb region (glomus jugulare), or vagus nerve in the neck (glomus vagale). Surgical resection is the primary treatment, with the surgical approach depending on the size and extent of the tumor. While benign, glomus tumors can cause cranial nerve deficits if they invade local structures and have a small malignant potential. Long-term monitoring is important to check for recurrence.
This document provides information on glomus tumours, which are benign, slow-growing, hypervascular tumours that originate from glomus bodies in the middle ear or jugular bulb region. Key points include:
- Glomus tumours are the most common benign tumours of the middle ear. They can be classified based on their location as glomus tympanicum or glomus jugulare tumours.
- Patients typically present with pulsatile tinnitus and hearing loss. Large glomus jugulare tumours can cause cranial nerve palsies due to skull base erosion.
- Diagnostic workup involves audiological testing, imaging like CT/MRI to determine tumour size
The nasal cavity and sphenoid sinus are described. The nasal cavity is divided into two halves by the nasal septum and has three regions: the vestibule, respiratory region, and olfactory region. It is bounded by bones and cartilages. The sphenoid sinus is located in the sphenoid bone and has relationships superiorly to the cranial cavity and pituitary gland. It varies in size and can extend into surrounding bones. Both structures receive blood supply from ethmoidal arteries and nerve supply from ethmoidal nerves.
This document discusses various anaerobic organisms and infections they can cause in the head and neck region. It describes key anaerobes like Bacteroides, Prevotella, Peptostreptococcus, Fusobacterium, Clostridium, Actinomyces and infections associated with them such as peritonsillar abscess, actinomycosis, acute necrotizing ulcerative gingivitis. It also discusses complications of anaerobic head and neck infections that can spread locally or hematogenously. The approach to patients involves considering proximity of infection to colonized mucosal sites and polymicrobial nature of infections that often involve both aerobic and anaerobic organisms.
The document discusses the anatomy of the sinus tympani, a cavity located in the posterior region of the tympanic cavity. It describes how the sinus tympani was first named and discussed in 1820. It defines the two portions of the retrotympanum based on the position of the facial nerve. It outlines different shapes that the sinus tympani can take, including classical, confluent, partitioned, and restricted, and different types - A, B, and C - based on its extension in relation to the facial nerve. The shapes and types of the sinus tympani can influence the surgical approach used for cholesteatoma surgery.
Clinical anatomy of facial nerve and facial nerve palsy Ramesh Parajuli
The facial nerve is a mixed nerve that originates in the brainstem and has motor, sensory, and parasympathetic functions. It has several segments as it exits the brainstem and travels through the skull and internal auditory canal before exiting behind the ear. It gives off several branches and terminates in branches that innervate the muscles of facial expression. Facial nerve palsy can result from various causes like Bell's palsy, trauma, infection, tumors, or iatrogenic injuries. Clinical assessment and electrical tests can localize the site of injury which guides management including medications, physical therapy, or surgical interventions like decompression or repair.
Eustachian tube final PP ANATOMY,EMBRYOLOGY,FUNCTIONS,DYSFUNCTIONS TREATMENT,...social service
The Eustachian tube connects the middle ear cavity to the nasopharynx. It has important functions like regulating middle ear pressure and ventilation, protecting the middle ear, and facilitating mucociliary clearance and drainage. Dysfunction of the Eustachian tube can lead to negative pressure in the middle ear, retraction of the tympanic membrane, fluid accumulation, and acute otitis media. Tests for Eustachian tube function include the Valsalva maneuver, Toynbee's maneuver, and tympanometry. Treatment options for Eustachian tube dysfunction include medical management with nasal decongestants or steroids, as well as surgical procedures like my
This document discusses the differential diagnosis of nasal masses. It begins by listing common symptoms that may indicate a nasal mass such as nasal obstruction, rhinorrhea, congestion, and hyposmia. Physical examination findings related to different locations and extensions of masses are described. Nasal masses are then categorized anatomically as normal variants, congenital/developmental, inflammatory/infectious, and neoplasms. Specific conditions are discussed in detail, providing information on symptoms, appearance, relevant test findings, and other characteristics. Incidence data from one study on common nasal masses is presented. The document concludes with a brief overview of malignant nasal masses.
The facial nerve has a long and complex course through the skull. It is vulnerable to injury at several points due to anatomical variations and narrow segments. The reported rate of iatrogenic injury to the facial nerve during mastoid surgeries is 0.6-3.7% for primary surgeries and up to 10% for revision surgeries due to increased risk. Thorough knowledge of the facial nerve's anatomy and variations is important for surgeons to avoid injury during these procedures.
Endoscopic single handed septoplasty with batten graft for caudalDaria Otgonbayar
This study evaluated the effectiveness of an endoscopic single-handed septoplasty technique using a batten graft to correct deviations of the caudal septum. 17 patients underwent the procedure, which uses a modified Killian incision and preserves the L-strut to prevent deformities. Post-operation, CT scans showed significantly improved nasal cavity ratios and patient surveys found improvements in nasal obstruction and other symptoms. The technique provides an easy, minimally invasive option to correct caudal septum deviations in select cases.
Facial nerve decompression is a surgical procedure to relieve pressure and reduce compression on the facial nerve fibers. It involves opening the bony canal and nerve sheath. There are several surgical approaches depending on the location of injury, including transmastoid, middle cranial fossa, and translabyrinthine. The middle cranial fossa approach provides exposure of the internal auditory canal and labyrinthine segments without risk of hearing loss. Landmarks are used to identify the various segments of the facial nerve during decompression. The goal is to maximize functional recovery from facial paralysis.
The document provides details on the anatomy and clinical examination of the facial nerve (CNVII). It discusses the supranuclear, nuclear/intra-axial, and peripheral components of the facial nerve. Key points include that CNVII has four nuclei in the lower pons and exits the brainstem in two roots. It describes the intra- and extra-axial course of the nerve through the internal auditory canal, facial canal, and branches after exiting the stylomastoid foramen. Clinical tests for assessing motor, sensory, and parasympathetic function are outlined. Localization of lesions is discussed in relation to upper and lower motor neuron palsies.
This document does not contain any meaningful information to summarize in 3 sentences or less. The text simply repeats "Dr. Shalima PS" multiple times without providing any additional context or details.
Surgical Management of Nasal Valve Insufficiency .pptxGierelma J.T.
This document discusses the surgical management of nasal valve insufficiency. There are multiple techniques used to address internal and external nasal valve collapse, including spreader grafts, butterfly grafts, batten grafts, and lateral crural strut grafts. For the external valve, techniques include lateral crural repositioning and strut graft placement to provide support to the lateral wall. Surgical management aims to improve nasal breathing and patency by strengthening weak nasal wall structures and correcting structural abnormalities.
Superior Semicircular Canal Dehiscence SyndromeAde Wijaya
Superior semicircular canal dehiscence syndrome is caused by a thin or missing bone over the superior semicircular canal. This allows abnormal transmission of sound and pressure into the inner ear, causing symptoms like vertigo, dizziness, autophony, and pressure- or sound-induced vertigo. Diagnosis is based on clinical presentation and imaging evidence of a dehiscence. Treatment options include avoiding triggering environmental factors or surgical repair of the dehiscence. It is an uncommon but important cause of vestibular symptoms that requires consideration in patients with dizziness or auditory symptoms.
This document describes the anatomy and physiology of the nose and paranasal sinuses. It discusses the development, external anatomy, internal anatomy including the nasal septum and lateral nasal wall, blood supply, nerve supply, paranasal sinuses, and physiology of the nose. Key structures mentioned include the nasal valve, osteomeatal complex, turbinates, and mucociliary clearance mechanism that protects the lower airways.
The nasal cavity is divided by the nasal septum into left and right cavities. Each cavity has a roof, floor, lateral wall, and medial wall. The lateral wall contains 3 conchae, 3 meatuses, openings of the paranasal sinuses and nasolacrimal duct. The mucous membrane lining the nasal cavity includes olfactory mucosa in the upper regions and respiratory mucosa in other areas. The nose receives nerve supply from the olfactory and general sensory nerves and blood supply from arteries of the face and skull. Lymph from the nose drains to cervical lymph nodes in the neck.
Epistaxis, or nosebleeds, are common and usually caused by local trauma or irritation to the nasal mucosa. The nasal septum and Kiesselbach's plexus are frequent bleeding sites. Epistaxis can be anterior or posterior depending on the location of bleeding. Initial management involves resuscitation, arresting the bleeding through local measures like anterior nasal packing, and treating any underlying causes. Refractory epistaxis may require arterial embolization, laser cauterization, or ligation of arteries supplying the nasal mucosa like the sphenopalatine artery. Hospitalization is needed for posterior epistaxis or severe anterior bleeding.
This document provides an overview of the anatomy of the paranasal sinuses. It describes the four pairs of paranasal sinuses - frontal, maxillary, ethmoidal, and sphenoidal. For each sinus, it outlines their location, relations to surrounding structures, blood supply, lymphatic drainage, and nerve supply. It also discusses the development of the paranasal sinuses from birth through adulthood.
This document provides an overview of the nose and paranasal sinuses. It begins by defining some key anatomical landmarks of the nose, including the nasion, rhinion, dorsum, and columella. It then describes the external nose and nasal cavity in more detail. The four paranasal sinuses - frontal, maxillary, sphenoidal, and ethmoidal - are also summarized. The document concludes with brief descriptions of the pterygopalatine fossa, ganglion, and some clinical considerations.
1. The nose develops from nasal placodes and prominences that fuse around the nostrils. The nasal cavity has bones, cartilage and membranes that form its roof, floor, walls and turbinates.
2. The nasal cavity functions to warm, humidify, and filter inhaled air for respiration. It also contains olfactory regions for smell. Blood supply comes from the ethmoidal and sphenopalatine arteries.
3. Epistaxis or nosebleeds can be caused by local nasal issues, general medical conditions, or idiopathically. Treatment involves first aid, cauterization, nasal packing, or surgery depending on severity.
This document provides information on epistaxis (nosebleeds), including:
1) It discusses the vascular anatomy of the nose and common sites of bleeding like Kiesselbach's plexus and Woodruff's plexus.
2) The causes of epistaxis are described, including local causes like trauma, infections, and tumors as well as systemic causes like hypertension and bleeding disorders.
3) The clinical classification of epistaxis into childhood vs. adult, primary vs. secondary, and anterior vs. posterior is explained.
4) Methods for managing epistaxis are outlined, ranging from initial resuscitation to direct therapies like cauterization and indirect options like nasal packing and arterial
The document discusses the anatomy of the paranasal sinuses. It describes the four pairs of paranasal sinuses - maxillary, frontal, ethmoid, and sphenoidal sinuses. For each sinus, it details the location, relationships to surrounding structures, neurovascular supply, development, and clinical importance. The maxillary sinus is the largest sinus, located within the maxilla bone. The frontal sinus is the second largest sinus located within the frontal bone. The ethmoid sinus consists of three groups of air cells within the ethmoid bone. The sphenoid sinus develops later and is located within the sphenoid bone below the sella turcica. The paranasal sinuses are important for warming,
Anatomy of the nose and paranasal sinuses made easyAdebayo Daniel
The nose contains the external nose and nasal cavity. The nasal cavity contains paranasal sinuses including the maxillary, ethmoid, sphenoid, and frontal sinuses. The maxillary sinus is located within the maxilla bone and drains into the middle meatus. The ethmoid sinuses are divided by septa with multiple air cells that drain into the front of the nasal cavity. The sphenoid sinus is located in the sphenoid bone and drains into the sphenoethmoidal recess. The frontal sinus develops later and drains into the front of the nasal cavity. Together, the paranasal sinuses help warm, humidify, and cleanse air during breathing.
Atlas anatomy of the nose and paranasal sinusesPrasanna Datta
This document discusses the anatomy of the nose and paranasal sinuses. It describes the external structures of the nose including the nasal vestibule. Internally, it outlines the nasal cavity including the roof, floor, medial and lateral walls. It then details the respiratory mucosa, blood supply from the external and internal carotid arteries, venous drainage and nerve innervation. Finally, it examines the anatomy of the individual paranasal sinuses - maxillary, ethmoid, frontal and sphenoid sinuses - focusing on their locations and drainage pathways.
The nasal cavity is divided by the nasal septum and contains three meatuses. The nasal cavity receives blood supply from various arteries including the sphenopalatine artery. There are four paired paranasal sinuses located around the nasal cavity: the maxillary, frontal, ethmoid, and sphenoidal sinuses. The osteomeatal complex and meatus are involved in sinus drainage. Certain ethmoid air cells like Haller and Onodi cells can affect sinus drainage or structures like the optic nerve.
The nasal septum divides the nasal cavity into two halves. It is made up of both bony and cartilaginous parts. The bony parts include the perpendicular plate of the ethmoid, vomer, and nasal crests of the frontal, palatine and maxillary bones. The cartilaginous part is the septal cartilage. The nasal septum receives its blood supply from the anterior and posterior ethmoidal arteries and drains into the facial and pterygoid veins. It is innervated by branches of the anterior ethmoidal and pteryopalatine ganglia. A deviated nasal septum can cause nasal obstruction and is often corrected by septoplasty.
Anatomy Nasal Septum and Septoplasty - PakistanAnwaaar
The nasal septum consists of cartilage, bone, and membranes that divide the nasal cavity into two air passages. Submucous resection and septoplasty are surgical procedures performed to correct a deviated septum and improve nasal breathing by removing or reshaping deformed cartilage and bone. Both procedures involve raising flaps of tissue to access and correct the septum while preserving as much of the supporting framework as possible.
This document provides an anatomy of the nose. It describes the external nose including its bony and cartilaginous parts. Internally, it details the nasal cavity including its boundaries, regions, and paranasal sinuses. It also discusses the musculature, blood supply, nerve supply, lymphatic drainage and functions of the paranasal sinuses.
The Nose and nasal cavity, anatomy, and clinical diseases of nasal cavity and...HamzehKYacoub
Nasal cavity is the most superior part of the respiratory system.
Blood supply of nose and Cavernous Sinus.
Epistaxis causes and locations.
Allergic Rhinitis and Non-allergic rhinitis with eosinophilia (NARES).
Ostiomeatal complex (OMC)
Sinusitis.
Nasal polyps.
Headaches types.
Neuralgia.
USMLE RESP 02 nose and paranasal sinuses anatomy medical .pdfAHMED ASHOUR
The nose and paranasal sinuses are interconnected structures in the upper respiratory system that play essential roles in the respiratory and olfactory processes.
Disorders of the nose and paranasal sinuses can include sinusitis (inflammation of the sinuses), nasal polyps, deviated septum, and various infections.
Proper care and treatment are essential to maintain respiratory function and overall health.
The document provides an overview of the anatomy of the nose. It discusses the external and internal structures of the nose, including the nasal cavity and paranasal sinuses. The external nose has bony and cartilaginous parts that provide structure. Internally, the nasal cavity is divided by the nasal septum and lined by various types of epithelium. The document outlines the blood supply, nerve innervation, lymphatic drainage and musculature of the nose. It provides details on the four paired paranasal sinuses within the facial bones that are connected to the nasal cavity.
This document discusses epistaxis (nosebleeds), including its causes, sites of bleeding, classification, and management approaches. The main points covered are:
- Epistaxis is caused by bleeding from inside the nose, with common causes being local trauma, infections, or general medical conditions like hypertension.
- The most common site of bleeding is an area of the nasal septum called Little's area, where several arteries converge.
- Epistaxis can be anterior (from the nasal cavity) or posterior (from the nasopharynx). Anterior bleeding is more common and usually mild.
- First approaches to manage epistaxis include applying pressure, cauterization of bleeding vessels, or anterior nasal packing
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The parasympathetic nervous system is responsible for rest and digestion functions. It works through two neurons to have discrete and localized effects. The main neurotransmitter is acetylcholine, which acts on nicotinic and muscarinic receptors. The document describes the specific effects of parasympathetic stimulation on various organs like the eyes (miosis), heart (decreased rate and force), lungs, gastrointestinal tract, liver, pancreas, urinary bladder and others. It also discusses what would happen if the parasympathetic nervous system is blocked, such as tachycardia, urine retention, constipation and others.
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The kidneys play an important role in drug disposition and it is important to design specific drug regimens for patients with renal impairment. Renal failure can alter a drug's pharmacokinetics through changes in absorption, protein binding, volume of distribution and elimination. It can also impact a drug's pharmacodynamics by increasing sensitivity to certain drugs. Dose modification is crucial when treating patients with renal failure due to these alterations in pharmacokinetics and pharmacodynamics.
Histology of group of immune cells that mediate the cellular immune response by processing and presenting antigens for recognition by certain lymphocytes such as T cells.
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
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Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
5. Venous drainage
A rich submucosal venous plexus, deep to the nasal
mucosa, provides venous drainage of the nose
Sphenopalatine vein
Facial vein
Ophthalmic vein
Veins in the nose essentially follow the arterial pattern
6. Anastomosis Kiesselbach’s Plexus (Little’s Area)
This area is in the anterior septum where the capillaries merge. It is often the site of anterior epistaxis.
LEGS: Labial (superior), Ethmoidal , Greater palatine, and Sphenopalatine arteries.
Almost 90%
1
2
3
4
5
7. Woodruff ’s Plexus
Anastomosis
Woodruff plexus, known as naso-nasopharyngeal plexus, is located at the posterior
1 cm of the nasal floor, inferior meatus, and middle meatus.
Initially thought to be an arterial plexus but recent studies suggest
it a venous plexus
Most common site for posterior epistaxis