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Chapter 17 Face and Related Structures

Chapter 17 Face and Related Structures. Face. Frontal. Nasal. Sphenoid. Maxilla. Mandible. Tempomandibular Joint. Glenoid fossa. Mandibular condyle. Ramus. Angle. Body. Ear. Middle. External. Inner. Auricle. Semicircular Canals. Vestibular Nerve. Cochlear Nerve. Cochlea.

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Chapter 17 Face and Related Structures

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  1. Chapter 17Face and Related Structures

  2. Face Frontal Nasal Sphenoid Maxilla Mandible Lindsey E. Eberman, MS, ATC, LAT

  3. Tempomandibular Joint Glenoid fossa Mandibular condyle Ramus Angle Body Lindsey E. Eberman, MS, ATC, LAT

  4. Ear Middle External Inner Auricle Semicircular Canals Vestibular Nerve Cochlear Nerve Cochlea Tympanic Membrane Eustachian tube Lindsey E. Eberman, MS, ATC, LAT

  5. Middle Ear • Auditory ossicles • Transmit vibrations to oval window on vestibule Lindsey E. Eberman, MS, ATC, LAT

  6. Nose Hard Palate Soft Palate Lindsey E. Eberman, MS, ATC, LAT

  7. Throat Lindsey E. Eberman, MS, ATC, LAT

  8. Mouth and Teeth • Incisors (4) • Cutting • Canines (2) • Tearing • Premolars (4) • Crushing, grinding • Molars (6) • Crushing, grinding Lindsey E. Eberman, MS, ATC, LAT

  9. Teeth Lindsey E. Eberman, MS, ATC, LAT

  10. Lindsey E. Eberman, MS, ATC, LAT

  11. Lindsey E. Eberman, MS, ATC, LAT

  12. History • Ear • LOP • Pressure • Infection • Tympanic Membrane Rupture • Intense chronic pain and itching • Otitis externa • Infection of external auditory meatus • MOI • Blunt trauma • Physical puncture • Diving • Airplane travel • Complaints of tinnitus of dizziness • Indicative of concussive force, infection, pressure related to air travel Lindsey E. Eberman, MS, ATC, LAT

  13. History • Nose • LOP • Radiating pain • Onset • Acute • Chronic • Sinusitis • Upper respiratory infection • MOI • Direct blow • Epistaxis • Previous history of nasal injury Lindsey E. Eberman, MS, ATC, LAT

  14. History • Throat • LOP • Pain in anterior neck • Deep pain associated with illness • Onset • Acute • MOI • Direct blow: bat, racquet, ball, elbow, etc. • Symptoms • Inability to speak • Crushed larynx • Respiratory distress • Obstruction in airway • Results in raspy voice when speaking Lindsey E. Eberman, MS, ATC, LAT

  15. History • Maxillofacial Injuries • LOP • Usually pinpointed by athlete • Onset • Acute • Direct blow • Chronic • Non-athletic dental problems • MOI • Blunt trauma • Complaints of • Vision impairment • Malocculsion Lindsey E. Eberman, MS, ATC, LAT

  16. Inspection • Primary Survey • Obvious lacerations • Airway • Inspection of blockage in oral cavity Lindsey E. Eberman, MS, ATC, LAT

  17. Ear Auricle Contusion Auricular hematoma Laceration Avulsion External auditory meatus Inflammation Otitis externa Tympanic membrane Using an otoscope Normal Shiny, translucent, smooth Damaged Swollen, perforated, fluid-filled (pus) Periaucular area Contusions Battle Signs (ecchymosis at mastoid process) Inspection Lindsey E. Eberman, MS, ATC, LAT

  18. Inspection • Nose • Alignment • Asssymetry • Fracture • Swelling • Epistaxis • Direct blow • Mucosal laceration • Septum and Mucosa • Using otoscope or penlight • Assymetry or angulation • Deviated septum • Eyes and Face • Racoon eyes • Periorbital ecchymosis Lindsey E. Eberman, MS, ATC, LAT

  19. Inspection • Throat • Respiration • Breathing patterns • Respiratory distress • Thyroid and cricoid cartilage • Deformity • Rapid swelling Lindsey E. Eberman, MS, ATC, LAT

  20. Inspection • Face and Jaw • Bleeding • Facial lacerations • Underlying trauma • Ecchymosis • Periorbital • Fracture- nasal, maxilla, zygoma • Angle of mandible • Fracture- mandible • Asymmetry • Zygoma fracture, temporomandibular joint dysfunction. mandible fracture • Eye movement • Muscle tone • Symmetrical movement of mouth, eyebrow, forehead Lindsey E. Eberman, MS, ATC, LAT

  21. Inspection • Oral Cavity • Lips • Lacerations • Teeth • Fractures • Tongue • Lacerations • Lingual frenulum • Laceration related to tooth fractures • Gums • Laceration • Abscess • Gingivitis Lindsey E. Eberman, MS, ATC, LAT

  22. Inspection • Activity • Look at your neighbor for 30 seconds • Inspect the face and related structures for asymmetry, previous injury • Report findings using appropriate medical terminology and abbreviations Lindsey E. Eberman, MS, ATC, LAT

  23. Palpations • Nasal bone • Nasal cartilage • Zygoma • Maxilla • Temporomandibular joint • Periauricular area • External ear • Teeth • Mandible • Hyoid bone • Cartilage rings of throat Lindsey E. Eberman, MS, ATC, LAT

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