chapter 17 face and related structures
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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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Presentation Transcript
slide2
Face

Frontal

Nasal

Sphenoid

Maxilla

Mandible

Lindsey E. Eberman, MS, ATC, LAT

tempomandibular joint
Tempomandibular Joint

Glenoid fossa

Mandibular condyle

Ramus

Angle

Body

Lindsey E. Eberman, MS, ATC, LAT

slide4
Ear

Middle

External

Inner

Auricle

Semicircular Canals

Vestibular Nerve

Cochlear Nerve

Cochlea

Tympanic Membrane

Eustachian tube

Lindsey E. Eberman, MS, ATC, LAT

middle ear
Middle Ear
  • Auditory ossicles
    • Transmit vibrations to oval window on vestibule

Lindsey E. Eberman, MS, ATC, LAT

slide6
Nose

Hard Palate

Soft Palate

Lindsey E. Eberman, MS, ATC, LAT

throat
Throat

Lindsey E. Eberman, MS, ATC, LAT

mouth and teeth
Mouth and Teeth
  • Incisors (4)
    • Cutting
  • Canines (2)
    • Tearing
  • Premolars (4)
    • Crushing, grinding
  • Molars (6)
    • Crushing, grinding

Lindsey E. Eberman, MS, ATC, LAT

teeth
Teeth

Lindsey E. Eberman, MS, ATC, LAT

history
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

history1
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

history2
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

history3
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

inspection
Inspection
  • Primary Survey
    • Obvious lacerations
    • Airway
      • Inspection of blockage in oral cavity

Lindsey E. Eberman, MS, ATC, LAT

inspection1
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

inspection2
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

inspection3
Inspection
  • Throat
    • Respiration
      • Breathing patterns
        • Respiratory distress
      • Thyroid and cricoid cartilage
        • Deformity
        • Rapid swelling

Lindsey E. Eberman, MS, ATC, LAT

inspection4
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

inspection5
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

inspection6
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

palpations
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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