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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Chapter 17 Face and Related Structures

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Chapter 17Face and Related Structures


Face

Frontal

Nasal

Sphenoid

Maxilla

Mandible

Lindsey E. Eberman, MS, ATC, LAT


Tempomandibular Joint

Glenoid fossa

Mandibular condyle

Ramus

Angle

Body

Lindsey E. Eberman, MS, ATC, LAT


Ear

Middle

External

Inner

Auricle

Semicircular Canals

Vestibular Nerve

Cochlear Nerve

Cochlea

Tympanic Membrane

Eustachian tube

Lindsey E. Eberman, MS, ATC, LAT


Middle Ear

  • Auditory ossicles

    • Transmit vibrations to oval window on vestibule

Lindsey E. Eberman, MS, ATC, LAT


Nose

Hard Palate

Soft Palate

Lindsey E. Eberman, MS, ATC, LAT


Throat

Lindsey E. Eberman, MS, ATC, LAT


Mouth and Teeth

  • Incisors (4)

    • Cutting

  • Canines (2)

    • Tearing

  • Premolars (4)

    • Crushing, grinding

  • Molars (6)

    • Crushing, grinding

Lindsey E. Eberman, MS, ATC, LAT


Teeth

Lindsey E. Eberman, MS, ATC, LAT


Lindsey E. Eberman, MS, ATC, LAT


Lindsey E. Eberman, MS, ATC, LAT


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


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


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


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

  • Primary Survey

    • Obvious lacerations

    • Airway

      • Inspection of blockage in oral cavity

Lindsey E. Eberman, MS, ATC, LAT


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


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


Inspection

  • Throat

    • Respiration

      • Breathing patterns

        • Respiratory distress

      • Thyroid and cricoid cartilage

        • Deformity

        • Rapid swelling

Lindsey E. Eberman, MS, ATC, LAT


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


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


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

  • 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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