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slide2

1 OIDO EXTERNO

  • 2 OIDO MEDIO
  • 3 OIDO INTERNO

APARATO AUDITIVO

Dr M Monzo

mmonzo@ub.edu

slide3

Adaptación al medio

Estructuras

Limites

Longitud

Significado morfológico

1 OIDO EXTERNO

Dr M Monzo

mmonzo@ub.edu

slide4

PABELLON AUDITIVO

Hélix

Anti-hélix

Canal del Hélix (fosa escafoidea)

Trago*

Anti-Trago*

Lóbulo auricular

Relieves

Anteriores

Posteriores

Inferiores

Tej Cartilaginoso

Tej Adiposo

Tej Muscular

Linfaticos

Constitución

Motora , F

Sensitiva

N auricular M

N auricular T

Art Auricular pots

Art Temporal Superf

Vens Auricular pots

Vens Temporal Superf

Inervación

Vascularización

Dr M Monzo

mmonzo@ub.edu

slide5

Limites

  • Constitución

Cara externa

Cara Interna

Pared Anterior

Pared Posterior

Pared Superior

Pared Inferior

Relaciones

**

Anteriores

Posteriores

Inferiores

Linfaticos

Ramas:

Auriculo T.

Facial

Vago

Art Auricular pots

Art Temporal Superf

Vens Auricular pots

Vens Temporal Superf

Inervación

Vascularización

CONDUCTO AUDITIVO EXTERNO

Dr M Monzo

mmonzo@ub.edu

Significado Clínico

slide6

FORMA

  • DIMENSIONES
  • ESTRUCTURAS ANATOMICAS
  • CARAS
  • CONSTITUCION
  • DISPOSICION

Cara Exter.Art auricular prof (rama maxilar)

Cara Inter .Art auricular post

Vena: Cara Exter. Drenan Y E

Cara Inter. Drenan Seno trasnsverso

Vascularización

MEMBRANA TIMPANICA**

Dr M Monzo

mmonzo@ub.edu

slide7

CONTENIDO

  • PAREDES
  • TROMPA

Martillo

Yunque

Estribo

HUESOS

Martillo

Estribo

MUSCULOS

CONTENIDO

Martillo

Yunque

Estribo

LIGAMENTOS

2 OIDO MEDIO

Dr M Monzo

mmonzo@ub.edu

slide8

2 OIDO MEDIO

HUESOS

MARTILLO YUNQUE ESTRIBO

Cabeza

Cuello

Rama Ant

Rama Post

Platina

Cuerpo

Rama Corta

Rama Larga

Apof Lenticular

Cabeza

Mango

Apof Lateral

Apof Anterior

MUSCULOS

MUSCULO O I INERV ACCION

Amortg

Vibraciones

Memb timp

Martillo

(Timpánico)

Trompa

Porción

cartilaginosa

Mango

Martillo

Rama

Mandibular

Trigémino

Cuello

estribo

Amortg

Vibraciones

Estribo

Estribo

(Estapédio)

Pirámide

Facial

Dr M Monzo

mmonzo@ub.edu

slide9

2 OIDO MEDIO

Art Estilomastoideda

Art Timpánica

Art Meningea media

Art Faríngea

Art Carótida Interna

Venas:

Plexos pterigoideos

Plexos faríngeos

Vena meningea media

Golfo yugular interna

VASCULARIZACION

Motora (Fibras del facial y trigemino)

Sensitiva (Nerv Jacobson)

INERVACION

Dr M Monzo

mmonzo@ub.edu

slide10

2 OIDO MEDIO

LIGAMENTOS

MARTILLO YUNQUE ESTRIBO

Ligamento

Cabeza

Ligamento

Sup Yunque

Ligamentos

Maleolar Sup

Maleolar Inf

PAREDES (Caja Timpánica)**

  • Dimensiones
  • Anterior
  • Posterior
  • Externa
  • Interna
  • Superior
  • Inferior

Dr M Monzo

mmonzo@ub.edu

slide11

LIMITES

  • DIMENSIONES
  • PORCIONES
  • RELACIONES

VASCULARIZACION:

Ramas Art faringea des (R C EX)

Ramas Art Meningea med ( RMax Inf)

VENAS : Drenan plexo venoso pterig

INERVACION:

Ramas plexo timpánico (facial glosofaringeo)

TROMPA AUDITIVA / TROMPA DE EUSTAQUIO

Dr M Monzo

mmonzo@ub.edu

slide15

1 OJO O GLOBO OCULAR

2 ESTRUCTURAS ANEXAS

LA VISION

Dr M Monzo

mmonzo@ub.edu

slide16

CAPA EXTERNA / ESCLEOTICA/ FIBROSA

CAPA MEDIA / UVEA/COROIDES/ VASCULAR

CAPA INTERNA / RETINA/ NERVIOSA

PARED

CRISTALINO

HUMOR ACUSOSA

HUMOR VITREO

CONTENIDO

LA VISION

Dr M Monzo

mmonzo@ub.edu

slide17

LA VISION

CAPA EXTERNA / ESCLEOTICA/ FIBROSA

Orificios posteriores

Orificios Ecuatoriales

Orificios Anteriores

SUPERFICIE EXTERNA

Lamina Fusca

SUPERFICIE INTERNA

Dr M Monzo

mmonzo@ub.edu

slide18

LA VISION

  • CAPA MEDIA/ UVEA/COROIDES/VASCULAR
  • COROIDES PROPIA
  • ZONA CILIAR
  • IRIS

IRIS

ZONA CILIAR

COROIDES P

Dr M Monzo

mmonzo@ub.edu

slide19

Capa externa / Art Ciliares largas post

Capa media /Venas vorticosas

Capa profunda/Art Ciliares cortas post

COROIDES PROPIA

LA VISION

Dr M Monzo

mmonzo@ub.edu

slide20

Zona muscular

Zona vascular

Fibras Meridionales

Fibras Radiales

Fibras circulares (Mus Rouget)

Zona muscular

(Mus ciliar)

ZONA CILIAR

Procesos ciliares

Orbiculo ciliar

Ora Serrata

Zona vascular

LA VISION

Dr M Monzo

mmonzo@ub.edu

slide21

LA VISION

Cara Anterior /Mus constr /Miosis

Cara Posterior/Mus dilatador/ Midriasis

IRIS

Dr M Monzo

mmonzo@ub.edu

slide22

LA VISION

CRISTALINO

HUMOR ACUSOSA

HUMOR VITREO

CONTENIDO

Anterior

Posterior

CAMARAS

Dr M Monzo

mmonzo@ub.edu

slide23

LA VISION

FONDO DE OJO

Venulas de la retina

Punto ciego

Mácula /fovea central

Dr M Monzo

mmonzo@ub.edu

slide24

LA VISION

  • 2 ESTRUCTURAS ANEXAS
  • Grasa orbitaria
  • Conjuntiva
  • Parpados
  • Aparato Lacrimal

GRASA ORBITARIA

Dr M Monzo

mmonzo@ub.edu

slide25

LA VISION

  • 2 ESTRUCTURAS ANEXA
  • Conjuntiva

Dr M Monzo

mmonzo@ub.edu

slide26

LA VISION

  • 2 ESTRUCTURAS ANEXA
  • Parpados

Vascularizacion: Ramas oftalmica/ Art pal Sup

Inervacion: Ramas facial

Dr M Monzo

mmonzo@ub.edu

slide27

LA VISION

  • 2 ESTRUCTURAS ANEXA
  • Aparato Lacrimal

Dr M Monzo

mmonzo@ub.edu

slide28

APARATO RESPIRATORIO

Dr M Monzo

mmonzo@ub.edu

slide29

APARATO RESPIRATORIO

Fosas Nasales

VIAS RESPIRATORIAS SUP

Laringe

Traquea

Bronquios

Pulmones

VIAS RESPIRATORIAS INF

Dr M Monzo

mmonzo@ub.edu

slide30

FOSAS NASALES

Dr M Monzo

mmonzo@ub.edu

slide31

MEATO

INFERIOR

MEATO MEDIO

MEATO SUPERIOR

FOSAS NASALES

Dr M Monzo

mmonzo@ub.edu

slide32

Art Etmoidea/R Oftal/R CI

Art Esfenopalatina/R Max In/ R CE

Art Facial /R CE

Art

VASCULARIZACION

Facial

Pteriogomaxilar

Ven

Sub-maxilares

Retro-faringeos

Yugo-carotideos

LINFATICOS

Ramas sensitivas ganglio esfeno-palatino

INERVACION

FOSAS NASALES

Dr M Monzo

mmonzo@ub.edu

slide33

LIMITES

  • CONSTITUCION

Cartilagos articulares

Ligamentos

Musculos

Mucosa

LARINGE

Dr M Monzo

mmonzo@ub.edu

slide34

LARINGE

Dr M Monzo

mmonzo@ub.edu

slide35

LARINGE

NOMBRE O I FUNCION

M Cricotiroideo arco cricoides lamina cartilago tensor cuerdas v

(N laringeo Sup) tiroides

M Cricoaritenoideo lamina cart Cricoides Apof mus Expande glotis

post (N R) (Sup dorsal) Aritenoides

M Cricoaritenoideo arco cricoides Apof mus Cierra glotis

lat (NR) Aritenoides

M Aritenoideo transv cart aritenoides Cart ariteoindes Cierra glotis

(NR) opuesto

M Aritenoideo oblicuo cart aritenoides Apof mus opuesta Ensancha glotis

(NR)

M Vocal (NR) cart Tiroides Apof vocal Tensor lig vocal

M Tiroaritenoideo cart Tiroides Apof Mus Estrecha glotis

Dr M Monzo

mmonzo@ub.edu

slide36

LARINGE

Dr M Monzo

mmonzo@ub.edu

slide37

LARINGE

Dr M Monzo

mmonzo@ub.edu

slide38

LARINGE

Dr M Monzo

mmonzo@ub.edu

slide39

Art Laringea craneal / R Tiroidea CR / R CE

Art Laringea caudal/ R Tiroidea CD/ R Art SClv

VASCULARIZA

CION

Rama Interna

Rama Externa

Ner Laringeo Cra

INERVACION

Ner Laringeo Caudal / Recurrente

G Supragloticos/ YI

G Infragloticos/YI

LINFATICOS

LARINGE

Dr M Monzo

mmonzo@ub.edu

slide40

TRAQUEA

Dr M Monzo

mmonzo@ub.edu

slide41

Tiroideas Sup/Inf

Art Bronquiales

Art Diafragmaticas Sup

ARTERIAS

TRAQUEA

VENAS ------ Vena Acigos

Recurrente

Ramas plexo simpático y pulmonar

LINFATICOS

Dr M Monzo

mmonzo@ub.edu

slide42

PULMONES

  • COLORACION
  • PESO
  • FORMA

Dr M Monzo

mmonzo@ub.edu

slide43

PULMONES

Dr M Monzo

mmonzo@ub.edu

slide44

Ap Post

1 AP

1

2

2Post

3 Ant

6 Sup

3 Ant

6 Sup

4 Ling S

4 lat

5 Ling I

5med

8 B Ant

10 B

Post

8 B Ant

9 B

Lat

10

B Post

9 B lat

PULMONES

Dr M Monzo

mmonzo@ub.edu

slide45

PULMONES

7

7

Dr M Monzo

mmonzo@ub.edu

slide46

PI

PD

PULMONES

Dr M Monzo

mmonzo@ub.edu

slide47

BRONQUIOS

Dr M Monzo

mmonzo@ub.edu

slide48

COSTAL

MEDIASTINICA

DIAFRAGMATICA

CERVICAL/CUPULA PLEURAL

PARIETAL

PLEURAS

VISCERAL

SENOS

COSDIAFRAGMATICO

COSTFRENICO

PLEURAS

Dr M Monzo

mmonzo@ub.edu

slide49

1

2

COSTO- PLEURAL 1

VERTEBRO-PLEURA (D1)

COSTO-VERTEBRO-PLEURAL (C7)

LIGAMENTOS

PULMONARES

(CUPULA PLEURAL)

Dr M Monzo

mmonzo@ub.edu

slide50

MEDIASTINO SUPERIOR

SUPERIOR

INFERIOR

D4

MEDIASTINO

ANTERIOR

MEDIO

POSTERIOR

D8

Dr M Monzo

mmonzo@ub.edu

MEDIASTINO

slide51

Bronq D

AORTA

AR P

VCS

OR AU I

AU D

V E

VERT

TORAX

Dr M Monzo

mmonzo@ub.edu

slide52

TORAX (D4)

Dr M Monzo

mmonzo@ub.edu

slide58

A 10-year-old boy has a brown right eye and a blue left eye, as well as mild ptosis and miosis of his left eye

Gesundheit, B. et al. N Engl J Med 2005;353:1502

slide60

A healthy 48-year-old man without prior pulmonary symptoms underwent routine chest radiography for minor thoracic pain. The frontal and lateral images (Panels A and B) showed a well-defined, lobulated mass (arrows) in the left lower lobe of the lung. A subsequent contrast-enhanced multislice computed tomographic (CT) scan (Panel C) showed the homogeneous mass (arrow), with an adjacent large feeding vessel (arrowhead). Three-dimensional reconstruction (Panel D) showed the arterial supply of this lesion, with an aberrant origin in the celiac trunk, and normal venous drainage through the pulmonary veins. These findings are diagnostic of intralobar pulmonary sequestration, which is characterized by anomalous pulmonary tissue that is typically localized in the left lower lobe and supplied by the systemic circulation. The CT volume-rendering reconstruction is particularly useful in demonstrating the arterial and venous pattern of the malformation, obviating the need for an invasive imaging technique.