Ear, Nose, Teeth

Ear Anatomy  Outer ear  Pinna (auricle)  Ear canal (meatus)  Middle ear  Eardrum, hammer, anvil, stirrup, Eustachian tube  Inner ear: responsible for analyzing sound waves and maintaining balance

Cauliflower Ear  Hematoma auris  Caused by blood collecting between ear cartilage and skin  Thickening of the outer ear  Treat by draining and squeezing skin together  Most common in boxers and wrestlers

Swimmer’s Ear  Otitis externa  Infection of the skin covering the outer ear canal  Water is trapped there by wax buildup  Ear feels full and may itch

Foreign Bodies  Insects or other small objects may get stuck in the ear canal  Could cause pain, fever, dizziness, foul odor  Insects are usually killed before removal  Flush with warm water

Tympanic Rupture  Caused by a loud noise or blow to the head  S/S: severe ear pain, drainage  Refer to doctor  Usually heals in 2 weeks

Normal Tympanic Membrane  Normal

Nose Anatomy

Epistaxis  Nosebleed  Anterior and posterior  Lean forward slightly, pinch nose  Apply ice to bridge of nose  Pack with gauze or nose tampon

Nasal Fracture and Septal Deviation  S/S: deformity, swelling, ecchymosis, epitaxis, and leakage of cerebrospinal fluid  Apply ice and refer to doctor  May need to wear special face mask to return to participation

Mouth and Jaw Anatomy  Maxilla  Mandible  Temporomandibular joint (TMJ)  Soft and hard palate

Tooth  32 teeth  Crown is the part that you can see  Three layers  Enamel  Dentin  Pulp

Jaw Fracture  Usually caused by a direct blow to the jaw  Often 2 fractures will occur  One at point of impact  Second close to condyle  Look for teeth not lining up  Treat for shock, ice, refer to doctor

TMJ Dislocation  May feel ‘pop’ and pain  Inability to close mouth  Ice and refer to doctor

Tooth Dislocation  If tooth is still partially in socket, gently push back in  If tooth is completely out of socket, place in milk or proper solution  Must be cleared by dentist to return to participation