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H E A D & N E C K B L O C K 12.

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Presentation on theme: "H E A D & N E C K B L O C K 12."— Presentation transcript:

1 H E A D & N E C K B L O C K 12

2 RHINORRHOEA, BLOCKED “NOSE” & ANOSMIA

3 FUNCTIONS OF THE NOSE AIRWAY
WARMING OF AIR HUMIDIFICATION OF AIR CLEANING OF AIR SMELL (Food) SMELL (Protection) VOICE RESONANCE NASAL REFLEXES SEXUAL

4 What can narrow or block a tube?
Something entering the lumen. Something that is normally there, changes. Something pushing in from neighbouring structures.

5 Normal contents WHAT CAN GO WRONG???
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6 Embriology ///////////////////////////////

7 Cilia

8 Septum ///////////////////////////////////

9 Muc.membrane

10 Secretions (N7) ///////////////////////////////////

11 Turbs vascular (N7) ///////////////////////////////////

12 Foreign body Tumour ///////////////////////////////////

13 From outside ///////////////////////////////////

14 SINO-NASAL PATHOLOGY SYMPTOMS
PAIN Burning Stabbing Throbbing Pressure BLOCKED Unilateral Bilateral Intermittent Progressive DISCHARGE Watery/Mucoid Yellow/Green Blood ANOSMIA CACOSMIA ITCHING SNEEZING EPISTAXIS

15 Sensory olfactory epithelium
10 million receptor cells with 8-20 olfactory cilia (non – motile) 40 nerve bundles transverse the cribiform plate – enter the anterior cranial fossa and the olfactory bulb Only volatile substances can be detected by the olfactory neurons and the molecules must be soluble in water and lipids.

16 Nasal obstruction Medical interventions Drugs Drugs (65) Nutritional
Industrial dusts and pollutants Drugs (65) Medical interventions Nutritional Neoplasms Psychiatric Endocrine Infections Drugs Neurological Nasal obstruction KALMAN KARTEGENER Medical interventions

17 If the level of olfaction fluctuates or the use of
a intranasal decongestant or steroid improves olfaction, there is a conductive cause in the nasal space and it can be treated!

18 SINUS BAROTRAUMA + + PAIN (ACUTE) EPISTAXIS Rx NASAL DECONGESTANT + +

19 VASCULAR Koue lug Drawwers Medikasie Rinitis medicamentosa

20 MEDICATION Rh Medicamentosa, A/ht, V, Progest, A/chol

21 Obstructive Sleep Disorder
1/25 adults (same as asthma and diabetes)

22 Sudden Infant Death Syndrome
Altered autonomic control Prolonged QT-interval Atrial fibrillation Hypoxia

23 Cardiovascular System
20% MI and 15% sudden death Depression of respiratory control Decreased arterial oxygen saturation Atrial fibrillation Heart failure Hypertension

24 Brain Infarction 23,3%


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