Clinical Application of OMM

Question 1

Otitis media

Answer 1

• result off impaired drainage of eustachian tube
• cause may be bacteria or infection may be the result
• higher frequency in infants because the tube is shorter and more A/P
• especially during teething, more fluids

Question 2

Pharyngotympanic tube (Eustachian)

Answer 2

• lies in the temporal bone and opens the external base o skull between foramen spinosum and carotid canal
• the tube lies in the groove between the petrous temporal bone and the greater wing of sphenoid
• narrowest caliber of the tube is as it leaves the cranium before entering the nasopharyngeal tissue

Question 3

The area of Eustachian tube most likely to cause a constriction or blockage is at

Answer 3

-the cranial base where the sphenoid and temporal bones meet

Question 4

Ear dysfunctin

Answer 4

• since the pharygotympanic tube must drain in the internal part of the ear, in addition to equalizing pressure on the tympanic membrane, and the narrowest are of the tube is where it exits at the cranial base is it possible that by treating temporal bones one could relieve restrictor at that area of the cranial base and promote drainage?
• on going clinical trials indicate that many patients will improve with this cranial treatment

Question 5

Headaches

Answer 5

• often an enigma

- clinical experience indicates cranial treatments often very successful

Question 6

Pain in the cranium

Answer 6

• distention, traction or dilation of intracranial or extra cranial arteries
• 2 examples: MMA and superficial temporal artery
• parts of the dura at the base of the brain
• arteries within the dura–especially the proximal parts of the anterior and middle cerebral arteries and the intracranial portion of the internal carotid
• veins, if impaired will cause headaches
• traction or displacement of the large intracranial veins or their dural envelope

Question 7

Treating venous impairement

Answer 7

• if there are dural strain patterns secondary to impaired motion of the cranial bones
• restoration of normal motion to the cranium can improve venous drainage

Question 8

Compression of CN VII

Answer 8

• bells palsy
• facial paralysis in the distribution of CN VII
• correction of marked external rotation of the temporal with SBS flexion and side bending rotation
• paralysis resolved quickly

Question 9

Supratentorial sensory information is referred anteriorly

Answer 9

via the trigeminal nerve

Question 10

Infratentorial sensory information is referred to

Answer 10

the vertex and posterior head and neck by the upper 3 cervical nerves

Question 11

CN 7, 9, 10 refer pain to

Answer 11

-the nasoorbital area, the ear and throat

Question 12

superior orbital fissure transmits

Answer 12

-V1 ophthalmic and CN 3-4-6

Question 13

Foramen rotundum transmits

Answer 13

V2 maxillary

Question 14

Foramen vale transmits

Answer 14

V3 (mandibular)

Question 15

Foramen ovale and rotunda are located in

Answer 15

the sphenoid bone

-trigeminal ganglion lies in the temporal bone

Question 16

Treatment of trigeminal neuralgia

Answer 16

• treat the SBS and temporal dysfunctions
• pain management: gabapentin, narcotics, tricyclic antidepressants, biofeedback
• radiofrequency ablation/rhizotomy
• surgery (microvascular decompression)

Question 17

Plagiocephaly

Answer 17

• crooked head or deformed cranial bones usually due to a difficult labor and delivery of the child
• helmet therapy
• OCMM
• Treat SBS, paired bones, sutures, compensatory changes in MS system

Question 18

Results of Recent OCMM studies–effect of OMM on middle ear effusion and acute OM–Mills MV, Henley CE (OM); Steele KM et al (middle ear effusion)

Answer 18

• significant improvement in middle ear tympanic membrane motion and reduction in middle ear effusion
• benefit may also prevent development of middle ear damage leading to hearing problems