odontogenic disease of the maxillary sinus Flashcards

1
Q

most cmmon sinus disease

A

rhinosinitis

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2
Q

waht are the 4 paired nasal sinuses

A

maxillary

ethmoid

frontal

nasal

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3
Q

which sinus do all 4 pairs drain to

A

the nose

nasal cavity

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4
Q

function of the paranasal sinus

A

regulate intranasal pressure

increase SA for olfaction

humidfy and warm air

lighening the skull

resonance

absorb shock

developemtn of facial growth

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5
Q

penumatixiation

A

air cavities developing within the bone

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6
Q

waht is the superior border of hte ehtmoid sinus

A

anterior cranial fossa

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7
Q

lateral border of the ethmoid sinus

A

medial wall of the orbit

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8
Q

waht is the function of the ethmoid sinus

A

connects the frontal sinus to the maxillary sinus

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9
Q

sphenoid sinus froms from

A

forms from evagination of

nasal mucosa into

sphenoid bone

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10
Q

waht types of walls do the anterior wall of frontal sinus and the posterior wall

A

thick anterior wall

thin posterior wall

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11
Q

waht is the most common sinus you get sinusitis

A

maxillary sinus

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12
Q

waht is the roof of the maxillary sinus

the floor

A

orbital floor is froof

floor is alveolar process of the maxilla

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13
Q

where does drainage of the maxillary sinus go to

A

ethmoidal infundibulum

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14
Q

which tooth does penuamtization of maxillary sinus usually surround around

A

max 1st M

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15
Q

3 factors for normal sinus function

A

sinus drainage

ciliary motility

quality of nasal secretions

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16
Q

most important site of sinus drainiang is

A

middle meatus

[lateral to the middle tubinate]

17
Q

pstiomeatal complex is the area compirinsg draning of ?

A

frontal

maxilalry

ethmoid sinuses

18
Q

___ and ___ blocks the drainage of the sinus and gets diseases and symptoms

A

mucosal swelling

obstruction

19
Q

swelling of the sinuses and most common reason for sinus diseas

A

edema - allergens

20
Q

Sinus membrane aka ___ membrane

A

schniederian

21
Q

waht type of epithelium is the sinus membrane aka schniederian

A

respiratory epithelium

22
Q

on the exam is the slide

diagnosis - physical exam

MOST RELIABLE INDICATOR OF ACUTE SINUSITIS IS PRESENCE OF MUCOPURULENT SECRETIONS IN THE MIDDLE MEATUS [LATERAL TO THE MIDDLE TURBINATE]

A

MOST RELIABLE INDICATOR OF ACUTE SINUSITIS IS PRESENCE OF MUCOPURULENT SECRETIONS IN THE MIDDLE MEATUS [LATERAL TO THE MIDDLE TURBINATE]

23
Q

types of radiography we use

A
  1. PA radiograph
  2. panoramic - get a general idea of waht it looks like, generally should be filled with air so looks black
  3. Plain film - outdated
  4. computerized tomography (CT) scan - air looks black and those that look whitish grey = fluid
    - best for chronic sinusitis
  5. MRI
24
Q

MRI

good ___ detail and poor ____ resolutiona

A

good soft tissue

poor bony

25
sinuisits acute - chronic
acute = aerobes chronic - anerobes
26
in healthy people we have ___ \_\_\_ \_\_
anerobic gram + bac
27
in sinusits patients we have ____ \_\_\_ \_\_
anaerobic gram - bacteria
28
when you get a fungal infection in DIABETIC PATIENTS waht infection
mucor
29
if you have mucor in your maxillary sinus waht is the prognosis good or bad and waht is the treatmetn
BAD maxilloectomy
30
treatment of acute sinusitis nasal topical ____ for __ day course
corticosterioids 15 days decreases inflammation
31
decongestants topical \_\_\_\_ decongestants oral\_\_\_\_\_
oxymetazoline pseudoephedrine
32
mucolytics
guaifenisin may thin the mucus secretaions
33
analgesics
NSAIDS acetominophen
34
Humidifiers hydration nasal saline irrigations
mobilie static mucus secretions with nasal saline irrigations
35
for chronic sinuists can do a FESS
functional endoscopy sinus surgery
36
bony defect always ___ than fistula
larger
37