odontogenic disease of the maxillary sinus

Question 1

most cmmon sinus disease

Answer 1

rhinosinitis

Question 2

waht are the 4 paired nasal sinuses

Answer 2

maxillary

ethmoid

frontal

nasal

Question 3

which sinus do all 4 pairs drain to

Answer 3

the nose

nasal cavity

Question 4

function of the paranasal sinus

Answer 4

regulate intranasal pressure

increase SA for olfaction

humidfy and warm air

lighening the skull

resonance

absorb shock

developemtn of facial growth

Question 5

penumatixiation

Answer 5

air cavities developing within the bone

Question 6

waht is the superior border of hte ehtmoid sinus

Answer 6

anterior cranial fossa

Question 7

lateral border of the ethmoid sinus

Answer 7

medial wall of the orbit

Question 8

waht is the function of the ethmoid sinus

Answer 8

connects the frontal sinus to the maxillary sinus

Question 9

sphenoid sinus froms from

Answer 9

forms from evagination of

nasal mucosa into

sphenoid bone

Question 10

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

Answer 10

thick anterior wall

thin posterior wall

Question 11

waht is the most common sinus you get sinusitis

Answer 11

maxillary sinus

Question 12

waht is the roof of the maxillary sinus

the floor

Answer 12

orbital floor is froof

floor is alveolar process of the maxilla

Question 13

where does drainage of the maxillary sinus go to

Answer 13

ethmoidal infundibulum

Question 14

which tooth does penuamtization of maxillary sinus usually surround around

Answer 14

max 1st M

Question 15

3 factors for normal sinus function

Answer 15

sinus drainage

ciliary motility

quality of nasal secretions

Question 16

most important site of sinus drainiang is

Answer 16

middle meatus

[lateral to the middle tubinate]

Question 17

pstiomeatal complex is the area compirinsg draning of ?

Answer 17

frontal

maxilalry

ethmoid sinuses

Question 18

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

Answer 18

mucosal swelling

obstruction

Question 19

swelling of the sinuses and most common reason for sinus diseas

Answer 19

edema - allergens

Question 20

Sinus membrane aka ___ membrane

Answer 20

schniederian

Question 21

waht type of epithelium is the sinus membrane aka schniederian

Answer 21

respiratory epithelium

Question 22

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]

Answer 22

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

Question 23

types of radiography we use

Answer 23

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

Question 24

MRI

good ___ detail and poor ____ resolutiona

Answer 24

good soft tissue

poor bony

Question 25

sinuisits

acute -

chronic

Answer 25

acute = aerobes

chronic - anerobes

Question 26

in healthy people we have ___ ___ __

Answer 26

anerobic gram + bac

Question 27

in sinusits patients we have ____ ___ __

Answer 27

anaerobic gram - bacteria

Question 28

when you get a fungal infection in DIABETIC PATIENTS waht infection

Answer 28

mucor

Question 29

if you have mucor in your maxillary sinus waht is the prognosis good or bad and waht is the treatmetn

Answer 29

BAD

maxilloectomy

Question 30

treatment of acute sinusitis

nasal topical ____ for __ day course

Answer 30

corticosterioids

15 days

decreases inflammation

Question 31

decongestants topical ____

decongestants oral_____

Answer 31

oxymetazoline

pseudoephedrine

Question 32

mucolytics

Answer 32

guaifenisin

may thin the mucus secretaions

Question 33

analgesics

Answer 33

NSAIDS

acetominophen

Question 34

Humidifiers

hydration

nasal saline irrigations

Answer 34

mobilie static mucus secretions with nasal saline irrigations

Question 35

for chronic sinuists can do a FESS

Answer 35

functional endoscopy

sinus surgery

Question 36

bony defect always ___ than fistula

Answer 36

larger