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OPP rhinosinusitius

Chapter 67 Rhinosiunsitus, Beatty, 1/4/13

QuestionAnswer
Anterior ethmoid, frontal and maxillary sinuses drain into Ostiomeatal unit under the middle turnbinate
Poster ethmoid and sphenoid sinuses drain into Sphenoethmoid recess
Ostiomeatal unit is located ____ to maxillary sinus Superior
Parasympathetic fibers to the nose originate in the Superior salivary nucleus
The action of parasympathetic fibers on the upper respirator mucosa is To stimulate glandular epithelium with production of mucosa
Sypathetic fibers to the nose arise from T1-T3 and then to the superior cervical ganglion to synapse
Sympathetic fibers to the nose act to Vasoconstrict and increase nasal airway patency via norepinephrine
Protective reflexes in the nose are a result of which cranial nerve V
The lymph system in the neck drains into the Thoracic and right lymph ducts which empty into the internal jugular and subclavian junction
Cervical lymph nodes are classified as Submandibular, submental, paratracheal, superficial cervical, deep cervical
All head/neck lymph nodes are intimately associated with Myofascial structures
Acute Rhinosinusitis Inflammatory process involving the mucus membranes of the paranasal sinuses and nasal cavity lasting no longer than 4 weeks (chronic is more than 12 weeks)
When does acute rhinosiunsistis warrant a radiographic workup? When ophthalmic or neurologic signs are noted
Differential diagnosis for acute rhinosinusitis Trigeminal neuralgia, migraines, dental abscess, and neoplasm
Mucociliary clearance depends on Ciliary beat frequency and viscosity of mucus
First line antibiotics for rhinosiunsitis Amoxicillin or trimethoprime/sulfamethaxazole (bactrim)
At risk with facial trauma and focus of biomechanical approach Sphenopalatine gangion, surrounded by palatine, sphenoid and maxillary bones
Respiratory/Circulatory rhinosinusitis OMT focuses on Removing impediments to venous and lymphatic circulation as well as stimulating flow to decrease swelling and inflammation
Locations particularly useful in myofascial release for rhinosinusitis Traps, SCM, clavicle and first rib
In order to improve venous and lymph flow, one should focus OMT treatments on Ribs, diaphragm and attachments
OMT to improve arterial vasomotor sympathetics should focus on Upper neck and T1-T3
Somatic dysfunction in the upper thoracic or upper cervical can inhibit ___tone Sympathetic
Behavior changes for rhinosinusitis Smoking cessation, allergen avoidence, adequate hydration, efficient breathing, and stress relief
Immediate relief by OMT can help create ____ and decrease _____ Trust; Stress
Created by: mcasto
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