By Rudolf, M.D. Probst, Gerhard, M.D. Grevers, Heinrich, M.D. Iro
It is a notable creation to the complicated international of otorhinolaryngology, in complete color!This superbly conceived ebook makes studying ENT virtually basic, with its very good drawings and images of the anatomy, body structure, and pathology of this area. through the ebook connections are made to inner medication, pediatrics, and surgical procedure. A hugely based textual content, utilizing boxed details and tables, offers a short evaluate of the subject.This is a powerful creation to ENT for senior clinical scholars and interns.
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Additional resources for Basic Otorhinolaryngology: A Step-by-Step Learning Guide
B Sinus radiograph of a blow-out fracture shows a typical softtissue density (arrow) caused by herniated orbital contents (“hanging drop” sign). Palpation: Concomitant soft-tissue swelling can make it difficult or impossible to palpate sites of bony discontinuity or displacement. The following areas should be examined: • Frontozygomatic suture (upper part of the lateral orbital rim) • Infraorbital margin (anterior bony margin of the orbital floor) • Zygomatic arch (often difficult to evaluate due to soft-tissue swelling) Sensory testing: Wisps of cotton can be used to test sensory function on the healthy and affected sides.
Radiographs: Whenever a lateral midfacial fracture is suspected, standard sinus radiographs should be obtained (occipitomental and occipitofrontal projections, see Fig. 7, p. 22) to define the extent of the bony discontinuity or displacement (Fig. 20 a, b, c c Coronal computed tomogram of a blow-out fracture. Fig. 21 a). The zygomatic arches may be poorly visualized in standard projections, and so a “bucket handle” view should be added when a concomitant zygomatic arch fracture is suspected (Fig.
Probst-Grevers-Iro, Basic Otorhinolaryngology© 2006 Thieme All rights reserved. Usage subject to terms and conditions of license. 3 Diseases of the Nose, Paranasal Sinuses, and Face Fig. 21 Displaced lateral midfacial fracture on the left side Fig. 22 Internal fixation of an orbital rim fracture a A fracture of the left infraorbital margin has been stabilized by wire and miniplate fixation. The orbital contents are retracted upward with a spatula. b Fig. 23 Depressed fracture of the zygoma a The sinus radiographs show a displaced lateral midfacial fracture on the left side with separation of the frontozygomatic suture and a displaced orbital floor fracture before (a) and after (b) reduction and stabilization with miniplates.