Chapter 17 Face and Related Structures

Lindsey E. Eberman, MS, ATC, LAT Face Frontal Nasal Sphenoid Maxilla Mandible Lindsey E. Eberman, MS, ATC, LAT

Tempomandibular Joint Glenoid fossa Mandibular condyle Ramus Angle Body Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Ear Middle External Inner Auricle Semicircular Canals Vestibular Nerve Cochlear Nerve Cochlea Tympanic Membrane Eustachian tube Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Middle Ear Auditory ossicles Transmit vibrations to oval window on vestibule Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Nose Hard Palate Soft Palate Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Throat Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Mouth and Teeth Incisors (4) Cutting Canines (2) Tearing Premolars (4) Crushing, grinding Molars (6) Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Teeth Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT History Ear LOP Pressure Infection Tympanic Membrane Rupture Intense chronic pain and itching Otitis externa Infection of external auditory meatus MOI Blunt trauma Physical puncture Diving Airplane travel Complaints of tinnitus of dizziness Indicative of concussive force, infection, pressure related to air travel Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT History Nose LOP Radiating pain Onset Acute Chronic Sinusitis Upper respiratory infection MOI Direct blow Epistaxis Previous history of nasal injury Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT History Throat LOP Pain in anterior neck Deep pain associated with illness Onset Acute MOI Direct blow: bat, racquet, ball, elbow, etc. Symptoms Inability to speak Crushed larynx Respiratory distress Obstruction in airway Results in raspy voice when speaking Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT History Maxillofacial Injuries LOP Usually pinpointed by athlete Onset Acute Direct blow Chronic Non-athletic dental problems MOI Blunt trauma Complaints of Vision impairment Malocculsion Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Inspection Primary Survey Obvious lacerations Airway Inspection of blockage in oral cavity Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Inspection Ear Auricle Contusion Auricular hematoma Laceration Avulsion External auditory meatus Inflammation Otitis externa Tympanic membrane Using an otoscope Normal Shiny, translucent, smooth Damaged Swollen, perforated, fluid-filled (pus) Periaucular area Contusions Battle Signs (ecchymosis at mastoid process) Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Inspection Nose Alignment Asssymetry Fracture Swelling Epistaxis Direct blow Mucosal laceration Septum and Mucosa Using otoscope or penlight Assymetry or angulation Deviated septum Eyes and Face Racoon eyes Periorbital ecchymosis Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Inspection Throat Respiration Breathing patterns Respiratory distress Thyroid and cricoid cartilage Deformity Rapid swelling Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Inspection Face and Jaw Bleeding Facial lacerations Underlying trauma Ecchymosis Periorbital Fracture- nasal, maxilla, zygoma Angle of mandible Fracture- mandible Asymmetry Zygoma fracture, temporomandibular joint dysfunction. mandible fracture Eye movement Muscle tone Symmetrical movement of mouth, eyebrow, forehead Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Inspection Oral Cavity Lips Lacerations Teeth Fractures Tongue Lingual frenulum Laceration related to tooth fractures Gums Laceration Abscess Gingivitis Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Inspection Activity Look at your neighbor for 30 seconds Inspect the face and related structures for asymmetry, previous injury Report findings using appropriate medical terminology and abbreviations Lindsey E. Eberman, MS, ATC, LAT

Lindsey E. Eberman, MS, ATC, LAT Palpations Nasal bone Nasal cartilage Zygoma Maxilla Temporomandibular joint Periauricular area External ear Teeth Mandible Hyoid bone Cartilage rings of throat Lindsey E. Eberman, MS, ATC, LAT