Nose

Dr. Mohammed ALQabasani

ANATOMY OF THE NOSE & PARANASAL SINUSES

• ANATOMY OF SINO-NASAL TRACT

• ANATOMY OF THE PARANASAL SINUSES

Functions Of The Nose

• Respiratory channel

• Warming and humidifying inspired air

• Cleaning and filtering inspired air

• Olfactory

• Development Of The Nose & Sinuses

• Investigation of Nasal Diseases

Presentations

• Congenital Anomalies

  • Anterior Nares Deformity
  • Dermoid Cysts
  • Meningo and Encephaloceles
  • Choanal Atresia

• Acute Vestibulitis & Furunculosis

• Epistaxis

Diseases of the Nasal Septum

• Deviated Nasal Septum

• Hematoma of the Septum

• Perforation of Septum

• Turbinate Hypertrophy Y

Inflammations

• Sinusitis

• Rhinosinusitis

• Acute Rhinosinusitis (ARS)

• Nasal Obstruction

• Ciliary Dysfunction

Types of Truama & Foreign Body

Nasal

• Nasal Trauma
• Nasal Septum Injury
• Septal Hematoma
• Traumatic Septal Perforation
• Synechia
• CSF Rhinorrhea
• Blow-out Fracture Sinus Trauma
• Nasal Foreign Bodies

Differentiating Sinusitis from Rhinitis Y

old school, not considered

Sinusitis	Rhinitis
Nasal congestion	Nasal congestion
Purulent rhinorrhea	Rhinorrhea (clear)
Postnasal drip	Runny nose
Headache	Itching, red eyes
Facial pain	Nasal crease
Anosmia	Seasonal symptoms
Cough, fever

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Approach to ENT Patient Z

History of Presenting Illness (HPI)

• Detailed HPI focusing on differential diagnosis.
• Important positive and negative findings (KITTENS).

Past Medical History (PMH)

• Chronic illness, hospitalization, blood transfusion.

Past Surgical History (PSH)

Medication History

• Current medications, allergies, over-the-counter and herbal products.

Family History

• Similar disease, anemia, bleeding disorder.

Social History

• Smoking, alcohol, travel, occupation, stress, sexual history.

Systematic Review

Rhinology Case Presentation

14-year-old boy presented with right side nasal bleeding.
3 months rt nasal bleeding, every 2 days, discontinuous, brother with same symptoms, aspirin, petichia, arthritis …, no fever, discharges, obstruction; septal, timing

hemophilia a with arthritis takking aspirin, having nasal septum and nose bleeding conservative management, discuss possible treatments.