NOSE=

AnatomyFrontal Iqspine

§y

so :i⇒¥¥:÷÷÷:÷ .

bone 1/1 → Vomer

EE==-=→ Maxillary 4 PalatineCollum ela crest

Btoodsupply- Mainly Ext . carotid

- Into carotid → Ant . Ethmoid

↳ Post . Ethmoid

'

i÷ienopaiaiine

Greater Palatineseptal branchof sup . Labial A . ( from Facial AD

woodroffbplexus-ipost.Epistaxisf.frcental Hiatus

semilunar is

maxi€TH¥¥Uncinate

1 Bone

Infundibulum

* SINUSES

PresenceatBirthfradiogicalapp.IMaxillary P GmonthsEthmoidsphenoid A A year

FrontA G year#

Nasalvalvechimenlilasid

t.ontesisrerEEE.ae#

• Cottle 's Test - For DNS,

makes nasalvalve obtuse & freesthe airflow

• Flow is along the middle turbinate

• Eddie 's current during expirationaerates the para nasal sinuses

DNS

TI # IIcped L-Shaped spore

tSluder 'sneuralgia

- Nasal obstruction, Neuralgic Pain

, HyposmiaRe : - Sx → D SMR → Leads to saddle deformity

Septoplasty

Septal Fracture#

↳ Septal Hematoma - Pain,tenderness

& fluctuationRe : - Drain & Pack

Comp_ : - septal Abscess → If not drainedI

saddle Deformity

septalperforati.com#Iatrogeni- MC - SMR

• TB,Lupus , Syphilis , Leprosy

• Recurrent Picking• Recurrent cauterization

Re : - silicone Obstructor

Rhinophyma- potato nose

- Benign Seb . gland hypertrophyRe : - Removal E laser 4 Skin graft

GranulomatoustdisordersBacterial fungal

# #

hpginosderoma / Rmhuinoogpmgnjdisiossis- Leprosy Aspergillosis- Lupus Blast mycosis

Rhino scleroma+

• Frisch Bacillus ) Klebsiella Rhinosderomatis• Progresses from nose to larynx → sub glottic

stenosis

• Atrophic stage → Atrophic Rhinitis like

• Granulomatous stage -3 Woody OR Hebron nose

→ Mick ulica cells &Russel bodies

• Stage of cicatrization → Tapir Nose

Re : - a streptomycin . steroids• Tetracycline . 24 . Acri flavin• Rifampicin• RT

Rhinos port dios is+

• Rhinos poridium Seeber.

• Mass E bleeds on touch• SI - Removal E cauterization of base

MUcormycosis-DM.vncontrolled

- Rhizopus oryzae- Blackish coloured turbinates- Blocks arterioles

Re : - Debridement ffb Amp - B

( Liposomal Amp - ③Wegener 's Granulomatous

#

- Lungs - Hemoptysis- kidney - Glomerulonephritis- Skin - Ulcerative mass

- c - ANCA tve

- Strawberry Gingivafauciregimen : - D steroids

Cyclophosphamidei Azathioprine

Midlinecranuloma : - Non - Hodgkin's Lymphoma- Lung , kidney & skinspared

RI : - RT

2¥ : - Apple Jelly Nodule

phina- cholesteatoma of Nose