Chapter 67 Rhinosiunsitus, Beatty, 1/4/13
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| Anterior ethmoid, frontal and maxillary sinuses drain into | Ostiomeatal unit under the middle turnbinate
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| Poster ethmoid and sphenoid sinuses drain into | Sphenoethmoid recess
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| Ostiomeatal unit is located ____ to maxillary sinus | Superior
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| Parasympathetic fibers to the nose originate in the | Superior salivary nucleus
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| The action of parasympathetic fibers on the upper respirator mucosa is | To stimulate glandular epithelium with production of mucosa
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| Sypathetic fibers to the nose arise from | T1-T3 and then to the superior cervical ganglion to synapse
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| Sympathetic fibers to the nose act to | Vasoconstrict and increase nasal airway patency via norepinephrine
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| Protective reflexes in the nose are a result of which cranial nerve | V
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| The lymph system in the neck drains into the | Thoracic and right lymph ducts which empty into the internal jugular and subclavian junction
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| Cervical lymph nodes are classified as | Submandibular, submental, paratracheal, superficial cervical, deep cervical
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| All head/neck lymph nodes are intimately associated with | Myofascial structures
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| 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)
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| When does acute rhinosiunsistis warrant a radiographic workup? | When ophthalmic or neurologic signs are noted
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| Differential diagnosis for acute rhinosinusitis | Trigeminal neuralgia, migraines, dental abscess, and neoplasm
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| Mucociliary clearance depends on | Ciliary beat frequency and viscosity of mucus
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| First line antibiotics for rhinosiunsitis | Amoxicillin or trimethoprime/sulfamethaxazole (bactrim)
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| At risk with facial trauma and focus of biomechanical approach | Sphenopalatine gangion, surrounded by palatine, sphenoid and maxillary bones
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| Respiratory/Circulatory rhinosinusitis OMT focuses on | Removing impediments to venous and lymphatic circulation as well as stimulating flow to decrease swelling and inflammation
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| Locations particularly useful in myofascial release for rhinosinusitis | Traps, SCM, clavicle and first rib
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| In order to improve venous and lymph flow, one should focus OMT treatments on | Ribs, diaphragm and attachments
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| OMT to improve arterial vasomotor sympathetics should focus on | Upper neck and T1-T3
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| Somatic dysfunction in the upper thoracic or upper cervical can inhibit ___tone | Sympathetic
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| Behavior changes for rhinosinusitis | Smoking cessation, allergen avoidence, adequate hydration, efficient breathing, and stress relief
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| Immediate relief by OMT can help create ____ and decrease _____ | Trust; Stress
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