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Le Fort Fractures
A Le Fort fracture of the skull is a classic transfacial fracture of the midface, involving the maxillary bone and surrounding structures in either a horizontal, pyramidal or transverse direction. The hallmark of Lefort fractures is traumatic ''pterygomaxillary separation'', which signifies fractures between the pterygoid plates, horseshoe-shaped bony protuberances which extend from the inferior margin of the maxilla, and the maxillary sinuses. Continuity of this structure is a keystone for stability of the midface, involvement of which impacts surgical management of trauma victims, as it requires fixation to a horizontal bar of the frontal bone. The pterygoid plates lie posterior to the upper dental row, or alveolar ridge, when viewing the face from an anterior view. The fractures are named after French surgeon René Le Fort (1869–1951), who discovered the fracture patterns by examining crush injuries in cadavers. Signs and symptoms Le Fort I – Slight swelling of the up ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Bone Fracture
A bone fracture (abbreviated FRX or Fx, Fx, or #) is a medical condition in which there is a partial or complete break in the continuity of any bone in the body. In more severe cases, the bone may be broken into several fragments, known as a ''comminuted fracture''. A bone fracture may be the result of high force impact or stress, or a minimal trauma injury as a result of certain medical conditions that weaken the bones, such as osteoporosis, osteopenia, bone cancer, or osteogenesis imperfecta, where the fracture is then properly termed a pathologic fracture. Signs and symptoms Although bone tissue contains no pain receptors, a bone fracture is painful for several reasons: * Breaking in the continuity of the periosteum, with or without similar discontinuity in endosteum, as both contain multiple pain receptors. * Edema and hematoma of nearby soft tissues caused by ruptured bone marrow evokes pressure pain. * Involuntary muscle spasms trying to hold bone fragments in pla ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Sphenoid Bone
The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the orbit. Its shape somewhat resembles that of a butterfly or bat with its wings extended. Structure It is divided into the following parts: * a median portion, known as the body of sphenoid bone, containing the sella turcica, which houses the pituitary gland as well as the paired paranasal sinuses, the sphenoidal sinuses * two greater wings on the lateral side of the body and two lesser wings from the anterior side. * Pterygoid processes of the sphenoides, directed downwards from the junction of the body and the greater wings. Two sphenoidal conchae are situated at the anterior and inferior part of the body. Intrinsic ligaments of the sphenoid The more important of these are: * the pterygospinous, stretching between the spina angu ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Ethmoid Sinus
The ethmoid sinuses or ethmoid air cells of the ethmoid bone are one of the four paired paranasal sinuses. The cells are variable in both size and number in the lateral mass of each of the ethmoid bones and cannot be palpated during an extraoral examination. They are divided into anterior and posterior groups. The ethmoid air cells are numerous thin-walled cavities situated in the ethmoidal labyrinth and completed by the frontal, maxilla, lacrimal, sphenoidal, and palatine bones. They lie between the upper parts of the nasal cavities and the orbits, and are separated from these cavities by thin bony lamellae. Groups of sinuses The groups of the ethmoidal air cells drain into the nasal meatuses.Otorhinolaryngology, Head and Neck Surgery, Anniko, Springer, 2010, page 188 * The posterior group the ''posterior ethmoidal sinus'' drains into the superior meatus above the middle nasal concha; sometimes one or more opens into the sphenoidal sinus. * The anterior group the ''anterior e ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Zygomatic Arch
In anatomy, the zygomatic arch, or cheek bone, is a part of the skull formed by the zygomatic process of the temporal bone (a bone extending forward from the side of the skull, over the opening of the ear) and the temporal process of the zygomatic bone (the side of the cheekbone), the two being united by an oblique suture (the zygomaticotemporal suture); the tendon of the temporal muscle passes medial to (i.e. through the middle of) the arch, to gain insertion into the coronoid process of the mandible (jawbone). The jugal point is the point at the anterior (towards face) end of the upper border of the zygomatic arch where the masseteric and maxillary edges meet at an angle, and where it meets the process of the zygomatic bone. The arch is typical of '' Synapsida'' (“fused arch”), a clade of amniotes that includes mammals and their extinct relatives, such as '' Moschops'' and '' Dimetrodon''. Structure The zygomatic process of the temporal arises by two roots: * an '' ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Infraorbital Foramen
In human anatomy, the infraorbital foramen is one of two small holes in the skull's upper jawbone (maxillary bone), located below the eye socket and to the left and right of the nose. Both holes are used for blood vessels and nerves. In anatomical terms, it is located below the infraorbital margin of the orbit. It transmits the infraorbital artery and vein, and the infraorbital nerve, a branch of the maxillary nerve. It is typically from the infraorbital margin. Structure Forming the exterior end of the infraorbital canal, the infraorbital foramen communicates with the infraorbital groove, the canal's opening on the interior side. The ramifications of the three principal branches of the trigeminal nerve—at the supraorbital, infraorbital, and mental foramen—are distributed on a vertical line (in anterior view) passing through the middle of the pupil. The infraorbital foramen is used as a pressure point to test the sensitivity of the infraorbital nerve. Palpation of the ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Lacrimal Bone
The lacrimal bone is a small and fragile bone of the facial skeleton; it is roughly the size of the little fingernail. It is situated at the front part of the medial wall of the orbit. It has two surfaces and four borders. Several bony landmarks of the lacrimal bone function in the process of lacrimation or crying. Specifically, the lacrimal bone helps form the nasolacrimal canal necessary for tear translocation. A depression on the anterior inferior portion of the bone, the lacrimal fossa, houses the membranous lacrimal sac. Tears or lacrimal fluid, from the lacrimal glands, collect in this sac during excessive lacrimation. The fluid then flows through the nasolacrimal duct and into the nasopharynx. This drainage results in what is commonly referred to a runny nose during excessive crying or tear production. Injury or fracture of the lacrimal bone can result in posttraumatic obstruction of the lacrimal pathways. Structure Lateral or orbital surface The lateral or orbital surface i ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Buttress
A buttress is an architectural structure built against or projecting from a wall which serves to support or reinforce the wall. Buttresses are fairly common on more ancient buildings, as a means of providing support to act against the lateral (sideways) forces arising out of inadequately braced roof structures. The term ''counterfort'' can be synonymous with buttress and is often used when referring to dams, retaining walls and other structures holding back earth. Early examples of buttresses are found on the Eanna Temple (ancient Uruk), dating to as early as the 4th millennium BC. Terminology In addition to flying and ordinary buttresses, brick and masonry buttresses that support wall corners can be classified according to their ground plan. A clasping or clamped buttress has an L shaped ground plan surrounding the corner, an angled buttress has two buttresses meeting at the corner, a setback buttress is similar to an angled buttress but the buttresses are set back from t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Orbit (anatomy)
In anatomy, the orbit is the cavity or socket of the skull in which the eye and its appendages are situated. "Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is , of which the eye occupies . The orbital contents comprise the eye, the orbital and retrobulbar fascia, extraocular muscles, cranial nerves II, III, IV, V, and VI, blood vessels, fat, the lacrimal gland with its sac and duct, the eyelids, medial and lateral palpebral ligaments, cheek ligaments, the suspensory ligament, septum, ciliary ganglion and short ciliary nerves. Structure The orbits are conical or four-sided pyramidal cavities, which open into the midline of the face and point back into the head. Each consists of a base, an apex and four walls."eye, human."Encyclopædia Britannica from Encyclopædia Britannica 2006 Ultimate Reference Suite DVD 2009 Openings There are two important foramina, or windows, two important ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Alphonse Guérin
Alphonse François Marie Guérin (; August 9, 1816 – February 21, 1895) was a French surgeon who was a native of Ploërmel. He studied medicine in Paris, and in 1850 became a surgeon of Parisian hospitals. During his career, he practiced surgery at the Lourcine, Cochin, Hôpital Saint-Louis and Hôtel-Dieu. In 1868 he became a member of the French Académie Nationale de Médecine. In 1870, Guérin introduced the practice of using cotton-wool bandages for prevention of wound infections. He described a horizontal fracture of the maxilla immediately above the teeth and palate, that is known today as a " Le Fort I fracture", or sometimes as a "Guérin fracture". Associated eponyms He was a specialist in urologic surgery, and has a handful of genitourinary terms that contain his name: * " Guérin's glands": Today referred to as periurethral glands, or as Skene's glands. * "Guérin's sinus": The lacuna magna; a diverticulum or cul-de-sac behind Guérin's valve (fold of nav ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Alveolar Ridge
The alveolar process () or alveolar bone is the thickened ridge of bone that contains the tooth sockets on the jaw bones (in humans, the maxilla and the mandible). The structures are covered by gums as part of the oral cavity. The synonymous terms ''alveolar ridge'' and ''alveolar margin'' are also sometimes used more specifically to refer to the ridges on the inside of the mouth which can be felt with the tongue, either on roof of the mouth between the upper teeth and the hard palate or on the bottom of the mouth behind the lower teeth. Terminology The term ''alveolar'' () ('hollow') refers to the cavities of the tooth sockets, known as dental alveoli. The alveolar process is also called the ''alveolar bone'' or ''alveolar ridge''. The curved portion is referred to as the alveolar arch. The alveolar bone proper, also called bundle bone, directly surrounds the teeth. The term alveolar crest describes the extreme rim of the bone nearest to the crowns of the teeth. The port ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Maxillary Sinus
The pyramid-shaped maxillary sinus (or antrum of Highmore) is the largest of the paranasal sinuses, and drains into the middle meatus of the nose through the osteomeatal complex.Human Anatomy, Jacobs, Elsevier, 2008, page 209-210 Structure It is the largest air sinus in the body. Found in the body of the maxilla, this sinus has three recesses: an alveolar recess pointed inferiorly, bounded by the alveolar process of the maxilla; a zygomatic recess pointed laterally, bounded by the zygomatic bone; and an infraorbital recess pointed superiorly, bounded by the inferior orbital surface of the maxilla. The medial wall is composed primarily of cartilage. The ostia for drainage are located high on the medial wall and open into the semilunar hiatus of the lateral nasal cavity; because of the position of the ostia, gravity cannot drain the maxillary sinus contents when the head is erect (see pathology). The ostium of the maxillary sinus is high up on the medial wall and on average is ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
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