Study room 808
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ุดูƒูˆ ุจูŠู‡ุง ุชุตูŠุฑ ุงุณุฆู„ุฉ ุงู„ุฎู…ูŠุณ ู†ูุณ ุงู…ุชุญุงู† ุงู„ุงู…ุจุฑูŠูˆ๐Ÿ˜”
๐Ÿ’”9
Study room 808 pinned ยซEpistaxis : Most common artery ๐Ÿ‘‰๐Ÿปsphenopalatine Most common area ๐Ÿ‘‰๐Ÿปlittleโ€™s area in ant.septum General risk factor [ HT,Blood disorder,cardiac &pulmonary disease lead to elevated Venous pressure] Local risk factor [trauma ,tumor ,idiopathic ,inflammation]โ€ฆยป
Study room 808 pinned ยซ๐Ÿฃู†ุฌู…ุน ู…ุนู„ูˆู…ุงุช ุนู†acute sinusitis โ€ฆโ€ฆ ุงูˆู„ ุดูŠ ุญุท ูุจุงู„ูƒ acute ูŠุนู†ูŠ ุงู‚ู„ ู…ู† 1month ๐Ÿง ๐Ÿ‘‰๐Ÿป ุซุงู†ูŠ ุดูŠ ุงู‡ู… ุณุจุจ ู„ู‡ ู‡ูˆ viral infection ๐Ÿ”ฅ ูˆูƒุฐู„ูƒ ุฅุฐุง ูƒุงู† ุณุจุจู‡ bactรฉrial ูุนู„ู‰ ุงู„ุงุบู„ุจ ู‡ูŠ strep.pneumonia ๐Ÿง ๐Ÿ‘‰๐Ÿป ู…ุฑุงุช ุชู†ุชู‚ู„ anaerรณbic bactรฉria ู…ู† ุงู„ุฃุณู†ุงู† ุฅู„ู‰ malliary sinus ( ุทุจุนุงู‹โ€ฆยป
Most common fracture of nose? Lateral forces
โค1๐ŸŒš1
Open book fracture?
Frontal force
โค1๐ŸŒš1
Flattening and widening of nasal doursum(comminuting nasal bone fracture)?
Greater force
ุงุฎุทุฑ ูˆุงุญุฏ
โค1๐ŸŒš1
Chevallet fracture?
-class1 according nasal fracture classification
-vertical fructure of cartilagenous septum
Mechansim!?
Low force
Frontal or frontolateral trauma
โค3๐ŸŒš1
Jarjavy fructure?
-Class2
-Horizontal or C shape fracture septum
-bony and cartilgaenous fracture
Mechansim?
Lareral force only
โค3๐ŸŒš1
Study room 808
Chevallet fracture? -class1 according nasal fracture classification -vertical fructure of cartilagenous septum Mechansim!? Low force Frontal or frontolateral trauma
ุณูŠุงุฑุฉ ุดูˆูุฑูŠู„ูŠู‡ ูŠุนู†ูŠ ุงุบู„ุจูƒู… ู…ุชุนุฑููˆู‡ุง ู ู…ูˆ ู‚ูˆูŠุฉ(ุงุนุชุจุฑูˆู‡ุง ู‡ูŠุฌ ู ูƒุงุฑุชู„ุฌูŠู†ูˆุณ ุงูˆู†ู„ูŠ)
๐ŸŒš1๐Ÿคฃ1
Study room 808
Jarjavy fructure? -Class2 -Horizontal or C shape fracture septum -bony and cartilgaenous fracture Mechansim? Lareral force only
ูˆู‡ุงูŠ ุฌุงุฑุฌุฑ jarj
ูุชูƒูˆู† ู‚ูˆูŠุฉ ูˆุฒูŠู†ุฉ ู cartilagenous and bone
ุงูƒูˆ ุดุบู„ุฉ ุงู‡ู†ุง ุจุงู„ุญุฌูŠ ุงู„ููˆูƒ ูŠุฎุชู„ู ุนู† ุงู„ุตูˆุฑุฉ ู…ุงุนุฑู ู„ูŠุด
โค1
Fracture of nose that extend to Ethmoid labyrinth:

-bone septum rotate posteriorly
-bridge collapse
-Upturned tip and revealing nostrils
-depressed nasal bone pushed up under frontal lobes
ุดุฑุงุญ ู†ู„ูƒู‡ุŸ ูˆูƒู„ุด ู…ู…ูŠุฒุฉ
Intra ocular space widening

ูู…ุนู†ุงู‡ุง ุดุตุงูŠุฑู„ู‡
High velocity trauma
ุดูŠุนุชุจุฑุŸ
Most sever one(class3)
ู…ู„ุงุญุธุฉ ุฌุฏุง ุฌุฏุง ู…ู‡ู…ุฉ :
Remember to consider airway and exclude cervical spine injury
pure angel
GIF
ู†ุจูˆูƒู‡ ู…ู†ู‡ู… ู‡ุฐุง below. ูุดุชุนุชุจุฑุŸ ุงุฐุง ุตุงุฑ ูƒุณุฑุŸ
Chevallet
Jarjavy?
Study room 808
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