epistaxis-zaman课件.ppt

  1. 1、本文档共23页,可阅读全部内容。
  2. 2、本文档内容版权归属内容提供方,所产生的收益全部归内容提供方所有。如果您对本文有版权争议,可选择认领,认领后既往收益都归您。
  3. 3、本文档由用户上传,本站不保证质量和数量令人满意,可能有诸多瑕疵,付费之前,请仔细先通过免费阅读内容等途径辨别内容交易风险。如存在严重挂羊头卖狗肉之情形,可联系本站下载客服投诉处理。
  4. 文档侵权举报电话:19940600175。
EPISTAXIS Dr Muhammad Zaman Qureshi ER Resident Mowqaq General Hospital Mowqaq 18/7/1434 Epistaxis is a latin word means bleeding from the nose. Seen in all age groups. Presents as an emergency. Epistaxis is a sign and not a disease per se. BLOOD SUPPLY OF NOSE : Nose is richly supplied by both the external and internal carotid systems, both on the septum and the lateral walls. Nasal septum : Internal carotid system : Anterior ethmoidal artery Posterior ethmoidal artery Branches of ophthalmic artery EPISTAXIS External carotid system : Sphenopalatine artery (branch of maxillary artery), gives nasopalatine and posterior nasal septal branches. Septal branch of greater palatine artery (Br. of maxillary artery). Septal branch of superior labial artery (Br. of facial artery). Lateral wall : Internal carotid system : Anterior ethmoidal Posterior ethmoidal Branches of ophthalmic artery External carotid system : Posterior lateral nasal Greater palatine artery Nasal branch of anterior superior dental Branches of facial artery to nasal vestibule ? ? ? From sphenopalatine artery From maxillary artery From infraorbital branch of maxillary artery Little’s area : It is situated in the anterior inferior part of nasal septum, just above the vestibule. Four arteries 1.anterior ethmoidal 2. septal branch of superior labial 3. septal branch of sphenopalatine and 4. greater palatine, anastomose here to form a vascular plexus called “Kiesselbach’s plexus”. This area is exposed to the drying effect of inspiratory current and to finger nail trauma, and is the usual site for epistaxis in children and young adults. Kiesselbach’s Plexus/Little’s Area: -Sphenopalatine A - -Greater Palatine A -Superior Labial A -Anterior Ethmoid (Opth) Woodruff’s Plexus: -Pharyngeal & Post. Nasal branches of Sphenopalatine Retrocolumellar vein : This vein runs vertically downwar

文档评论(0)

精品文库
该用户很懒,什么也没介绍
全民来找茬

相关文档

相关课程推荐