Zyngomaticomaxillary complex fractures (ZMC) are a group of fracture that disrupt the lateral middle third of the face which comprise of “tetrapod” as it maintains 4 points of articulation with
Zyngomaticomaxillary complex fractures (ZMC) are a group of fracture that disrupt the lateral middle third of the face which comprise of “tetrapod” as it maintains 4 points of articulation with
The osteomeatal complex includes: Bulla ethmodalis Uncinate process Maxillary turbinate Ethmoid infundibulum. It is important as ostium of frontal maxillary and anterior ethmoidal sinuses are present in this area. Any
The maxillary sinus is the first sinus to appear (7-10 weeks) as a shallow groove expanding from the primitive ethmoidal infundibulum into the mass of the maxilla. Abortion and expansion
Nasal valve is the narrowest part of the nose but c greatest resistor to produce the most turbulent airflow. It is formed by: The lower edge of the upper lateral
An inter-dicisplinary team approach offers the patient the bent chance of successful outcome. The appropriate treatment choice depends on several factors including the severally and extend of injury the aetiology
Intrathecal dyes combined with endoscopic techniques Historically used dyes are: methylene blue Indigo carmine Radioactive labelled markers Messerklinger combined intrathecal fluoreceins in mixed c 10 ml of CFS from a
Nuclear machine studies Indication: inactive intermittent, small/questionable CFS leak Leaks not revealed by CT cysternography. Detect presence rather than precise localization. Radio isotopes introduced in CSF by Lumbar Puncture /suboccipital
The clinical finding of CSF rhinorrhoea represents only the site of existing CSF but not the origin of the fistula. Accurate definition of the leakage site is undoubtedly the must
Beta 2 transferrin : sensitivity 100% , specification 95% Beta 2 transfer is produced by neuraminidase activity within CNS. Therefore it is only present in : CSF Perilymph Aqueous humor