Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal...

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Sinus Imaging with CT By Erik Paulson, D.O.

Transcript of Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal...

Page 1: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Sinus Imaging with CT

By Erik Paulson, D.O.

Page 2: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

First the anatomy

• Frontal Sinus• Maxillary Sinus• Nasal Cavity• Ethmoid Sinus• Sphenoid Sinus

Page 3: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.
Page 4: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.
Page 5: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.
Page 6: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.
Page 7: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Second, the pathology

• Sinusitis• Fungal Sinusitis• Deviated Septum• Sinonasal polyposis• Mucoceles• Concha Bullosa• Sinus Cancer

Page 8: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Sinusitis

Page 9: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Fungal Sinusitis

Page 10: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Deviated Septum

Page 11: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Sinonasal polyposis

Page 12: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Mucoceles

Page 13: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Concha Bullosa

Page 14: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Sinus Cancer

Page 15: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Case #1

• 9 yo male c/o rhinorrhea X 1 yr. Worse when bending over, coughing or sneezing. Hx. of multiple nose bleeds secondary to wrestling trauma.

Page 16: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.
Page 17: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Besides rhinorrhea, what other serious complication can result from this defect?

Page 18: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Case #2

• 13 year old redneck male C/O headaches for 1 month & of expanding soft tissue mass on forehead for 1 week.

Page 19: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.
Page 20: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.
Page 21: Sinus Imaging with CT By Erik Paulson, D.O.. First the anatomy Frontal Sinus Maxillary Sinus Nasal Cavity Ethmoid Sinus Sphenoid Sinus.

Uh Oh, the Double Pimp!Name the condition with this set of findings?

Based on the previous slide, in which space is the abnormality?