Skip to main content
Top

2015 | OriginalPaper | Hoofdstuk

4 Hoofd en hals

Auteurs : T.O.H. de Jongh, O.M. Vanderveken

Gepubliceerd in: Fysische diagnostiek

Uitgeverij: Bohn Stafleu van Loghum

share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

Het hoofd is een gebied waarop veel specialismen samenkomen. Het is het werkterrein van onder andere de keel‑, neus- en oorarts, oogarts, dermatoloog, neuroloog, tandarts, (kaak)chirurg, oncoloog, psychiater en huisarts. Het is ondoenlijk om het onderzoek vanuit alle specialismen uitvoerig te beschrijven; het gaat hier om het algemeen onderzoek van de schedel, het gelaat, de oren, ogen, neus en mond.
Na het bestuderen van dit hoofdstuk kent u de globale anatomie van het hoofd-halsgebied die u nodig heeft voor het onderzoek van hoofd, oren, ogen, neus, mondholte en hals, kent u de onderdelen die aan de orde komen bij het hoofd-halsonderzoek en weet u in welke volgorde deze dienen te worden uitgevoerd en bent u in staat het onderzoek op de juiste wijze uit te voeren. Bovendien heeft u na lezing van dit hoofdstuk kennis van de normale en enkele afwijkende bevindingen bij het onderzoek van het hoofd-halsgebied en kennis van de klinische betekenis van die afwijkende bevindingen.
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference Rietveld RP, Cleveringa JP, Blom GH, et al. NHG-standaard Het rode oog. Huisarts Wet. 2006;49:78–91.CrossRef Rietveld RP, Cleveringa JP, Blom GH, et al. NHG-standaard Het rode oog. Huisarts Wet. 2006;49:78–91.CrossRef
2.
go back to reference Rietveld RP, Riet G ter, Bindels PJ, et al. Predicting bacterial cause in infectious conjunctivitis: cohort study on informativeness of combinations of signs and symptoms. BMJ. 2004;329:625. Rietveld RP, Riet G ter, Bindels PJ, et al. Predicting bacterial cause in infectious conjunctivitis: cohort study on informativeness of combinations of signs and symptoms. BMJ. 2004;329:625.
3.
go back to reference McGee S. Evidence-based physical diagnosis. 3e druk. Phliladelphia, PA: Elsevier; 2012. McGee S. Evidence-based physical diagnosis. 3e druk. Phliladelphia, PA: Elsevier; 2012.
4.
go back to reference Nederlands Oogheelkundig Gezelschap. Richtlijnen diabetische retinopathie. Alphen a/d Rijn: Van Zuiden communications; 2006. Nederlands Oogheelkundig Gezelschap. Richtlijnen diabetische retinopathie. Alphen a/d Rijn: Van Zuiden communications; 2006.
5.
go back to reference Vries H de, Zaal MJW, Blankenstein AH. Rood oog. In: Jongh TOH de, Vries H de, Grundmeijer HGLM (red.). Diagnostiek van alledaagse klachten. 3e druk. Houten: Bohn Stafleu van Loghum; 2011. Vries H de, Zaal MJW, Blankenstein AH. Rood oog. In: Jongh TOH de, Vries H de, Grundmeijer HGLM (red.). Diagnostiek van alledaagse klachten. 3e druk. Houten: Bohn Stafleu van Loghum; 2011.
6.
go back to reference Yaphne J, Singh Pandher K. The predictive value of the penlight test for photophobia for serious eye pathology in general practice. Fam Pract. 2003;20:425–7.CrossRef Yaphne J, Singh Pandher K. The predictive value of the penlight test for photophobia for serious eye pathology in general practice. Fam Pract. 2003;20:425–7.CrossRef
7.
go back to reference Tan H, Pol BAE van der, Stilma JS (red.). Leerboek oogheelkunde. Houten: Bohn Stafleu van Loghum; 2013.CrossRef Tan H, Pol BAE van der, Stilma JS (red.). Leerboek oogheelkunde. Houten: Bohn Stafleu van Loghum; 2013.CrossRef
8.
go back to reference Colenbrander A. Visual Functions Committee. International Council of Ophthalmology. Visual Acuity Measurement Standard. Ital J Ophthalmol. 1988;II–I:1–15. Colenbrander A. Visual Functions Committee. International Council of Ophthalmology. Visual Acuity Measurement Standard. Ital J Ophthalmol. 1988;II–I:1–15.
9.
go back to reference Cleveringa JP, Oltheten GH, Blom MEJM, et al. NHG-standaard Refractieafwijkingen. Huisarts Wet. 2001;44:350–5. Cleveringa JP, Oltheten GH, Blom MEJM, et al. NHG-standaard Refractieafwijkingen. Huisarts Wet. 2001;44:350–5.
10.
go back to reference Early Treatment Diabetic Retinopathy Study Research Group. Early photocoagulation for diabetic retinopathy. Early Treatment Diabetic Retinopathy Study report 9. Ophthalmology. 1991;98:766–85.CrossRef Early Treatment Diabetic Retinopathy Study Research Group. Early photocoagulation for diabetic retinopathy. Early Treatment Diabetic Retinopathy Study report 9. Ophthalmology. 1991;98:766–85.CrossRef
11.
go back to reference Kniestedt C, Stamper RL. Visual acuity and its measurement. Ophthalmol Clin North Am. 2003;16(20):155–70.CrossRef Kniestedt C, Stamper RL. Visual acuity and its measurement. Ophthalmol Clin North Am. 2003;16(20):155–70.CrossRef
12.
go back to reference Ricci F, Cerdone C, Cerulli L. Standardized measurement of visual acuity. Ophthalmic Epidemiol. 1998;5:1–2.CrossRef Ricci F, Cerdone C, Cerulli L. Standardized measurement of visual acuity. Ophthalmic Epidemiol. 1998;5:1–2.CrossRef
13.
go back to reference Leeuwen YD, Baggen JL van. Verziendheid, diagnostiek door de huisarts. Ned Tijdschr Geneeskd. 1994;138:1601–3. Leeuwen YD, Baggen JL van. Verziendheid, diagnostiek door de huisarts. Ned Tijdschr Geneeskd. 1994;138:1601–3.
14.
go back to reference Ivers RQ, Optom B, Macaskill P, et al. Sensitivity and specificity of tests to detect eye disease in an older population. Ophthalmology. 2001;108:968–75.CrossRef Ivers RQ, Optom B, Macaskill P, et al. Sensitivity and specificity of tests to detect eye disease in an older population. Ophthalmology. 2001;108:968–75.CrossRef
15.
go back to reference Gibbons RL, Owens DR, Allen JC, Eastman L. Practical application of the European Field Guide in screening for diabetic retinopathy by using ophthalmoscopy and 35 mm slides. Betologica. 1998;41:59–64. Gibbons RL, Owens DR, Allen JC, Eastman L. Practical application of the European Field Guide in screening for diabetic retinopathy by using ophthalmoscopy and 35 mm slides. Betologica. 1998;41:59–64.
16.
go back to reference Buxton MJ, Sculpher MJ, Ferguson BA, et al. Screening for treatable diabetic retinopathy: A comparison of different methods. Diabet Med. 1991;8:371–7.CrossRef Buxton MJ, Sculpher MJ, Ferguson BA, et al. Screening for treatable diabetic retinopathy: A comparison of different methods. Diabet Med. 1991;8:371–7.CrossRef
17.
go back to reference Owens DR, Gibbins RL, Lewis PA, et al. Screening for diabetic retinopathy by general practitioners: Ophthalmoscopy or retinal photography as 35 mm colour transparencies? Diabet Med. 1998;15:170–5.CrossRef Owens DR, Gibbins RL, Lewis PA, et al. Screening for diabetic retinopathy by general practitioners: Ophthalmoscopy or retinal photography as 35 mm colour transparencies? Diabet Med. 1998;15:170–5.CrossRef
18.
go back to reference Hutchinson A, McIntosh A, Peters J, et al. Effectiveness of screening and monitoring tests for diabetic retinopathy – a systemic review. Diabet Med. 2000;17:495–506.CrossRef Hutchinson A, McIntosh A, Peters J, et al. Effectiveness of screening and monitoring tests for diabetic retinopathy – a systemic review. Diabet Med. 2000;17:495–506.CrossRef
19.
go back to reference NHG werkgroep slechthorendheid. NHG-Standaard Slechthorendheid. 2e herziening. Huisarts Wet. 2014;57:302–12. NHG werkgroep slechthorendheid. NHG-Standaard Slechthorendheid. 2e herziening. Huisarts Wet. 2014;57:302–12.
20.
go back to reference Rooijackers-Lemmens E, Balen FAM van, Opstelten W, Wiersma TJ. NHG-standaard Otitis externa. Utrecht: CBO; 2005. Rooijackers-Lemmens E, Balen FAM van, Opstelten W, Wiersma TJ. NHG-standaard Otitis externa. Utrecht: CBO; 2005.
22.
go back to reference Macphee GJ, Crowther JA, McAlpine CH. A simple screening test for hearing impairment in elderly patients. Age Ageing. 1988;17:347–51.CrossRef Macphee GJ, Crowther JA, McAlpine CH. A simple screening test for hearing impairment in elderly patients. Age Ageing. 1988;17:347–51.CrossRef
23.
go back to reference Eekhof JAH, Bock GH de, Laat JAPM de, et al. The whispered voice: The best test for screening for hearing impairment in general practice? Br J Gen Pract. 1996;46:473–4. Eekhof JAH, Bock GH de, Laat JAPM de, et al. The whispered voice: The best test for screening for hearing impairment in general practice? Br J Gen Pract. 1996;46:473–4.
24.
go back to reference Burkey JM, Lippy WH, Schuring AG, Rizer FM. Clinical utility of the 512 Hz Rinne tuning fork test. Am J Otol. 1998;19:59–62. Burkey JM, Lippy WH, Schuring AG, Rizer FM. Clinical utility of the 512 Hz Rinne tuning fork test. Am J Otol. 1998;19:59–62.
25.
go back to reference Chole RA, Cook GB. The Rinne test for conductive deafness: A critical reappraisal. Arch Otolaryngol Head Neck Surg. 1988;114:399–403.CrossRef Chole RA, Cook GB. The Rinne test for conductive deafness: A critical reappraisal. Arch Otolaryngol Head Neck Surg. 1988;114:399–403.CrossRef
26.
go back to reference Stankiewicz JA, Mowry HJ. Clinical accuracy of tuning fork tests. Laryngoscope. 1979;89:1956–73.CrossRef Stankiewicz JA, Mowry HJ. Clinical accuracy of tuning fork tests. Laryngoscope. 1979;89:1956–73.CrossRef
27.
go back to reference Wilson WR, Woods LA. Accuracy of the Bing and Rinne fork test. Arch Otoryngol. 1975;101:81–5.CrossRef Wilson WR, Woods LA. Accuracy of the Bing and Rinne fork test. Arch Otoryngol. 1975;101:81–5.CrossRef
28.
go back to reference Lamoré PJJ, Kapteyn TS, Franck BAM. Leerboek Audiologie. Leiden: Nederlandse Vereniging voor Audiologie; 2008. Lamoré PJJ, Kapteyn TS, Franck BAM. Leerboek Audiologie. Leiden: Nederlandse Vereniging voor Audiologie; 2008.
29.
go back to reference Venekamp RP, Sutter A de, Sachs A, et al. NHG-standaard Acute rhinosinusitis. 3e herziening. Huisarts Wet. 2014:57:537. Venekamp RP, Sutter A de, Sachs A, et al. NHG-standaard Acute rhinosinusitis. 3e herziening. Huisarts Wet. 2014:57:537.
30.
go back to reference Havas TE, Mothbey JA, Gullane PJ. Prevalence and risk factors of chronic sinusitis in Korea. Arch Otolaryngol Head Neck Surg. 1988;114:856–9.CrossRef Havas TE, Mothbey JA, Gullane PJ. Prevalence and risk factors of chronic sinusitis in Korea. Arch Otolaryngol Head Neck Surg. 1988;114:856–9.CrossRef
31.
go back to reference Lindbaek M, Hjortdahl P, Johnsen UL. Use of symptoms, signs, and blood tests to diagnose acute sinus infections in primary care: comparison with computed tomography. Fam Med. 1996;28:183–8. Lindbaek M, Hjortdahl P, Johnsen UL. Use of symptoms, signs, and blood tests to diagnose acute sinus infections in primary care: comparison with computed tomography. Fam Med. 1996;28:183–8.
32.
go back to reference Zwart S, Dagnelie CF, Staay BK van, et al. NHG-standaard Acute keelpijn. Utrecht: CBO; 2007. Zwart S, Dagnelie CF, Staay BK van, et al. NHG-standaard Acute keelpijn. Utrecht: CBO; 2007.
33.
go back to reference Thomas C, Aizin V. A red streak in the lateral recess of the oropharynx predicts acute sinusitis. J Gen Intern Med. 2006;21:986–8.CrossRef Thomas C, Aizin V. A red streak in the lateral recess of the oropharynx predicts acute sinusitis. J Gen Intern Med. 2006;21:986–8.CrossRef
34.
go back to reference Robbins KT, Medina JE, Wolfe GT, et al. Standardizing neck dissection terminology. Arch Otolaryngol Head Neck Surg. 1991;117:601–5.CrossRef Robbins KT, Medina JE, Wolfe GT, et al. Standardizing neck dissection terminology. Arch Otolaryngol Head Neck Surg. 1991;117:601–5.CrossRef
35.
go back to reference Huizing EH, Snow GB, Vries N de. Keel- neus en oorheelkunde en hoofd-halschirurgie. 2e druk. Houten: Bohn Stafleu van Loghum; 2007.CrossRef Huizing EH, Snow GB, Vries N de. Keel- neus en oorheelkunde en hoofd-halschirurgie. 2e druk. Houten: Bohn Stafleu van Loghum; 2007.CrossRef
36.
go back to reference Bickley LS. Bates’ guide to physical examination and history taking. 11e druk. Philadelphia, PA: Lippincott Williams & Wilkins; 2012. Bickley LS. Bates’ guide to physical examination and history taking. 11e druk. Philadelphia, PA: Lippincott Williams & Wilkins; 2012.
37.
go back to reference Swartz MH. Textbook of physical diagnosis, history and examination. 7e druk. Philadelphia, PA: Elsevier; 2014. Swartz MH. Textbook of physical diagnosis, history and examination. 7e druk. Philadelphia, PA: Elsevier; 2014.
38.
go back to reference Tokuda Y, Kishaba Y, Kato J, Nakazato N. Assessing the validity of a model to identify patients for lymph node biopsy. Medicine. 2003;82:414–8.CrossRef Tokuda Y, Kishaba Y, Kato J, Nakazato N. Assessing the validity of a model to identify patients for lymph node biopsy. Medicine. 2003;82:414–8.CrossRef
39.
go back to reference Vassilakopoulos TP, Pangalis GA. Application of a prediction rule to select which patients presenting with lymphadenopathy should undergo a lymph node biopsy. Medicine. 2000;79:338–47.CrossRef Vassilakopoulos TP, Pangalis GA. Application of a prediction rule to select which patients presenting with lymphadenopathy should undergo a lymph node biopsy. Medicine. 2000;79:338–47.CrossRef
40.
go back to reference Jarløv AE, Nygaard B, Hegedüs L, et al. Observer variation in the clinical and laboratory evaluation of patients with thyroid dysfunction and goiter. Thyroid. 1998;8:393–98.CrossRef Jarløv AE, Nygaard B, Hegedüs L, et al. Observer variation in the clinical and laboratory evaluation of patients with thyroid dysfunction and goiter. Thyroid. 1998;8:393–98.CrossRef
41.
go back to reference Berghout A, Wiersinga WM, Smits NJ, Touber LJ. The value of thyreoid volume measured bij ultrasonography in the diagnosis of goitre. Clin Endocrinol. 1988;28:409–14.CrossRef Berghout A, Wiersinga WM, Smits NJ, Touber LJ. The value of thyreoid volume measured bij ultrasonography in the diagnosis of goitre. Clin Endocrinol. 1988;28:409–14.CrossRef
42.
go back to reference Hegedüs L, Karstrup S, Veiergang D, et al. High frequency of goiter in cigarette smokers. Clin Endocrinol. 195;23:287–92. Hegedüs L, Karstrup S, Veiergang D, et al. High frequency of goiter in cigarette smokers. Clin Endocrinol. 195;23:287–92.
43.
go back to reference Crooks J, Murray IPC, Wayne EJ. Statistical methods applied to the clinical diagnosis of thyreotoxicosis. Q J Med. 1959;28:211–34. Crooks J, Murray IPC, Wayne EJ. Statistical methods applied to the clinical diagnosis of thyreotoxicosis. Q J Med. 1959;28:211–34.
44.
go back to reference Nordyke RA, Gilbert FI, Harada HSM. Graves’ disease: Influence of age on clinical findings. Arch Intern Med. 1988;148:626–31.CrossRef Nordyke RA, Gilbert FI, Harada HSM. Graves’ disease: Influence of age on clinical findings. Arch Intern Med. 1988;148:626–31.CrossRef
45.
go back to reference Barker DJ, Bishop JM. Computer-based screening system for patients at risk of hypothyroidism. Lancet. 1969;2:835–8.CrossRef Barker DJ, Bishop JM. Computer-based screening system for patients at risk of hypothyroidism. Lancet. 1969;2:835–8.CrossRef
46.
go back to reference Nordyke RA, Kulikowski CA, Kulikowski CW. A comparison of methods automated diagnosis of thyroid dysfunction. Comput Biomed Res. 1971;4:374–89.CrossRef Nordyke RA, Kulikowski CA, Kulikowski CW. A comparison of methods automated diagnosis of thyroid dysfunction. Comput Biomed Res. 1971;4:374–89.CrossRef
47.
go back to reference Indra R, Patil SS, Joshi R, et al. Accuracy of physical examination in the diagnosis of hypothyroidism: A cross-sectional, double-blind study. J Postgrad Med. 2004;50:7–11. Indra R, Patil SS, Joshi R, et al. Accuracy of physical examination in the diagnosis of hypothyroidism: A cross-sectional, double-blind study. J Postgrad Med. 2004;50:7–11.
48.
go back to reference Billewicz WZ, Chapman RS, Crooks J, et al. Statistical methods applied to the diagnosis of hypothyroidism. Q J Med. 1969;38:255–6. Billewicz WZ, Chapman RS, Crooks J, et al. Statistical methods applied to the diagnosis of hypothyroidism. Q J Med. 1969;38:255–6.
51.
go back to reference Beissert M, Jenett M, Wetzler T, et al. Enlarged lymph nodes of the neck: evaluation with parallel extended field-of-view sonographic sequences. J Ultrasound Med. 2000;19:195–200.CrossRef Beissert M, Jenett M, Wetzler T, et al. Enlarged lymph nodes of the neck: evaluation with parallel extended field-of-view sonographic sequences. J Ultrasound Med. 2000;19:195–200.CrossRef
52.
go back to reference Kim BM, Kim EK, Kim MJ, et al. Sonographically guided core needle biopsy of cervical lymphadenopathy in patients without known malignancy. J Ultrasound Med. 2007;26:585–91.CrossRef Kim BM, Kim EK, Kim MJ, et al. Sonographically guided core needle biopsy of cervical lymphadenopathy in patients without known malignancy. J Ultrasound Med. 2007;26:585–91.CrossRef
53.
go back to reference Alibek S, Zenk J, Bozzato A, et al. The value of dynamic MRI studies in parotid tumors. Acad Radiol. 2007;14:701–10.CrossRef Alibek S, Zenk J, Bozzato A, et al. The value of dynamic MRI studies in parotid tumors. Acad Radiol. 2007;14:701–10.CrossRef
54.
go back to reference Zbären P, Guélat D, Loosli H, Stauffer E. Parotid tumors: Fine-needle aspiration and/or frozen section. Otolaryngol Head Neck Surg. 2008;139:811–5.CrossRef Zbären P, Guélat D, Loosli H, Stauffer E. Parotid tumors: Fine-needle aspiration and/or frozen section. Otolaryngol Head Neck Surg. 2008;139:811–5.CrossRef
55.
go back to reference Pothier D, Narula AA. Should we apply suction during fine needle cytology of thyroid lesions? Ann R Coll Surg Engl. 2006;88:643–65.CrossRef Pothier D, Narula AA. Should we apply suction during fine needle cytology of thyroid lesions? Ann R Coll Surg Engl. 2006;88:643–65.CrossRef
56.
go back to reference Lieshout J van, Felix-Schollaart B, Bolsius EJM, et al. NHG-Standaard Schildklieraandoeningen. 2e herziening. Huisarts Wet. 2013;56:320–30. Lieshout J van, Felix-Schollaart B, Bolsius EJM, et al. NHG-Standaard Schildklieraandoeningen. 2e herziening. Huisarts Wet. 2013;56:320–30.
go back to reference Baggen JL, Leeuwen YD van. Oogheelkunde. Serie Practicum Huisartsgeneeskunde. Maarssen: Elsevier Gezondheidszorg; 2004. Baggen JL, Leeuwen YD van. Oogheelkunde. Serie Practicum Huisartsgeneeskunde. Maarssen: Elsevier Gezondheidszorg; 2004.
go back to reference Buis J, Jongh TOH de. Onderzoek van de lymfeklieren. Ned Tijdschr Geneeskd. 2011;155:A2652 Buis J, Jongh TOH de. Onderzoek van de lymfeklieren. Ned Tijdschr Geneeskd. 2011;155:A2652
go back to reference Franssen M, Brabander J de. Het onderzoek van het zien en het oog. 2e druk. Maastricht: Mediview; 2005. Franssen M, Brabander J de. Het onderzoek van het zien en het oog. 2e druk. Maastricht: Mediview; 2005.
go back to reference Franssen M, Soudijn E. Het onderzoek van het oor, de neus, de mond, de keel en de hals. 2e druk. Maastricht: Mediview; 2005. Franssen M, Soudijn E. Het onderzoek van het oor, de neus, de mond, de keel en de hals. 2e druk. Maastricht: Mediview; 2005.
go back to reference Jongh TOH de, Vries H de, Grundmeijer HGLM. Diagnostiek van alledaagse klachten. 2e druk. Houten: Bohn Stafleu van Loghum; 2005. Jongh TOH de, Vries H de, Grundmeijer HGLM. Diagnostiek van alledaagse klachten. 2e druk. Houten: Bohn Stafleu van Loghum; 2005.
go back to reference Jongh TOH de (hoofdred). Praktische vaardigheden. Houten: Bohn Stafleu van Loghum; 2012. Hierin worden onder andere de volgende diagnostische onderzoeken beschreven en de uitvoering in een film getoond: Otoscopie, fundoscopie, spleetlamponderzoek, rinoscopie en laryngoscopie. Jongh TOH de (hoofdred). Praktische vaardigheden. Houten: Bohn Stafleu van Loghum; 2012. Hierin worden onder andere de volgende diagnostische onderzoeken beschreven en de uitvoering in een film getoond: Otoscopie, fundoscopie, spleetlamponderzoek, rinoscopie en laryngoscopie.
Metagegevens
Titel
4 Hoofd en hals
Auteurs
T.O.H. de Jongh
O.M. Vanderveken
Copyright
2015
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-0893-4_4