Skip to main content
Top

2023 | OriginalPaper | Hoofdstuk

12. The nose and sinuses

Auteurs : A. van Wijck-Warnaar, F. W. G. Gruintjes

Gepubliceerd in: Physical Diagnostics

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

Abstract

The external nose determines facial appearance to a large extent. Position, shape and size are important here and easy to examine. Patency is also important: this is determined by the position of the nasal septum, the thickness of the conchae and the nasal mucosa. A headlight is used for this examination, known as ‘anterior rhinoscopy’. The paranasal sinuses terminate in the lateral nasal wall. The mucus produced there flows through the ostia to the rear of the nose, moved by cilia. The paranasal sinuses can only be examined to a limited extent: endoscopy or X-ray examination will be required. The nose is highly vascularised, hence wounds usually heal well, but the good perfusion can make nose bleeds (epistaxis) severe. Smell is captured high in the nose by small nerve endings: these are branches of the olfactory nerve (N I) that pass through the lamina cribrosa (of the ethmoid bone).
Bijlagen
Alleen toegankelijk voor geautoriseerde gebruikers
Literatuur
1.
go back to reference De Jongh TOH, Jongen-Hermus F, Daelmans HEM, et al. Praktische vaardigheden [Practical Skills]. 2nd impression. Houten: Bohn Stafleu van Loghum; 2019. De Jongh TOH, Jongen-Hermus F, Daelmans HEM, et al. Praktische vaardigheden [Practical Skills]. 2nd impression. Houten: Bohn Stafleu van Loghum; 2019.
3.
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;28:1843. 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;28:1843.
5.
go back to reference De Jongh TOH, De Vries H, Knottnerus BJ, et al. Diagnostiek van alledaagse klachten [Diagnosing Everyday Symptoms]. 5th impression. Houten: Bohn Stafleu van Loghum; 2020. De Jongh TOH, De Vries H, Knottnerus BJ, et al. Diagnostiek van alledaagse klachten [Diagnosing Everyday Symptoms]. 5th impression. Houten: Bohn Stafleu van Loghum; 2020.
Metagegevens
Titel
The nose and sinuses
Auteurs
A. van Wijck-Warnaar
F. W. G. Gruintjes
Copyright
2023
Uitgeverij
Bohn Stafleu van Loghum
DOI
https://doi.org/10.1007/978-90-368-2931-1_12