Clinical OCMM Flashcards
(33 cards)
Why get otitis media
Impaired drainage of Eustachian tube caused by bacterial or viral
Infection may be the result of otitis media
When Eustachian tube isn;t allowing fresh air it is clogged and becomes damp breeding grounf
Why babies get otitis media more
Eustachian tube is shorter and more AP
Why Ottis media more common if teething
More fluids
The Eustachian tube lies int he temporal bone and opens onto the external base of the skull between the foramen spinosum and the carotid canal
Ok
Where does the tube lie
In the groove between the petroud temporal bone and greater wing of sphenoid
Where is the narrowest part of Eustachian tube
As leaves the cranium before entering te nasopharyngeal tissue
Where is the area of the Eustachian tube most likely to clause blockage
At the cranial base where the sphenoid and temporal bones meet
How treat ear Sd
Treat temporal bones to promote drainage
Studies not ermporal bone and ear
Significant improvement in middle ear tympanic membrane motion and reduction in middle ear effusion
Benefit may also prevent the development of middle ear damage leading to hear problems
Describe the study done in 2003 with 57 patients looking at tratment of otitis media with OCMM of babes 6 months to 6 years with 3 episodes of AOM in last 6 months or 4 in last year
Routine group
Routine group plus OCMM
Double blind
OMM fewer episodes AOM, fewer surgeries, more surgery free months, no adverse reactions
Treatment included full MSK evaluation including cranium
Headaches
Enigma
Clinical experiences indicates cranial treatments often very successful
What is pathophysiology
Pain in cranium
Parts of the dura at the base of the brain
Arteries within the dura-proximal anterior and middle cerebral arteries and intracranial portion of internal carotid
Ok
Internal portion of internal carotid
Pain sensitive
0vein
Veins if impaired willll caused headaches
Traction or displacemmetnr of large intracranial veins or their dural envelope
What are cranial veins with dural envelope
Superior and inferior sagittal sinus
Straight sinus
Transverse sinuses
Outline of inner border of the dura
How treat venous impairment
Restore normal motion to cranium
Treat bones connected to dura
Patient has frequent headaches
Stressful job
Hypertonic cervical muscles
CN1,2,3 form the cervical plexus
Not relationship of superior cervical ganglion tothe second cervical vertebra
Note relationship of C1 to the inferior ganglion of the vagus
Facial nerve passes through _ bone
Temporal
Bell’s palsy
Ok
Supratentorial sensory information si referred anteriorly via the ___ nerve
Trigeminal
Infratentorial sensory information is referred tot he vertex and posterior head and neck by the upper 3 cranial nerves
7 9 10 refer pain to naso-orbital area, the ear and throat
Trigeminal neuralgia
Lancinating pain in the face lasts between a few seconds and two minutes pain is incapacitation
Stimulus can be simple chewing or brushing teeth
V2
V1
Superior orbital fissure
