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d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Unilateral, Stabbing, electric-like shock felt deep in the ear
Where is pain localized in geneculate neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Non-noxious stimulation of the ear canal, swallowing or talking
What are triggers for geniculate neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Zero
How much pain does the patent experience between attacks?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Aberrant salivation, bitter taste, tinnitus and vertigo
What strange symptoms have patents reported with geniculate neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] CN VIII can also become compressed
Why are tinnitus and vertigo associated with geniculate neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] No
Can you block the geniculate ganglion with local anesthetics?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Geniculate neuralgia, in hopes of finding the source of compression
A suboccipital craniectomy with exploration of the nervus intermedius is treatment for which neuralgia and what is the hope of such a surgery?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Probable compression of the auricular branch and superior laryngeal branches of CN X. possible compression of CN X as it exits the brainstem or upon entry to the jugular foramen.
What is the cause of Vagal and Superior laryngeal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Vagal and superior laryngeal neuralgia
Which neuralgia has the following symptoms paroxysms of pain associated with the side of the thyroid cartilage, angle of the jaw, rarely the ear and upper thorax. Pt may have hiccups, excessive salivation, coughing and stridor. Pt may incure pain upon moving the head or swallowing?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Confusion with other neuralgias or Eagle’s syndrome
Why is the Dx of vagal/superior laryngeal neuralgia difficult?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Decompression
What surgical option is avalible for vagal/superior laryngeal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Glossopharyngeal neuralgia.
What is the name of the syndrome that causes severe pain in the tongue,pharynx, throat, ear and tonsils that lasts from a few seconds to a few minutes at a time?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Most cases it is never found.
How often is the source in irritation found in glossopharyngeal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Compression of CN IX or its branches by blood vessels, growths at the base of skull, tumors or infections in throat of mouth.
What are the possible causes of Glossopharyngeal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] CN IX plays a role in regulation of heart rate and blood pressure (carries sensory from carodid bodies)
Why would a pt with glossopharyngeal neuralgia experience cardiac arrhythmias and asystole during a pain attack?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Chewing, coughing, laughing, speaking, and swallowing.
What triggers glossopharyngeal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Decompression or removal of tumors or infections impinging upon the nerve
What is the surgical treatment for glossopharyngeal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] May be bilateral and more of a chronic pain
What makes Occipital neuralgia different from other neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Headache with piercing, throbbing or electric-shock type of chronic pain in the neck, back of the head and behind the ears
What symptoms are associated with occipital neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Scalp, forehead and areas around the eyes
What are the trigger points for occipital neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Area of the greater and lesser occipital nerves
What is the distribution of the pain in occipital neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Irritation or injury to the nerves from trauma or compression from osteoarthritis, tumors or lesions in the neck. Other causes can be gout, diabetes, blood vessel inflammation and even keeping the head in an inferior position for a long period of time.
What can cause the pain in occipital neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Occipital neuralgia treatment includes massage, rest and antidepressants of steroid injections. Postherpetic neuralgia treatment acyclovir
Which neuralgia has a treatment quite different from the others?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Tension headaches caused by myofascial pain
What can occipital neuralgia be confused with?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Postherpetic neuralgia
Which Neuralgia is associated with shingles affecting the trigeminal ganglia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Ramsay-Hunt syndrome
What syndrome is related to postherpetic neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Negligible <50, 50% of pt >60, 75% >70 following a shingles episode
What is the age timeline association with postherpetic neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] It may be caused by active herpes simples lesions along the nerve
What anecdotal evidence is associated with trigeminal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Antivirals such as acyclovir
What is the treatment for postherpetic neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Parry-Romberg syndrome
Progressive facial hemiatrophy is also known as?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] By slowly progressive atrophy of soft tissue of half the face.
How is parry-romberg syndrome characterized?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Facial changes involving tissue above the maxilla or between the nose and nasolabial fold.
What are the changes first noticed in parry-romberg syndrome?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Angle of the mouth, areas around eye, brow, ear and neck
What does parry-romberg syndrome progress to effect?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Mostly unilateral
Are changes unilateral of bilateral with parry-romberg syndrome?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Muscle wasting
What causes the pain in parry-romberg syndrome?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Variable but it usually reaches a point and stops
How far does parry-romberg syndrome progress?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Hyperpigmentation or depigmentation
What coloration abnormalities accompany parry-romberg?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Some experience atrophy of lip, and tonge with wasting of roots of teeth.
What indicates parry-romberg is of an embryologic origin?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Severy headaches, visual abnormalities, nausea, vomiting, migrains, facial pain similar to trigeminal neuralgia, uncontrolled bursts of muscle spasms
What neurological syndromes are associated with parry-romberg syndrome?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Purely symptomatic
How do you treat parry-romberg syndrome?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Trigeminal, geniculate, vagal/superior laryngeal, glossopharyngeal,
What neuralgias have the same medical treatments?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Anesthesia Dolorosa, Acoustic Neuroma, Eagles syndrome, Bell’s palsy
What other facial neurologic defects are caused by compression of neuronal pathways?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Anesthesia dolorosa.
What condition is a possible complication of neurosurgery for trigeminal neuralgia?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Sensation(temp pressure and touch are what he said but that doesn’t quite match the symptoms) is lost. Pain remains and may even be exacerbated
What sensations are eliminated and which persist in anesthesia dolorosa?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Numbness, constant horrendous pain, pressure and heaviness, eye pain, sensation of cold increases
What are the symptoms of anesthesia dolorosa?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Topical capsaicin, clonidine or EMLA (anesthetic used to numb skin before inserting IV). Paroxetine, carbamazepine, Various opioids. Basically heavy pain killers
What drugs are used to treat anesthesia dolorosa?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] It usually makes the situation worse
Why wouldn’t surgery normally be considered for anesthesia dolorosa?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Thalamotomy, and Cinulotomy
When surgery is used what 2 drastic procedures are options?
[]
Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Acoustic neuroinoma and vestibular schwannoma
What other names are given to Acoustic neuroma?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] On the vestibulocochlear nerve, unilaterally
In Acoustic neuroma where does the initially growth occur?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Neurofibromatosis type 2 (a genetic disease that is not passed on)
When acoustic neuroma is seen bilaterally what else does the patent normally have?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] 5 in every million
At what rate does acoustic neuroma occur?
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[Fibrocartilage] Slow growing, nonmalignant tumor that begins in the internal auditory meatus and grows towards the internal aspect of the skull as it does this it impinges on VII. Once in the skull it can compress CN V then the brainstem. Once on the brainstem it is deadly.
What is the growth pattern of acoustic neuroma?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] By MRI in patents with unilateral hearing loss.
How is the Dx made for acoustic neuroma?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Spasm of muscles of facial espression, facial pain in areas ranging from external aspect of the face to the mandible, teeth and mucosa.
What are other symptoms of acoustic neuroma?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Pain can affect mandible, teeth and mucosa
Why might acoustic neuroma be confused with dental pain?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Entirely intracanalicular
An acoustic Neuroma that is <1.5 cm is classified as?
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[Fibrocartilage] 1.5-2 cm
How large is an acoustic neuroma that extends into the cranium?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] >2cm
At what sixe do acoustic neuroma’s distort the brainstem?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Microsurgical removal and stereotactic radiation
If an acoustic neuroma is caught and treated early hearing will be saved and the brainstem will not be threatened. When caught how are acoustic neuromas treated?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Eagle’s syndrome
Name the syndrome - Foreign body sensation in the throat, dysphagia, intermittent facial pain or pain behind the ear, intermittent spasm of muscles of facial expression, taste disturbance, pain along distribution of carotid artery?
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[Fibrocartilage] Ossified stylohyoid ligament W/ poss radial rings of calcified tissue
What is the cause of eagles syndrome?
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[Fibrocartilage] 4% and 4-10%
What % of population have elongated styloid processes and how many of those are symptomatic?
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[Fibrocartilage] Radiographic imaging and physical examination
How is Eagle’s syndrome diagnosed?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] NSAIDs or steroid injections
What is the nonsurgical treatment for Eagle’s syndrome?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Transpharyngeal approach which is less obtrusive but controversial b/c of pharynx scarring and infection. Extraoral approach which has less possibility of deep space neck infections
What surgical methods are used for Eagles syndrome?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Unilateral facial paralysis, lasts 1-3 moths, 25% of cases have unknown triggers, and familial occurrences are known but rare
What are the characteristics of bell’s palsy?
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[Fibrocartilage] HSV or HZV in geniculate ganglion. Compression leading to nerve demyelination, Nerve edema or ischemia, Autoimmune damage to nerve, Vasospasm of vessels associated with nerves.
What are the possible causes of bell’s palsy?
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[Fibrocartilage] 24 in 100000
What is the frequency of Bells plasy?
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[Fibrocartilage] Fall and winter
What time of year show increase in Bell’s palsy cases?
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[Fibrocartilage] all are susceptible but middle-aged people and Individuals with demyelinating diseases such as MS, 1in 5 cases (so women 71% to 29%)
Who is most likely to get bell’s palsy?
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[Fibrocartilage] Forceps delivery, parotid surgery, facial surgery, Mumps, Tumors
What else can cause facial nerve compression or damage?
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[Fibrocartilage] Acute otitis media, changes in atmospheric pressure, cold exposure, ischemia of nerve near stylomastoid foramen, infections, pregnancy (early eclampsia)
That are the triggers for bells palsy?
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[Fibrocartilage] Viral infection, lyme disease, and earache
What is childhood bells palsy usually associated with?
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[Fibrocartilage] Histamine and other vasodilators, systemic corticosteroids, hyperbaric oxygen therapy, surgical decompression, Antiviral therapy
What treatments can shorten duration of bells palsy?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] Topical ocular antibiotic artificial tears, closure of eyelid, and psychological reassurance
Other treatments for bells palsy that relieve secondary symptoms are?
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What kind of cartilage is located at the TMJ?
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[Fibrocartilage] 82% recover completely in 6 months if symptoms remain for 1 year they will probably remain until the resurrection when our bodies will be made perfect.
What is the prognosis for bell’s palsy?
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[Fibrocartilage] Orofacial granolomatosis ex. Non-tender persistent swelling of the upper lip. Fissured tongue. Unilateral (occasional bilateral) paralysis of muscles of facial expression
What is Melkersson-rosenthal syndrome?
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[Fibrocartilage] HSV of the face of external auditory canal. Cutaneous lesions of the external auditory canal. Ipsilateral paralysis of CN VII and CH VIII.
What is Ramsay-Hunt syndrome?
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[Fibrocartilage] Facial paralysis, vertigo and hearing deficits
What symptoms are seen with Ramsay-Hunt syndrome?
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[Fibrocartilage] Facial redness and sweating along sites of cutaneous distribution of the auriculotemporal nerve in response to gustatory stimuli.
What would be the signs of Frey syndrome?
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[Fibrocartilage] Injury to auriculotemporal nerve (parotid gland surgery)
What is a common cause of Frey syndrome?
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[Fibrocartilage] The TMJ, The masseter(body, ant. Border, and deep layer), The temporalis (ant and posterior bundles), The medial Pterygoid, Posteriorb belly of the digastrics, the sternocleidomastoid (body and tendon)
In an Extraoral exam you what structures do you palpitate?
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[Fibrocartilage] The Lateral Pterygoid (pterygoid window)
In an Intraoral exam what will you palpitate?
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[Fibrocartilage] It occurs mostly in blacks, It disappears when stretched (you will do this if you suspect this condition during an intraoral exam), it occurs bilaterally on the buccal mucosa, it doesn’t rub off, there is not treatment indicated.
Describe key features of Leukodema?
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[Fibrocartilage] Vascular malformities
What is the most frequent cause of macroglossia?
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[Fibrocartilage] Hypothyroidism, Lymphangiomas, Amyloidosis, neoplasms, down syndrome, and neurofribromatosis
What are the clinical features associated with macroglossia?
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[Fibrocartilage] Lingual frenum may be short and thick and anchor the tongue to the floor of the mouth or the frenum might be long and connect to the tip of the tongue. Usually no treatment is indicated but could do a frenectomy.
What is ankyloglossia?
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[Fibrocartilage] The primitive thyroid gland or portion of the gland fails to descend. It occurs at the foramen cecum.
What is a lingual Thyroid?
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[Fibrocartilage] The middle meatus…it is the opening of the hiatus semilunaris
Where is the maxillary orifice located?
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[Fibrocartilage] The maxillary incisors
Where to infections from the K9’s come from?
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[Fibrocartilage] Pain and Trismus
What could occur w/ masticator space infections?
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[Fibrocartilage] Vestibule, buccal space, the mandible, pterygomandibular space, submasseteric, and parapharyngeal space.
What spaces get infected from the mandibular molars?
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[Fibrocartilage] The infection only has to cross a layer of epithelium, a small or non-existent submucosa, and the periosteum to gain entrance
Why are sinuses so easily infected by maxillary molar infections?
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[Fibrocartilage] The submandibular, the sublingual, and the submental must all 3 be infected to cause Ludwigs
What spaces are involved in Ludwig’s Angina?
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d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] III, IV, V1, V2, and VI. VI runs through the middle and is often the 1st nerve affected and the optic nerve also approximates the sinus and can mess up the meninges of the optic nerve to cause dizziness and vomiting.
What nerves are affected in a cavernous sinus infection?
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Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Lateral to the buccinators and anterior to the masseter
Where is the buccal space located?
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Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Because you cant see them and due to referred pain.
Why are infections of the mandible hard to dx?
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Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] The ones associated with the muscles of mastication
Which type of facial space infections hurt?
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Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json
d6d52890_ck_Final_Flashcards___Cram_com__rtilage_is_located_at_the_TMJ_
[Fibrocartilage] Marginal Mandigular.
Which nerve might you cut when incising a large infection of the mentalis space?
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Head and Neck Final Flashcards - Cram.com
What kind of cartilage is located at the TMJ?
http://www.cram.com/flashcards/head-and-neck-final-1731455
49/1438042986615.83_20150728002306-00216-ip-10-236-191-2_369247495_0.json