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.

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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?