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Ear, Nose, Teeth CH. 23 HEAD AND FACE Ear Anatomy Outer ear Pinna (auricle) Ear canal (meatus) Middle ear Eardrum, hammer, anvil, stirrup, Eustachian tube Inner ear: responsible for analyzing sound waves and maintaining balance Cauliflower Ear Hematoma auris Caused by blood collecting between ear cartilage and skin Thickening of the outer ear Treat by draining and squeezing skin together Most common in boxers and wrestlers Swimmer’s Ear Otitis externa Infection of the skin covering the outer ear canal Water is trapped there by wax buildup Ear feels full and may itch Foreign Bodies Insects or other small objects may get stuck in the ear canal Could cause pain, fever, dizziness, foul odor Insects are usually killed before removal Flush with warm water Tympanic Rupture Caused by a loud noise or blow to the head S/S: severe ear pain, drainage Refer to doctor Usually heals in 2 weeks Normal Tympanic Membrane Normal Nose Anatomy Epistaxis Nosebleed Anterior and posterior Lean forward slightly, pinch nose Apply ice to bridge of nose Pack with gauze or nose tampon Nasal Fracture and Septal Deviation S/S: deformity, swelling, ecchymosis, epitaxis, and leakage of cerebrospinal fluid Apply ice and refer to doctor May need to wear special face mask to return to participation Mouth and Jaw Anatomy Maxilla Mandible Temporomandibular joint (TMJ) Soft and hard palate Tooth 32 teeth Crown is the part that you can see Three layers Enamel Dentin Pulp Jaw Fracture Usually caused by a direct blow to the jaw Often 2 fractures will occur One at point of impact Second close to condyle Look for teeth not lining up Treat for shock, ice, refer to doctor TMJ Dislocation May feel ‘pop’ and pain Inability to close mouth Ice and refer to doctor Tooth Dislocation If tooth is still partially in socket, gently push back in If tooth is completely out of socket, place in milk or proper solution Must be cleared by dentist to return to participation