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2.Semiologia-faringiana
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anatomie_20vi_20cap_20si_20gat.pdf
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Prof. univ. dr. med. Sorin BOLINTINEANU

S.l. dr. med. Monica
VAIDA Conf. univ. dr. med. Alina
SISU

S.l. dr. med. Elena

POP Asist. univ. dr. med. Luminioara
ROSU
Asist. univ. dr. med. Lucia STOICAN Asist. univ. dr. med. Agneta PUSZTAI Asist.
univ. dr. med. Corina MATU
Asist. univ. dr. med. Codruta
PETRESCU
AANNAATTOOMMIIAA OOMMUULLUUII
Volumul VI:
CAP SI G�T

Semestrul III
Editie revizuita si adaugita

Editura �Victor Babe

?�
Timi
?oara
2018

2
Editura �Victor Babes� Piata Eftimie Murgu 2, cam. 316, 300041 Timisoara
Tel./ Fax 0256 495 210 e-mail: evb@umft.ro www.evb.umft.ro Director general: Prof.
univ. dr. Dan V. Poenaru Director: Prof. univ. dr. Andrei Motoc
Colectia:
MANUALE
Coordonator colectie:
Prof. univ. dr. Sorin Eugen Boia
Rerefent stiintific:
Prof. univ. dr. Petru Matusz
ISBN general: 978-606-786-080-1 ISBN vol. VI: 978-606-786-081-8
� 2018 Toate drepturile asupra acestei editii sunt rezervate.

Reproducerea partiala sau integrala a textului, pe orice suport, fara acordul scris
al autorilor este interzisa si se va sanctiona
conform legilor �n vigoare.

3
1. OASELE CAPULUI
GENERALITATI

Craniul (
Cranium
)
este un complex scheletic adaptat pentru sustinerea si protejarea creierului si a
organelor de simt,
con
?in�nd
receptori speciali � vi
zuali, tactili si chimici precum si portiunea initiala a aparatului digestiv

si a
aparatului respirator.
Partea superioara a craniului care acopera creierul poarta numele de
calvaria, restul craniului reprezent�
nd scheletul facial a carui portiune
super
ioara este fixata la calvaria

�n timp ce portiunea sa inferioara reprezentata de mandibula este mobila.

Pentru a putea examina interiorul craniului trebuie ridicat acoperisul

calvariei; planul care trece prin osul frontal de-
a lungul portiunii inferioare a

parietalului, prin scuama temporalului si prin osul occipital separa calvaria de

baza craniului.
Portiunea posterioara a craniului care �nconjoara creierul poarta
numele de neurocraniu (
Neurocranium
), i
ar portiunea anterioara care contine organele de simt

si

segmentul initial al aparatelor

digestiv
si respirator poarta
numele de viscerocraniu (
Viscerocranium
). Pentru a cuprinde �ntreaga sa complexitate craniul trebuie privit ca un
tot unitar si nu ca o suma de oase privite individual, dar trebuie luata �n
considerare si dispozitia generala a oaselor.

Craniul este format din paisprezece oase din care opt sunt pereche si sase
nepereche. Acestora li se adauga osul hioid care datorita legaturilor sale
impor
tante cu craniul este studiat �mpreuna cu acesta.
Oasele nepereche sunt reprezentate de frontal, sfenoid, occipital,
etmoid, vomer, mandibula si hioid iar cele pereche de parietal, temporal, nazal,
lacrimal, cornet nazal infe
rior, maxila, zigomatic si palatin.

Unele dintre aceste oase participa la formarea neu

rocraniului, iar altele
la formarea viscerocraniului, etmoidul fiind singurul os care participa
at�t la formarea neurocraniului, c�t
si a viscerocraniului.

La formarea neurocraniului participa:

- osul frontal - osul etmoid - osul sfenoid - osul occipital - osul temporal -
osul parietal
La formarea viscerocraniului participa:
- osul nazal - osul lacrimal - cornetul nazal inferior

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Laringe Curs 1
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Traumatisme ale ?aringelui.

�
7raumatismele !aringelui pot f
mecanice,

termice, c?imice si #iologice'

7raumatisme mecanice sunt produse de corpuri ascutite cum ar f cioburi de sticla,
lame de cutit, creioane si pot pro?oca pe langa leziuni !aringiene si leziuni ale
dintilor, mandibulei, coloanei cer?icale. +'ista riscul unor complicatii septice
precum celulo?egmonul peri!aringian. ?edicul generalist ?a stabili bilantul
leziunilor, ?a interzice alimentatia orala si indruma pacientul intr-un ser?iciu de
urgenta.

�
7raumatismele termice apar la ingestia accidentala de alimente ferbinti. ;olna?ul
acuza odino!agie, dis!agie iar la ni?elul mucoasei se produce eritem si edem
intens. 7ratamentul consta in regim alimentar adec?at lic?id sau semisolid.
7raumatismele c?imice apar prin ingestia accedentala sau cu scop de suicid a
agentilor caustici, acizi sau baze. Simptomatologia si tratamentul sunt e'puse la
capitolul de patologie eso!agiana.?uscaturile de insecte sunt pro?ocate de ingestia
impreuna cu alimentele a unor insecte ?ii precum albinele. Se produce un edem masi?
al !aringelui care poate cauza obstructie respiratorie cu e?olutie letala.
7ratamentul este de urgenta si consta in doze mari de corticoizi administrati
intra?enos, tra?eostomie la ne?oie.

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