Radiologia via AEREA
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Transcript of Radiologia via AEREA
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Anestesiologa y ReanimacinUniversidad de Antioquia
anestesiaudea.googlepages.com
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Enfermedades degenerativasEnfermedades degenerativas a ormac ones cong n tasa ormac ones cong n tas
CarcinomasCarcinomasAlteracin de la ATMAlteracin de la ATM
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Habilidad de la apertura oral.Habilidad de la apertura oral.
Desplazamiento de la via areaDesplazamiento de la via area
lesin.lesin.
..Relacin masaRelacin masa grandes vasos.grandes vasos.
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a ogra as.a ogra as.
Resonancia Magntica NuclearResonancia Magntica Nuclear
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Es acio Parafarn eo PPSEs acio Parafarn eo PPS
Espacio Mucosa Faringea (PMS)Espacio Mucosa Faringea (PMS) Espacio Parotdeo (PS)Espacio Parotdeo (PS) Espacio aroti eoEspacio aroti eo
Espacio Masticador (MS)Espacio Masticador (MS) Espacio Prevertebral (PVS)Espacio Prevertebral (PVS) Cavidad oral OCCavidad oral OC Espacio Sublingual (SLS)Espacio Sublingual (SLS) Espacio Submandibular (SMS)Espacio Submandibular (SMS)
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linfoidelinfoide ase e cr neo as a e pa a ar an oase e cr neo as a e pa a ar an o
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Base del craneo a fasciaBase del craneo a fascial n m n i l r l n m n i l r
Grasa y vasosGrasa y vasos
san uineos.san uineos.
NerviosNervios
Glandulas SalivaresGlandulas Salivaresmenoresmenores
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FOSAFOSA
INFRATEMPORALINFRATEMPORAL Lobulo profundoLobulo profundo
g.paroti as.g.paroti as.
Rama del maxilar.Rama del maxilar. uscu os p er go eos.uscu os p er go eos. Musculo temporal.Musculo temporal.
max.interna y V3max.interna y V3
Linfaticos.Linfaticos.
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(CAROTIDEO)(CAROTIDEO) Ar ri r iAr ri r i
interna.interna. Vena u ular interna.Vena u ular interna. Nervios Craneales: IX ,Nervios Craneales: IX ,
X , XIIX , XII Cadenas simpticas.Cadenas simpticas.
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Lengua y piso de la boca.Lengua y piso de la boca. ase e a engua.ase e a engua.
Orofaringe.Orofaringe. AmgdalasAmgdalas
Espacio submandibularEspacio submandibular
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COMPARTIMIENTOS CABEZA YCOMPARTIMIENTOS CABEZA Y
.. Espacio SubmandibularEspacio Submandibular spac o ara ar ngeo.spac o ara ar ngeo.
COMPARTIMIENTO INFRAHIODEOCOMPARTIMIENTO INFRAHIODEO.. Espacio pretraqueal:Espacio pretraqueal:Desde el hioides alDesde el hioides al
mediastino anterior rodea la tr uea.mediastino anterior rodea la tr uea. Espacio retrofarngeo, danger space yEspacio retrofarngeo, danger space y
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Evaluar tumores derivados de mucosas.Evaluar tumores derivados de mucosas. e ac on e a masae ac on e a masa ana om a .ana om a .
Cortes 3Cortes 3--5mm, medios de contraste.5mm, medios de contraste.Coronales:Lengua, piso de la boca ,Coronales:Lengua, piso de la boca ,
trigono retromolar, mandibula.trigono retromolar, mandibula.
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Laringe y cuelloLaringe y cuellon ra o eo:n ra o eo:
Carcinoma de cells escamosas.Carcinoma de cells escamosas.
Medio de contraste y cortes de 1mmMedio de contraste y cortes de 1mm..
Ventanas oseas: traumaVentanas oseas: trauma or es corona es :op m zan a v s n e aor es corona es :op m zan a v s n e a
glotis.glotis.
Tiroides y paratiroides.Tiroides y paratiroides.
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. , . , . , . ,
m.masetero(m), m.pterigoideo medio (mp),espacio masticador(MS),m.milohiodeo (*),e.nasofaringeo (PMS, small arrows), e.parotideo (PS), rama mandibular(r)
e. sublingual (SL), e.submandibular (SM), paladar suave (sp), m.intrinseca lengua
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internal carotid (c), epiglottis (e), genioglossus muscle (g), jugular v (J), lingual tonsil (l),
medial pterygoid muscle (mp), masticator space (MS), mylohyoid muscle (asterisk),
har n eal mucosal s ace of oro har nx small arrows , revertebral s ace PVS ,
retropharyngeal space (arrowheads), sublingual space (SL), submandibular space (SM),
submandibular gland (smg), intrinsic musculature of tongue (T), masseter muscle (m),
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.
periferico. La amigdala izq. Esta aumentada El e.parafaringeo (arrow) esta lateral.
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A, hiodes; B, cuerdas falsas; C, c.vocales;D tiroides. arytenoid cartilage (a), e. cervical anterior(AC), pliegues
ariepigloticos (ae), m.escaleno anterior(asm), plexo brachial (b), a.carotida (c), C.cricoide (cc), epiglotis(e),
esofago(es), hyoides(h), v.yugular(J),e. cervical posterior(PC), grasa preepiglotica(pe), g.paralaringea (pl),
e.prevertebral (PVS),e .faringeo (small arrows), m.platisma (large arrow), e.retrofaringeo(arrowheads),e.sup.cervical(SC),
m.esternocleidomastoide(scm), g.submandibular(smg), c.tiroideo(tc), tiroides(tg), traquea (tr),cuerdas vocales(tvc).
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TC con contraste laringe supragloctica . A, las dos valleculas llenas de aire(V) separadas
por el pliegue glosoepiglotico medio anterior a la epiglotis(arrows).v.yugular(j), a.carotidainterna (i),arteria carotida externa (e), m.esternocleidomastoideo (s), hiodes (H) B, 8 mm
inferiores,grasa preepiglotica (PES) contrasta anteriormente con la densidad de epiglotis
. . .
(PLS). Lo pliegues ariepiglotiocs(arrowheads) separan los senos piriformes(P) y el
Vestibulo laryngeo (Ve).
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RMN:SUPRAGLOTIS
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CV Falsas (arrows), mediales a la gr. paraglotica
proximas a los cartilagos aritenoides (f)
El nodo tiroideo (arrowhead) esta anterior entre
.
El cartilago tiroides no calcificado,
Vena yugular(J) y arteria carotida
ver a eras w te arrow a n ve e os
Procesos vocales de los aritenoides(arrowhead)
(A), localizados superolateralalmente al borde
osterior del cartila o cricoide Cr.los te idos
blandos en la commisura anterior(black arrow)Mide normalmente menos de 2 mm
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Infrahyoid retropharyngeal space and visceral space abscess. A, TC at level of false
vocal cords demonstrates low-density abscess in retropharyngeal space (arrowheads)
- .
cervical space and anteriorly into the visceral and anterior cervical spaces.
B, Communication between retropharyngeal space and mediastinum is well
demonstrated by cephalad extension of this mediastinal abscess (asterisk) posterior
to the trachea.
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Transglottic laryngeal squamous cell carcinoma with vocal cord fixation. A,
True vocal cords are adducted on axial contrast-enhanced computed tomography
,
from the left true cord into adjacent paralaryngeal fat (arrow) and posteriorly intocricoarytenoid joint (arrowheads). Anterior corner of calcified left arytenoid cartilage
(asterisk) has been eroded by the tumor. B, Repeat axial CECT, performed during
qu e rea ng, revea s xa on o e e rue cor n m ne; r g cor s par a y
abducted.
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Transglottic squamous cell carcinoma with cartilage invasion. Axial CECT at the true
voca cor eve s ows en anc ng mass m or g na ng n e e voca cor , cross nganterior commissure, and invading anterior third of the right cord. The tumor has
invaded through anterior thyroid cartilage and displaces thyroid strap muscles anteriorly
arrowheads .
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Extrinsic tracheal compression. A, Computed tomography scan shows largemediastinal mass (M), secondary to oat cell carcinoma, compressing trachea (T) and
superior vena cava (arrow). B, In another patient with lymphoma, magnetic resonance
.
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Alineacin y anatomaAlineacin y anatomaIntegridad seaIntegridad sea
Cartlago o espacio articularCartlago o espacio articularPartes BlandasPartes Blandas
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Desplazamiento:alineacion l.espinolaminarDesplazamiento:alineacion l.espinolaminar nsanc am ento espac o nterpe cu ar.nsanc am ento espac o nterpe cu ar.
Rotacion apofisis espinosasRotacion apofisis espinosasCurvatura anormalCurvatura anormal
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Marked thickening of the epiglottis (arrow)and aryepiglottic folds (arrowheads) is seen.
Mild hypopharyngeal overdistention is also
Retropharyngeal abscess secondary toforeign body perforation of the esophagus
The prevertebral soft tissues are markedly
present.,
anteriorly (small arrows). Large arrow
points to a metallic foreign body
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Collegiate football defensive back
sustained axial loading injury to
cervical s ine while makin tacklehe was rendered a complete C5
quadriplegic A, Lateral
roentgenogram shows mild anterio
by left unilateral facet dislocation.B, CT scan with coronal
reconstruction shows significant
fractures of bodies of C5 and C6
that were not noted on lateral
roentgenogram.C,
CT scan
fractures through ipsilateral right
pedicle and lamina with free-floating
lateral mass at this level. D, CT scan through C4 and C5 shows
un atera e t-s e -5 acet s ocat on arrow . , scan w t
sagittal reconstruction shows left-sided unilateral C4-5 facet
dislocation. F, CT scan through C5 vertebral body shows significant
fractures of anterior and posterior elements and marked narrowing
. ,
significant narrowing of spinal canal resulting from retropulsed bone
and disc material. H, CT scan with contrast in subarachnoid space
shows disc material retropulsed into spinal canal to left of midline
behind bod of C4.
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GRACIAS
. .