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Pediatric massage is the complementary and alternative treatment that uses massage therapy, or "the manual manipulation of soft tissue intended to promote health and well-being" for children and adolescents. [1] Its goal is to reduce pain, anxiety, loneliness and fear when children are hospitalized or diagnosed with a debilitating medical ...
Dacryoscintigraphy (DSG), also known as lacrimal scintigraphy, is a nuclear medicine technique for imaging the lacrimal apparatus. It is used to identify obstructions, for example in the lacrimal duct , nasal cavity or nasolacrimal duct .
The lacrimal gland is a compound tubuloacinar gland, it is made up of many lobules separated by connective tissue, each lobule contains many acini.The acini composed of large serous cells which, produce a watery serous secretion, serous cells are filled with lightly stained secretory granules and surrounded by well-developed myoepithelial cells and a sparse, vascular stroma.
The lacrimal apparatus is the physiological system containing the orbital structures for tear production and drainage. [1]It consists of: The lacrimal gland, which secretes the tears, and its excretory ducts, which convey the fluid to the surface of the eye; it is a j-shaped serous gland located in lacrimal fossa.
Involutional stenosis is probably the most common cause of nasolacrimal duct obstruction in older people. It affects women twice as frequently as men. Although the inciting event in this process is unknown, clinicopathologic study suggests that compression of the lumen of the nasolacrimal duct is caused by inflammatory infiltrates and edema.
The lacrimal branch of the ophthalmic nerve (itself a branch of trigeminal nerve V1) supplies secretomotor innervation to the lacrimal gland, stimulating its secretion of the aqueous layer. However, these nerves fibers originate from the facial nerve (VII) [ 2 ] and only travel briefly with fibers from the trigeminal nerve.
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The lacrimal nerve branches from the ophthalmic nerve immediately before traveling through the superior orbital fissure to enter the orbit. [citation needed]At the superior portion of the lateral wall of the orbit, it also receives a secretomotor [2]: 495 communicating [2]: 402 parasympathetic [3] branch from the zygomaticotemporal nerve [2]: 495 for the lacrimal gland.