Anatomy 1: Nosebleeds and sinuses Flashcards

1
Q

What are the 3 parts of the ethmoid bone?

And what are they made up of?

A

Roof - Cribriform plate & crista galli
Lateral wall - Superior and middle cochae
Septum - perpendicular plate of ethmoid

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2
Q

What are the 3 mucosa in the nasal cavities?

A

Keratinised stratified squamous epithelium
Respiratory epithelium
Olfactory mucosa

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3
Q

The olfactory nerve provides special sensory to the nose but what other cranial nerve(s) supply somatic sensory in the nasal cavity?

A

Trigeminal Nerve:
CNV1 - superiorly
CNV2 - inferiorly

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4
Q

What arteries branch off the internal and external arteries that supply the nasal cavity?

A

External: Facial + maxillary

Internal: Ophthalmic

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5
Q

What is Kiesselbach’s area?

A

An arterial anastomosis on the nasal septum

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6
Q

What bone are the superior and middle cochae part of?

A

Ethmoid bone

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7
Q

What nerve supply do you need to be aware of when inserting an NG tube?

A

CNV2

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8
Q

Where is the Eustachian tube located?

A

From the middle ear to the lateral wall of the nasopharynx

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9
Q

What are paranasal sinuses?

A

Air-filled spaces within bones

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10
Q

Where are the paranasal sinuses found?

A

1 frontal bone: 2 frontal sinuses
2 maxillae: 2 maxillary sinuses
1 ethmoid bone: 2 sets ethmoidal air cells
1 sphenoid bone: 2 sphenoidal sinuses

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11
Q

What are the paranasal sinuses lined by?

A

Mucous-secreting respiratory mucosa

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12
Q

Sinus drainage of the:

1) Frontal sinus
2) Maxillary sinus
3) Ethmoidal cells
4) Sphenoidal sinus

A

1) Middle meatus
2) Middle meatus
3) Middle meatus + Superior meatus
4) Spehnoethmoidal recess

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13
Q

What drains into the inferior meatus

A

lacrimal fluid drain into the nasolacrimal duct into inferior meatus

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14
Q

How does cold weather/smoking affect the sinuses

A

Interfere with the cilia of respiratory mucosa wafting mucous towards the ostia.
Leads to Sinusitis

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15
Q

What causes a swelling of mucosa leading to reduced diameter of ostia?

A

Viral URTI

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16
Q

What sinus is most likely to be affected?

WHY?

A

Maxillary
the maxillary sinus ostia is located superiorly in the medial wall of the sinus compared to the floor (i.e. the mucous has to drain against gravity)

17
Q

How can sinusitis lead to toothache?

A

Due to shared CNV sensory nerve supply for maxillary sinus and teeth