Anatomy Flashcards
Which facial bone surrounds the opening into the nasal cavity?
Maxilla
Name of the pear shaped opening into the nasal cavity in the skull (not the nares)
Piriform aperture
Midline, bony structure inside the nasal cavity that divides it into a left and right cavities
Nasal septum
Air enters the nasal cavity through what structures
Nares
Air exits the nasal cavity posteriorly through the paired ____________ into the nasopharynx
choanae
Functions of the nasal cavity (4 total)
Olfaction (smell)
Humidification
Filtration
Draining of secretions from the paranasal sinuses
The nasal septum consists of what three parts?
Perpendicular plate of the ethmoid (upper midline)
Vomer (posteroinferior)
Septal cartilage
The lateral walls of the nasal cavity consists of what three parts?
3 concha (superior, middle and inferior)
Fold/scroll like structures on the walls of the nasal cavity that aid in humidifying and warming the air; also called turbinates
Conchae
Opening in back of nose where much of the neurovasculature traverses to the nasal cavity
Sphenopalatine foramen
Large, hollow spaces in several bones in the skull; lined with mucosa that communicate directly with the nasal cavity for drainage
Paranasal sinuses
Bones involved with paranasal sinuses (4 total)
Frontal
Ethmoid
Sphenoid
Maxillary
Potential functions of the paranasal sinuses (4 total)
Reduce weight of skull
Inc. resonance of voice
Insulate sensitive structures (dental roots and eyes) from rapid temperature fluctuations
Humidify/heat air
Frontal and maxillary sinuses reach maximum size at what age?
20-25
The walls of the nasal cavity are (poorly/well) vascularized
Well vascularized
The conchae divide the nasal cavity into what 4 passages?
Sphenoethmoidal recess
Superior Meatus
Middle Meatus
Inferior Meatus
The sphenoethmoidal recess receives drainage from what sinus(es)?
Sphenoid sinus
The superior meatus receives drainage from what sinus(es)?
Posterior ethmoidal sinus
The middle meatus receives drainage from what sinus(es)?
Frontal sinus
Maxillary sinus
Remaining ethmoid sinus (also drains into superior meatus)
- Most of the paranasal sinuses drain into the middle meatus
The inferior meatus receives drainage from what?
Nasolacrimal duct (from eye/orbit)
The pituitary gland sits in a bony projection just above what sinus?
Sphenoid sinus (back of nasal cavity)
Malignant tumor of the pituitary gland and how it is addressed surgically?
- pituitary carcinoma
* Open the sphenoid cavity using endoscopic equipment, then resect the tumor
How can upper respiratory infections cause sinusitis?
Cause inflammation and can block drainage of sinus into the nasal cavity, increasing pressure in the sinuses and causing pain
How might sinusitis result in tooth ache?
The maxillary sinuses are above to the upper molars, so any pressure can result in an aching feeling
What arteries vascularize the nasal cavity?
- External Carotid Artery (facial & maxillary arteries)
2. Internal Carotid Artery (ophthalmic artery)
Cranial nerve V is aka
Trigeminal
primary sensory nerve of facial region; has large ganglion on floor of cranial cavity; has three major divisions (ophthalmic, maxillary and mandibular)
Trigeminal nerve (cranial nerve V)
3 major divisions of the trigeminal nerve
Ophthalmic V1
Maxillary V2
Mandibular V3
Division of trigeminal nerve that conveys sensory information from the eye, orbit and forehead
Ophthalmic V1
Division of trigeminal nerve that conveys sensory information from the nasal cavity, maxilla, upper teeth and palate
Maxillary V2
Division of trigeminal nerve that conveys sensory information from the oral cavity, mandible, teeth and muscles of mastication
Mandibular V3
What nerves innervate the nasal cavity?
- Olfactory Nerve (CN I)
- Trigeminal Nerve (CN V1 & CN V2)
- Facial Nerve (CN VII)
- Sympathetic innervation from spinal cord
branch of the maxillary artery (off of the external carotid); transverses the sphenopalatine foramen; gives rise to several lateral posterior branches and the posterior septal branch
Sphenopalatine artery
branch of the maxillary artery (off of the external carotid); gives rise to arteries that ascend through palate
Greater palatine artery