Anatomy nasal cavities Flashcards

1
Q

why do nasal cartilage require diffusion of nutrients from associated vasculature

A

they do not have their own vasculature

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2
Q

the ethmoid bone is broken down to how many sections

A

3 sections

  • roof
  • lateral wall
  • septum
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3
Q

where would you find the cristi gali and the cribriform plate on the ethmoid bone

A

on the roof

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4
Q

the orbital plate

ethmoid air cells

superior concha

middle concha

are all located in which region of the ethmoid bone

A

the lateral wall of the ethmoid bone

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5
Q

the perpendicular plate and vomer are located where of the ethmoid plate

A

septum

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6
Q

which of the Le Fort Fractures can disrupt the cribriformform plate

A

Le Fort II and III

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7
Q

what is the complication of incurring a Le Fort fracture II and III

A

This increases the danger of infection spreading from the nasal cavity and the paranasal sinuses into the anterior cranial fossa

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8
Q

why would a septal haematoma cause necrosis of the septal hyaline cartilage

A

a septal haematoma eliminates the ability of the diffusion of nutrients to the septal hyaline cartilage, along with oxgygenated blood. this slowly causes necrosis of the cartilage

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9
Q

how would you treat a septal haematoma

A

the septal haematoma would be incised and drained to prevent the avascular necrosis

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10
Q

where would expect to find keratinised stratified squamous epithelium

A

1

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11
Q

where would you epect to find respiratory epithelium

A

2

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12
Q

where would you expect to find olfactory mucosa

A

3

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13
Q

which epithelieum of the nasal cavity would contain goblet cells and cillia

A

respiratory epithelium

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14
Q

where would you expect to find first order neurones of the olfactory nerve

A

the receptor cells located in the olfactory mucosa

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15
Q

where would presynaptic neurones of the receptor cells synapse to

A

to the olfactory bulb, which is a ganglion

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16
Q

which order neurones travel to the temporal lobe

A

2nd order neurones leave the olfactory bulb as postsynaptic

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17
Q

which division of the trigeminal nerve supplies somatic sensory, anteriosuperiorly in the nasal cavity

A

the opthalmic division of the trigeminal nerve (CN V1)

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18
Q

which division of the trigeminal nerve supplies somatic sensory, posterioinferiorly in the nasal cavity

A

the maxillary division of the trigeminal nerve (CN V2)

19
Q

the nasal region is supplied blood by both internal and external carotid arteries

what are the external arteries that supply to that region

A

facial artery

maxillary artery

20
Q

the nasal region is supplied blood by both internal and external carotid arteries

which internal artery supplies to that region

A

opthalmic artery

21
Q

The ophthalmic artery supplies the nasal cavity via the

A

anterior and posterior ethmoidal arteries

22
Q

the maxillary artery branches off to form which arteries to supply the nasal cavity

A

the sphenopalatine and greater palatine arteries

23
Q

the facial artery branches off to form which arteries

A

the lateral nasal branch of facial or septal branch of superior labial artery.

24
Q

what is kiesselbach’s area

A

This little area is an anastomosis on the nasal septum

a common site for nosebleeds (epistaxis)

25
Q

which of the three nasal conchae is not within the ethmoid region

A

inferior conchae

26
Q

what role do the conchae play

A

The conchae play an import role in providing for rapid warming and humidification of air as it passes to the lungs.

27
Q

what is the name of the space available under the conchae

A

meatuses

28
Q

paranasal sinuses are air filled spaces within the bones.

there are four paranasal sinuses present what are they

A

x2 frontal sinuses

x2 ethmoidal sinuses

x2 maxillary sinuses

1/2 sphenoidal sinuses

29
Q

what are the function of the paranasal sinuses

A

Functions of these paranasal sinuses is to drain the accumulation of mucous in to the nasal cavities via ostia (holes in the sinuses) in the lateral walls of the nasal cavities

30
Q

what is an ostia

A

holes in the sinuses (lateral walls of the nasal cavities)

31
Q

the frontal sinus drains in to which meatus

A

middle meatus

32
Q

the ethmoidal aircells drain into which meatuses

A

The ethmoidal air cells drain into the superior and middle meatuses

33
Q

where does the sphenoethmoidal sinus drain into

A

drains in to the sphenoethmoidal recess

34
Q

the maxillary sinus drains in to which meatus

A

the middle meatus

35
Q

the lacrimal gland produces tears in response to stimuli.

where are these tears collected and where do they go

A

the tears are collected in the lacrimal duct and travel to inferiorly to the inferior meatus via the nasolacrimal duct.

36
Q

what effect does infection, allergy and autoimmune diseases have on the paranasal mucosa

A

causes inflammation of the mucosa

37
Q

which nerve provide the painful sensation of sinusitis

A

CN V1 andV2

38
Q

out of the paranasal cavities which cavity is predisposed to increased inflammation

A

maxillary sinusitis

due to maxillary sinus ostia being located superiorly in the medial wall of the sinus compared to the floor

this dosent allow sufficient drainage of the mucous

39
Q

what risk does a maxillary molar extraction pose

A

extraction of a tooth may result in an oro-antral fistula (a channel from sinus to oral cavity)

40
Q

how would you resolve a a persistent oro-antral fistula (incomplete healing)

A

surgically closing it

41
Q

how can dental abscess cause sinus infection

A

the roots of the upper teeth can spread the infection of a dental abscess into the antrum (a cavity)

42
Q

why do maxillary sinusitis may present as “toothache” of an upper or lower tooth

A

due to the common sensory nerve supply from CN V of:

  • the maxilla/mandible
  • the antral mucosa
  • all the teeth
  • this is an example of referred pain
43
Q
A