Anatomy: Nasal Cavities And Pterygopalatine Fossa Flashcards
Why would you not use adrenaline containing LA’s near the nasal cartilages?
Because adrenaline is a vasoconstrictor. It could potentially constrict the arteries supplying the nasal cartilages to the point that they die without any supply
What are the four main bones of the nasal cavity?
- Nasal bone
- Ethmoid bone
- Perpendicular plate of ethmoid bone
- Vomer bone
The roof of the nasal cavities is formed by what features of the ethmoid bone?
The cribiform plate and Crista galli
The lateral wall of the nasal cavities is formed by what structures?
The superior and middle conchae
The septum of the nasal cavity is formed by what bones?
The perpendicular plate of the ethmoid bone and the vomer
What is the function of the crista galli?
It serves as an attachment point for dura mater, specifically falx cerebri
Where do the ethmoid air cells sit in the nasal cavity?
The lateral border
Which le fort fractures can disrupt the cribifrom plate of ethmoid bone and what is the major concern associated?
Le fort fractures II and III.
There is a danger of infection spreading from nasal cavity and paranasal sinuses into the anterior cranial fossa
What type of mucosa is found in the anterior nasal cavity?
Keratinised stratified squamous epithelium
What type of mucosa is found in the majority of the nasal cavity ( middle and posterior)?
Respiratory epithelium
What type of mucosa is found in a small section and the superior/posterior border of the nasal cavity?
Olfactory mucosa
What do olfactory receptor cells relay?
Nerves associated with sense of smell
Where do receptor cells pass through as the first neurones in the chain?
The cribriform plate of the ethmoid bone
Where do receptor cells pass through after the cribriform plate of the ethmoid bone?
To the olfactory bulbs
What are the olfactory bulbs?
Cell bodies of second neurones
Where are second order neurones passed along to reach the temporal lobe of the brain?
Olfactory tract
What happens to nerve signals once at the temporal lobe?
They are transmitted to higher centres
What can be described as having a Dual blood supply?
The nasal cavity and nose
Where does the blood supply to the nasal cavities originate from?
The external and internal carotid arteries
Which arteries that supply the nasal cavities branch from the external carotid artery?
Facial artery
Maxillary artery
Which arteries that supply the nasal cavities branch from the internal carotid artery?
Ophthalmic artery
Via what arteries does the ophthalmic artery supply the nasal cavities?
Anterior and posterior ethmoidal arteries
Via what arteries does the maxillary artery supply the nasal cavities?
Sphenopalatine and greater palatine arteries
Via what arteries does the facial artery supply the nasal cavities?
Via the lateral nasal branch of the facial artery or septal branch of superior labial artery
What is the importance of kiesselbach’s “little’s” area?
It is an arterial anastomosis on the nasal septum. The most common site for nosebleeds ( epistaxis)
Name the conchae of the lateral wall of nasal cavities
- superior
-middle - inferior
What function do the conchae have?
They warm and humidity air we breathe in
Name the meatus’ of the nasal cavities
- sphenoethmoidal recess
- superior meatus
- middle meatus
- inferior meatus
What are paranasal sinuses?
Air filled spaces within bones
How many sinuses are there in the frontal bone?
Two, called frontal sinuses
How many sinuses are in the two maxillary bones?
Two, maxillary sinuses (one in each bone)
How many sinuses are in the ethmoid bone?
Two sets of ethmoidal air sinuses
How many sinuses are in the sphenoid bone?
Two sphenoidal sinuses
What mucosa lines sinuses?
Mucous-secreting respiratory mucosa
Via what structure does mucous drain into nasal cavities?
Ostia
Where do the frontal sinuses drain to?
The middle meatus
Where do the ethmoidal air cells drain to?
Superior and middle meatus