anatomy of sinuses and larynx Flashcards

1
Q

what marks the upper and lower airway?

A

upper - everything up to the larynx

lower - trachea and everything below it

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2
Q

what is the bony skeleton of the oral cavity made of?

A

maxilla and mandible

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3
Q

what bacteria is the main cause of bacterial tonsillitis?

A

Strep pyogenes

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4
Q

how is bacterial tonsillitis treated?

A

long course of penicillin

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5
Q

what can happen if tonsillitis isn’t treated?

A

abcesses can form and need surgical drainage

quinsy

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6
Q

what is quinsy?

A

inflammation of the throat, especially an abscess in the region of the tonsils - complication of tonsilitis

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7
Q

what are the functions of the nasal cavity?

A
  • Warms and dehumidifies inspired air
  • Removes and traps pathogens from inspired air
  • Sense of smell
  • Drains paranasal sinuses and lacrimal ducts
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8
Q

what nerve innervates the olfactory region?

A

olfactory nerve

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9
Q

how does the olfactory nerve enter the nasal cavity

A

Runs inferiorly from the olfactory bulb through the perforated cribiform plate of the ethmoid bone to enter the nasal cavity

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10
Q

what are paranasal sinuses?

A

Hollow spaces within the frontal, sphenoid, ethmoid and maxillary bones.

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11
Q

what do all the paranasal sinuses drain into?

A

nasal cavity

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12
Q

name the paranasal sinuses

A

frontal
ethmoid
sphenoid
maxillary

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13
Q

how do the frontal sinuses drain into the nasal cavity?

A

Frontonasal duct to semilunar hiatus on the lateral wall

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14
Q

name the ethmoid sinuses

A

anterior ethmoid
middle ethmoid
posterior ethmoid

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15
Q

how do the ethmoid sinuses drain into the nasal cavity?

A

Anterior ethmoid sinus – semilunar hiatus
Middle ethmoid sinus – Ethmoid bulla
Posterior ethmoid sinus – Superior meatus

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16
Q

how does the sphenoid sinus drain into the nasal cavity?

A

Drains to the roof of the nasal cavity

17
Q

how does the maxillary sinus drain into the nasal cavity?

A

semilunar hiatus

18
Q

what is the pharynx?

A

Muscular tube connecting oral and nasal cavities to the trachea and oesophagus

19
Q

what muscles control the shape of the pharynx and propulsion of food?

A

circular and longitudinal muscles

20
Q

what innervates the circular and longitudinal pharyngeal muscles?

A

All are innervated by the vagus apart from stylopharyngeus, which is supplied by the glossopharyngeal

21
Q

name the regions of the pharynx and what innervates them

A

Trigeminal nerve for nasopharynx
Glossopharyngeal for oreopharynx
Vagus for larynxgopharynx

22
Q

what is the pharynx continuous with?

A

trachea

23
Q

what does the pharynx connect?

A

upper and lower airway

24
Q

what is the pharynx made of?

A

9 cartilages with connecting ligaments, muscles and vocal cords

25
Q

what are the paired and unpaired cartilages of the larynx?

A

Three unpaired – Epiglottis, Thyroid and Cricoid

Three paired – Arytenoid, Corniculate and Cuneiform (Anterior to Corniculate)

26
Q

what is the function of the larynx?

A

responsible for phonation and protection of lower airway

27
Q

what is the larynx supplied by?

A

Supplied by Sup. laryngeal artery (ECA) and Inf. Laryngeal artery (thyrocervical trunk)

28
Q

what is the superior laryngeal supplied by?

A

superior thyroid artery – branches from external carotid artery

29
Q

what is the inferior laryngeal supplied by?

A

inferior thyroid artery – branches from thyrocervical trunk

30
Q

what is endotracheal intubation?

A

Insertion of plastic tube via mouth, past vocal cords into trachea