Anatomy of Upper Respiratory system Flashcards
What are the nares
external opening to outside
what are the choanae
posterior opening to nasopharynx
what bones are the external nose supported by
Maxilla and nasal bones
What cartilages make up the external nose
Septal
Lateral processes
Major alar
Minor alar
What makes up the nasal septum
Septal cartilage
Perpendicular plate of ethmoid
Vomer
What are the three nasal regions
Vestibule
Respiratory
Olfactory
Describe the vestibule region
Stratified squamous epithelium
constant abrasion
Describe the respiratory region
Ciliated pseudostratified columnar epithelium
Found in the upper respiratory tract where cilia collect foreign molecules
Describe the olfactory region
Specialised epithelium
Sense of smell
3 types of cells containing respiratory epithelium
Ciliated cells
Goblet cells
Basal cells
What are basal cells
Stem cells, have the ability to differentiate and respond to injury
What is the role of goblet cells
Mucous production
What is the medial wall of the nose made up off
Anteriorly - septal cartilage
Posteriorly - vomer and ethmoid
What is the floor of the nose made up off
Anteriorly - palatine process of maxilla
Posteriorly - horizontal plate of palatine
What is the roof made up off
Anteriorly - nasal and frontal bones
Posteriorly - ethmoid and sphenoid bones
What is the lateral wall of the nose made up off
Ant: lacrimal and maxilla
Mid: ethmoid and inf. concha
Post: Palatine and sphenoid
Which two nasal conchae are part of the ethmoid bone
Superior and Middle
What is the role of nasal concha
forcing inhaled air to flow in a steady, regular pattern around the largest possible surface area of nasal mucosa to clean and warm air for lungs
4 air channels in the nose
Inferior nasal meatus
Middle nasal meatus
Superior nasal meatus
Spheno-ethmoidal recess
What are the 4 paranasal sinuses
Frontal
Ethmoidal
Maxillary
Sphenoidal
What are the paranasal sinuses lined with
Respiratory epithelium
What are the paranasal sinuses innervated with
Trigeminal (V)
What blood vessel supplies the paranasal sinuses
Ophthalmic artery
What are the three branches of trigeminal nerve
Ophthalmic (V1)
Maxillary (V2)
Mandibular (V3)
V1
Exit from the brain / on to face
Superior orbital fissure
Supra orbital foramen
V2
Exit from the brain / on to face
Foramen rotundum
Infraorbital foramen
V3
Exit from the brain / on to face
Foramen ovale
mental foramen
Where does the frontal sinus drain into
Drains into the lateral wall of the middle meatus via the frontonasal duct that continues down the ethmoidal infundibulum and hiatus semilunaris down the oesophagus
Where does the anterior ethmoidal sinus drain into
Open into the frontonasal duct - middle meatus
Where does the middle ethmoid cells drain into
open onto the ethmoidal bulla - middle meatus
Where does the posterior ethmoid cells open onto
Open onto the lateral wall of the superior meatus
Where does the sphenoidal sinus drain into
into the spheno-ethmoidal recess
where does the maxillary sinus drain onto
lateral wall of the nasal cavity
What are the frontal sinuses innervated by
Supraorbital nerve (Frontal-V1)
What are the ethmoidal sinuses innervated by
Ant. ethmoidal
Post. ethmoidal
(both nasociliary - V1)
What are the sphenoidal sinuses innervated by
Post. Ethmoidal (nasociliary V1)
What are the maxillary sinuses innervated by
Infraorbital and alveolar (V2)
Largest vessel supplying the nasal cavity
Sphenopalatine a.
What is the sphenopalatine a. a terminal branch of
maxillary a.
With what arteries does the sphenopalatine a. anastomose with anteriorly
Anterior and posterior ethmoidal
What contributes to blood supply of medial wall
posterior septal branches of the sphenopalatine artery
Nerves that innervate the nasal cavity
Olfactory
Ophthalmic
Maxillary
What is the pharynx
Passageway from oral and nasal cavities to the oesophagus. Serves both digestive and respiratory functions
3 divisions of pharynx
Nasopharynx
Oropharynx
Laryngopharynx
where does the nasopharynx start and end
choanae to soft palate
Where is the oropharynx
lies behind the oral cavity, extending from the uvula to the tip of epiglottis
where does the laryngopharynx lie
lies inferior to the epiglottis to cricoid cartilage
What is the larynx
superior portion of the respiratory tract
Continuous inferiorly with trachea
anterior to laryngopharynx
Function of larynx
Sound production
respiration
Valve to close respiratory tract off from the pharynx
What is the larynx composed of
Hyoid bone Thyroid cartilage Cricoid cartilage Epiglottis cartilage Arytenoid cartilages (2)
Describe the thyroid cartilage
Largest unpaired laryngeal cartilage
Lamina - right and left
Fuse anteriorly at laryngeal prominence
What is the epiglottis
Cartilaginous flap in the neck that covers the laryngeal inlet upon swallowing
What are the extrinsic ligaments
Thyrohyoid membrane
Cricotracheal ligament
What is the cricothyroid ligament
Intrinsic ligament
attaches at the cricoid and extends superiorly to the thyroid cartilage and postiroirly to the arytenoid cartilages
What are the false vocal cords
Vestibular folds
What re the true vocal cords
vocal fold
what is the rima vestibuli
opening between 2 adjacent vestibular folds
what is the rima glottidis
Opening between the 2 adjacent vocal folds
Where does the superior laryngeal nerve originate
Originates from the vagus nerve
Where are the sensory innervations to the larynx
Above vocal folds - internal laryngeal
Below vocal folds - Recurrent laryngeal nerve