Head & Neck 1 Flashcards

1
Q

The bones that contribute to the nasal septum are…

A
  • Nasal, maxillary and palatine bones
  • Ethmoid and vomer bones
  • The anterior portion of the nasal septum is made of hyaline cartilage
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2
Q

Concha means shells

Concha or Turbinates

Superior nasal concha (turbinate)

Middle nasal concha (turbinate)

Inferior nasal concha (turbinate)

A
  • Shell-like structures
  • Bony projections inside nasal cavity
  • Superior and middle concha come from Ethmoid bone
  • Inferior Nasal Concha belongs to Maxillary bone

The 3 paired turbinates are located on the lateral nasal wall. The superior and middle turbinates are part of the ethmoid bone, whereas the inferior turbinates form a separate and unique bone.

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3
Q

Purpose of concha / turbinates

A

To warm up and humidfy air as it passes through the nose through creating a turbulence effect

&

Trapping foreign particles entering our nose to avoid airway entrance

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4
Q
A
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5
Q

How many paranasal sinuses and what are they?

A

4 paired air-filled spaces that surround the nasal cavity

  1. The maxillary sinuses - located under the eyes
  2. The frontal sinuses are above the eyes
  3. The ethmoidal sinuses are between the eyes
  4. The sphenoidal sinuses are behind the eyes
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6
Q

Purpose of Paranasal Sinuses (stilll unknown - many likley purposes)

A
  1. Lightening the weight of the head
  2. Humidifying & heating inhaled air
  3. Increasing the resonance of speech
  4. Serving as a crumple zone to protect vital structures in the event of facial trauma.

Mentioned in lecture: minor role: (the rest of reasons are unlikely

  1. Olfactory function (in certain mammals) MINOR ROLE
  2. Respiratory/ thermoregulatory function (heating and humidifying air/trapping particles) MINOR ROLE

Evolutionary remnants (vestigial) MORE LIKELY - *supposedly*

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7
Q

Paranasal sinuses Diagram

A
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8
Q

Paranasal sinuses diagram

A
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9
Q

Paranasal sinuses diagram

A

Sphenoidal Sinus most posterior

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10
Q

Frontal (coronal) plane of the head with regards to sinuses

A
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11
Q

The mandibular canal is a canal within the…

A

…mandible that contains the inferior alveolar nerve, inferior alveolar artery & inferior alveolar vein

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12
Q

Maxillary, frontal and anterior ethmoidal sinuses all drain through…

Connections of sinuses with nasal cavity

A

canals (infundibula- plural) into the middle meatus

*specifically in the semilunar hiatus (groove) through openings called ostia (ostium- singular).

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13
Q

The middle ethmoidal air cells drain into the…

Connections of sinuses with nasal cavity

A

the ethmoidal bulla (prominence) of the middle meatus

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14
Q

The posterior ethmoidal air cells drain into the…

Connections of sinuses with nasal cavity

A

superior meatus

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15
Q

The sphenoidal sinuses drain into the…

Connections of sinuses with nasal cavity

A

spheno-ethmoidal (nasal) recess

(superior to the superior concha)

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16
Q

Important General Diagram + interesting question

Why the nose starts to run when a person is crying?

A

The nasolacrimal duct opens in the inferior meatus of the nasal cavity

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17
Q

Maxillary sinuses are supplied by…

A

…branches of the maxillary artery

18
Q

Frontal sinuses & Ethmoidal sinuses & Sphenoidal sinuses are supplied by…

A

…branches of the ophthalmic artery

19
Q

Maxillary sinus innervation is via…

A

Alveolar branches of the maxillary division (V2) of the trigeminal nerve (CN V)

20
Q

The maxillary sinuses are the only sinuses that….

A

Drain superiorly into the nasal cavity via a vertical/diagonal canal

21
Q

Infections in the naval cavity is caused by…

A

Obstruction of these sinuses and mucus + foreign particles remaining trapped

22
Q

This picture shows a coronal slice of a CT scan evidencing the maxillary sinuses

A
23
Q

Endoscopic Maxillary Sinus surgery (or Functional Endoscopic sinus surgery)

A

The removal of the uncinate process to:

  • To expose the infundibulum
  • Enlarge the passage between the nasal cavity & the maxillary sinuses
24
Q

(To make sure your still awake ;)

The grooves between conchas are the…

A

Meatus

25
Q

Anatomy of Ethmoid Bone

A
26
Q

The pharynx has how many divisions or parts?

A

3

  1. Nasopharynx
  2. Oropharynx
  3. Laryngopharynx (or hypopharynx)
27
Q

Nasopharynx

(vertberae level + where it is found (+ strucuture) + functions + what it contains)

A

(C1 to C2)

The nasopharynx is found between the nasal choanae (back of nasal cavity) & the soft palate (and C1). Continuous with the nasal cavity.

Functions:

  • Functions in respiration (Nasopharynx is lined with respiratory epithelium) - conditioning inspired air & propagating it into the larynx

Contains:

  • Contains opening of eustachian (auditory) tube (pharyngotympanic tube)
  • Contains adenoid (pharyngeal tonsils) - have immune function
28
Q

Oropharynx

(vertberae level + where it is found (+ strucuture) + functions + what it contains)

A

(C2 to C3)

The oropharynx is the middle part of the pharynx, located between the soft palate and the superior border of the epiglottis

Contains:

  • Contains the posterior 1/3 of the tongue, the lingual tonsils & the Palatine tonsils as well as the superior constrictor muscle

Functions:

  • Involved in the voluntary and involuntary phases of swallowing
29
Q

Laryngopharynx (or hypopharynx)

(vertberae level + where it is found (+ strucuture) + functions + what it contains)

A

(C4 to C6)

The most distal part of the pharynx, the laryngopharynx is located between the superior border of the epiglottis & inferior border of the cricoid cartilage (C6)

It is continuous inferiorly with the oesophagus

The laryngopharynx contains the middle & inferior pharyngeal constrictors

Functions in digestion & respiration

30
Q

The pharynx has two main groups of pharyngeal muscles, what are they?

What type of muscles are pharyngeal muscles?

A

Longitudinal | Circular or constrictor muscles

Voluntary Striated Muscles

31
Q

How many constrictor muscles are there?

What are they called?

A

3

(superior, middle, inferior constrictor)

32
Q

Where do they span from & to?

Which nerve are they mostly innervated by?

(Pharyngeal muscles)

A

They span from the nasopharynx down to the oesophagus

Most innervated by the vagus nerve

33
Q

Pharyngeal muscles function

A

They act to constrict the pharynx to deliver a bolus of food into the oesophagus

34
Q

How many Longitudinal Muscles are there?

What are they called?

(Pharyngeal muscles)

A

3

Stylopharyngeus | Palatopharyngeus | Salpingopharyngeus - muscles

35
Q

Longitudinal Muscles function?

Which nerve are they innervated by?

(Pharyngeal muscles)

A

They act to shorten & widen the pharynx & elevate the larynx during swallowing/deglutition.

The muscles of the pharynx are mostly innervated by the Vagus nerve

⚠️ ONLY EXCEPTION: Stylopharyngeus muscle (Glossopharyngeal nerve)

36
Q

What Longitudinal muscle is innervated by the Glossopharyngeal Nerve?

(Pharyngeal muscles)

A

Stylopharyngeus muscle

37
Q

In addition to contributing to swallowing, what does the Salpingopharyngeus muscles also do?

(Pharyngeal muscles)

A

They open the Eustachian tube to equalise the pressure in the middle ear.

38
Q

What structure seperates the nasopharynx & oropharynx?

Be sure to Look at the amazing 1 min vid slide 25 Head & Neck 1

A

Uvula

39
Q

Pharynx vs Larynx Overview

A
40
Q
A