Lecture 3 Nose/Sinus Flashcards

1
Q

Nasal Function

A
Warms and Humidifies air
Immune Barrier
Smell
Drainage and aeration of middle ear
Drainage of paranasal sinuses and lacrimal duct
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2
Q

Sinus function

A

Reservoir of warm humid air
Lightens skull allow voices to resonate better
Crumple zones
Immune barrier

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3
Q

Name the features of the external nasal anatomy

A
Glabella
Nasion
Dorsum
Supratip
Tip
Collumnella
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4
Q

Name the bones of the external nasal anatomy

A
Nasal bones
Nasal septum
Middle crus
Lateral crus
Medial crus
Frontal process of maxilla
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5
Q

Describe the internal nasal anatomy

A
Midline-septum
Roof-skullbase/cribriform
Walls-turbinates
Floor- hard palate
Eustachian tube
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6
Q

Name the bones of the septum

A

Septal cartilage- anterior
Perpendicular plate of ethmoid bone- superior
Vomer- Inferior

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7
Q

What can cause a septal haematoma and what does it lead to

A

Post trauma
Septum necroses
leading to perforation (drugs)
Needs to be drained

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8
Q

What is the function fo the turbinates

A

Increases surface area for humidification and warming

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9
Q

What are the turbinates covered in

A

Erectile tissue

Responds to temperature

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10
Q

What opens underneath turbinates

A

Sinuses and nasolacrimal duct

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11
Q

What is the function fo the nasolacrimal duct

A

Drainage pathway of lacrimal secretions (tears) from lacrimal sac

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12
Q

Where does the naslacrimal duct open into and what does that relate to

A

Inferior mates

Runny nose when crying

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13
Q

Name the paranasal sinuses

A

2 Frontal
2 maxillary
Sphenoid
Ethmoid air cells

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14
Q

Where do the anterior ethmoidal air cells drain

A

Middle nasal meatus via the ethmoidal infundibulum or the frontonasal duct

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15
Q

Where does the middle ethmoidal air cells drain into

A

Middle nasal meatus with an opening located on or superiorly to the ethmoid bulla

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16
Q

Where des the posterior ethmoidal air cells drain into

A

Superior nasal meatus by a single orifice

17
Q

Where is the frontal sinus located

A

Behind eyebrows

18
Q

Where does the frontal sinus drain into

A

Frontal recess via middle meatus

19
Q

Where does the sphenoid sinus drain via

A

Sphenoethmoidal recess

20
Q

Where is the maxillary sinus located

A

Behind each cheek

21
Q

Where does the maxillary sinus drain via

A

Middle meatus

22
Q

What is sinusitis and what causes it

A

Sinonasal mucusa inflamed
Allergies, Infection
Normally self-limiting <12 weeks can be chronic

23
Q

Medical management of sinusitis

A

Remove allergic triggers +/- antihistamines
Treat infection
Reduce inflammation with steroids
Surgery- to remove polyps, open up sinus drainage pathway

24
Q

External blood supply

A

– Sphenopalatine A (via Maxillary)
– Greater Palatine (via Maxillary)
– Superior Labial (via Facial)

25
Q

Internal blood supply

A

– Anterior and Posterior Ethmoidal A (via Ophthalmic)

26
Q

What is the most common site for nosebleeds

A

Kisselbach’s Plexus

27
Q

Nasal Innervation?

A

• Almost all Trigeminal Nerve (CNV)
– V1 Ophthalmic
– V2 Maxillary

28
Q

What is located in the post nasal space

A

Adenoids (Waldeyer’s Ring)
Eustachian tube opening
Choana