Nasa Cavities And Paranasal Sinuses Flashcards

1
Q

What kind of cartilage is the allof nose

A

Fibro-areolar tissue

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2
Q

Why do u not use adrenaline near nasal cartilages

A

Cartilage is a vascular doesn’t have own blood supply relies on nutrient diffusion from skin
Adrenaline causes vasoconstriction

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3
Q

What is the philtrum

A

Indentation between nose and upper lip

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4
Q

What does the ethmoid bone contribute to the nasal cav

A

Roof - crubiform plate and Cristae gali
Lateral wall - superior and Middle conchae, ethmoidal air cells
Septum - perp plate of ethmoid

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5
Q

Why is a septal has aroma incised and drained

A

Prevent a vascular necrosis of septal hyaline cartilage which depends on diffusion of nutrients from its attached nasal mucosa

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6
Q

What I the epithelia of the vestibule of the nose

A

Keratinised stratified squamous for protection

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7
Q

What is the respiratory mucosa like in the nasal cav

A

Sec goblet cells
Cilia
Protection and moisture

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8
Q

What is the olfactory mucosa like in the nasal cav

A

Sense of smell

Need to be aq to get smell

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9
Q

What is the olfactory nerve

A

Cranial nerve 1
Receptor cells pass through crubiform plate of ethmoid bone
In olfactory mucosa
Have olfactory bulb and olfactory tract

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10
Q

Where is the olfactory mucos

A

On be out lateral wall and septum

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11
Q

What su the sensory innervation of the nasal cav

A

Trigeminal

Opthalmic v1 anterosupriorly
- anterior and posterior branches of ethmoidal nasociliary nerve

Maxillary v2 posteroinferior
- nasopalatine and grater palatine nerves

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12
Q

How does the Opthalmic artery supply arterial blood supply

A

Via anterior and posterior ethmoidal arteries on lateral wall and septum

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13
Q

How does the maxillary artery deliver arterial supply to e nasal cav

A

Via sphenopalatine and greater palatine arteries same on later wall and septum

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14
Q

How does the facial artery supply arterial blood supply to the nasal cav

A

Via lateral nasal branch of facial or SEPTAL BRANCH LF SUPEIROR LABIAL ARTERY

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15
Q

What is kiesselbachs area

A
An arterial anastamosis on nasal septum only 
A common site of epistaxis - nosebleeds 
Contributing arteries -
Labial
Ethmoidal 
Greater palatine
Sphenopalatine
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16
Q

What are the conchae and what do they do

A
Superior and Middle are part of ethmoid
Inferior is individual 
Improve gas exchange as turbulate the air 
War a nd humidfy air 
Rid bacteria and dirt 
Increase sa
17
Q

What are the meat uses in the nasal cav

A
Spaces under conchae 
Sphenoethmoidal recess
Superior meatus 
Middle meatus 
Inferior meatus 

Paranasal sinuses drain to these

18
Q

What separates the right nd left cavities

A

Nasal septum

19
Q

What forms the nasal septum

A

Perp plate of ethmoid
Vomer
Septal cartilage

20
Q

What comes the roof of the nasal cav

A

Nasal bones

Crubiform plate of ethmoid

21
Q

What is Resp epi

A

Pseudostratified columnar with cilia and goblet cells

22
Q

What are Ostia

A

Holes

Recesses and meatuses of lateral walls allowing drainage of mucous from paranasal sinuses

23
Q

What are the paranasal sinuses

A

Air filled spaces
Frontal - 2 of them sep by bony septum

Maxillary - 2 sep

Ethmoid - 2 sets have ethmoidal air cells lots. Of little spaces

Sphenoid - vary

24
Q

What epi lines the paranasal sinuses

A

Mucous secreting respiratory mucosa

25
What is the function of the paranasal sinuses
Secreting mucous Help resonate voice Lighten head Buoyancy
26
Where does the frontal sinus drain to
Middle meatus
27
Where does the sphenoidal sinus drain to
Sphenoethmoidal recess
28
Where does the maxillary sinus drain to
Middle meatus
29
Where do the ethmoidal air cells drain to
Superior and Middle meatuses
30
What happens to lacrimal fluid drainage
Tears drains to nasolacrimal duct | This drains to inferior meatus
31
What is sinusitis
Infection/inflammation of the mucosa of paranasal sinuses Can involve 1/more sinuses There can be acute or chronic
32
WhT are the causes of sinusitis
Infection Allergy Autoimmune issues block up leading to infection
33
What do the cilia of the RESP epi do
Waft mucous towards Ostia
34
What makes sinusitis painful
Affecting sensation from v1 And v2 | Can get referred pain to teeth
35
How is the maxillary sinuses predisposed to becoming inflamed
Ostia being located superiorly in medial wall of sinus compared to floor Therefore mucous has to drain against gravity difficult to drain
36
What can happen when extract a maxillary molar
Oroantral fistula which. Is a hole between oral cav and maxillary sinus This can cause infection
37
What kind of cartilage is nasal cartilage
Hyaline