Nasal and Oral Cavities Flashcards
Nasal Cavities
(1) Vestibule: flared portion of the nose and contains hair follicles- where people stick their fingers
(2) Olfactory region: area above superior choncha, where the cribriform plate is being pierced
(3) Respiratory region: Everything else. Functions to warm and humidify the air
Main components of lateral wall of Nasal cavity
Nasal bone, Maxilla, Ethmoid (superior and middle chonchae), Inferior nasal concha, Lacrimal bone, Perpendicular plate of palatine bone (vertical plate)
Main components of Nasal septum
Ethmoid bone, Vomer and Cartilaginous Septum
Where do all of the nasal cavities drain into?
A series of openings and foramina
How do you get to the Pterygopalatine fossa from the nasal cavity?
Via the sphenopalatine foramen
How do you get to the paranasal sinuses?
Via the meatal openings
The sinuses are named for…
The bone they are associated with
The anterior, middle and posterior ethmoidal air cells are named based off of…
Where they drain (either anterior, middle or posterior)
Primary function of paranasal sinuses
To warm and humidify the air
Location of Maxillary sinus drain in relation to the maxillary sinus
At the very top, which means that fluid must fill or at least move around, in order for it to be drained. Found at the bottom of the semilunar hiatus
Relationship between Chonca and meatus
The meatus is the space under the chonca
The majority of the openings/ducts are located in which meatus?
The middle meatus
What duct is located in the Inferior meatus?
Nasal lacrimal duct
Frontal sinus drains where?
Through the frontal nasal duct into the top of the semilunar hiatus
Anterior ethmoid air cells drain where?
Anterior region of the semilunar hiatus (middle meatus)
Middle ethmoid air cells drain where?
Hole on top of ethmoid bulla (middle meatus)
Posterior ethmoid air cells drain where?
In the superior meatus
Sphinoid sinus drains where?
In the sphinoethmoidal recess
Blood supplies of the Nasal Cavity
Ophthalmic, Maxillary and Facial
What arteries run through bridge of nose?
Anterior ethmoid artery (off of the ophthalmic artery).
What artery handles the majority of the nasal cavity (entire lateral wall and portion of septum)?
The sphenopalatine artery, which is a branch off the maxillary artery
Where in the nose does the facial artery send its branches?
The vestibule (part of nose people stick their finger in)
Most common area for nose bleeds
Kiesselbach’s area. Location where Ophthalmic, Maxillary and Facial artery all converge
Nerves of Nasal cavity
- Posterior/ Anterior Ethmoidals (branches of ophthalmic)
- Maxillary
Most of the nerve function for nasal cavity comes from…
Maxillary nerve branches (lateral nasal branches and the nasopalatine nerve [ on septum side])
What gives sensory for the skin behind the front 4 teeth?
Branch off of the nasopalatine nerve (which is a branch off the maxillary nerve)
What is located in the pterogopalatine fossa?
(1) Maxillary nerve (V2)
(2) Terminating part of Maxillary artery (sphenopalatine artery)
(3) Pterygopalatine ganglion (hangs off the maxillary nerve via 2 communicating branches)
What runs through the pterygomaxillary fissure?
Sphenopalatine artery (branch of maxillary)
If you think of the Pterygopalatine Fossa as a box, what is its roof?
Roof: Foramen rotundum (where maxillary nerve enters)
If you think of the Pterygopalatine Fossa as a box, what is its lateral wall?
Lateral Wall: Pterygomaxillary fissure (maxillary artery enters and becomes the Sphenopalatine artery)
If you think of the Pterygopalatine Fossa as a box, what is its medial wall?
Sphenopalatine foramen
If you think of the Pterygopalatine Fossa as a box, what is its anterior wall?
Inferior orbital fissure (infraorbital nerve runs through here)
If you think of the Pterygopalatine Fossa as a box, what is its Posterior wall?
Pterygoid canal (nerve and artery of the pterygoid canal traverse this structure- sympathetics and parasympathetics)
If you think of the Pterygopalatine Fossa as a box, what is its floor?
Palatine canal. The greater and lesser palatine nerves run through this. As do the descending palatine artery and the pharyngeal nerve (never seen)
What synapses in the Pterygopalatine ganglion
Parasympathetics ONLY. General sensory and sympathetics do not synapse here. They all still go to the same areas though.
Function of deep petrosal nerve (sympathetic, parasympathetic, or general sensory?)
Sympathetic
The two regions of the oral cavity
- Vestibule (anything between teeth/gum and the lip)
- Oral cavity proper (anything past teeth)
Boundaries of the oral cavity
- Roof: Hard/soft palate
- Floor: Mylohyoid muscle
- Anterior/lateral wall: Teeth
- Posterior wall: Palatoglossal fold (beginning of oropharynx)
Important bones of Hard Palate
- Anterior 2/3rds: Maxilla
- Posterior 1/3rd: Palatine bone
Function of palatine glands
Secretes mucus to ensure the tongue doesn’t stick to the roof of the mouth
Palatal rugae
The folded rough area behind front four teeth (aka the transverse palatine folds)
Incisive foramen leads to the…
nasal cavity
Greater palatine foramen leads to…
Hard palate
Lesser palatine foramen leads to…
Soft palate
Muscles of the soft palate
Come off above soft palate:
- Levator veli palatine
- Tensor veli palatine
Come off below soft palate:
- Palatoglossus
- Palatopharyngeus
-Musculus uvulae
Innervation of the muscles of the soft palate
All innervated by the pharyngeal plexus by way of the vagus nerve (CN X) except tensor veli palatine (CN V3)
Functions of levator veli palatine and tensor veli palatine muscles
Goes into and elevates soft palate.
Tensor loops around pterygoid hamulus and inserts into muscle, tightening the palate.
This ensures nothing can get from oral cavity into nose during swallowing.
Blood supply to Hard Palate
(1) Greater palatine artery
(2) Septal branch of the sphenopalatine artery
Blood supply to the Soft Palate
(1) Lesser Palatine artery
(2) Ascending palatine artery
What defines the anterior 2/3rds of the tongue?
Anything in front of the Foramen Cecum or the vallate papillae
Main function of the intrinsic muscles of the tongue.
Phonation
Main function of the extrinsic muscles of the tongue
Swallowing and sticking the tongue out to say “ahh”
Extrinsic muscles of tongue (and the different attachment points)
Muscles:
- Genioglossus- pulls muscle down and sticks it out (Genial tubercle-mandible)
- Hyoglossus- rock back of tongue from side to side and helps retract the tongue (Hyoid bone)
- Styloglossus- important for swallowing (styloid process)
- Palatoglossus
What nerves, arteries and ducts “sandwich” the hyoglossus muscle?
Lingual artery is deep to hyoglossus.
All the nerves and ducts will be superficial to the hyoglossus (submandibular duct, lingual nerve, hypoglossal nerve).
THESE ARE ALL DEEP TO THE MYLOHYOID MUSCLE
Duct of the submandibular gland
Sublingual caruncle
Submandibular duct can always be found laying on top of…
The sublingual gland
The lingual nerve is always associated with what duct?
Submandibular duct
Which meatus is part of a separate bone then the other two meati?
The inferior is separate. The Superior and middle are associated with the ethmoid bone.
Semilunar hiatus
Crescent-shaped groove in the lateral wall of the nasal cavity just inferior to the ethmoidal bulla. It serves as the location of the openings for the frontal sinus, maxillary sinus and anterior ethmoidal sinus.
What runs through the Sphenopalatine foramen?
Sphenopalatine artery
Lateral nasal nerve
Nasopalatine nerve