Nasal cavities and Paranasal sinuses Flashcards

1
Q

What are 5 functions of the nasal cavity?

A
Acts as a patent conduit for air  to be transported to the nasopharynx
Filters air of particulate material
Humidifies air
Warms inspired air in the nasal passage
Sense of smell
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2
Q

What are vibrissae?

A

Small hairs

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3
Q

What are the 7 parts of the external nose (surface)?

A
Root
Dorsum
Tip
Ala
Nostril/Nares
Septum
Philtrum
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4
Q

What 7 bones are involved in the nose?

A
Frontal
Ethmoid
Nasal
Inferior nasal concha
Maxilla
Perpendicular plate of the ethmoid bone
Vomer
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5
Q

What is the crista galli?

A

Upward part of the ethmoid bone that seperates the two hemispheres of the brain

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6
Q

How many concha are there?

A

3

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7
Q

Where are the concha found?

A

Lateral wall of nasal cavities

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8
Q

Which concha is a also a bone?

A

Inferior concha

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9
Q

How many Le Fort fractures are there?

A

3

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10
Q

What can Le fort fractures disrupt?

A

Cribriform plate of ethmoid

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11
Q

What can result from Le fort fractures?

A

Anosmia

Infection

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12
Q

What is Anosmia?

A

Loss of smell

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13
Q

What 2 things are involved in the nasal mucosa?

A

Nasal vestibule

Nasal cavity

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14
Q

What type of tissue is the nasal vestibule?

A

Stratified squamous eptihelium

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15
Q

What type of tissue is in the nasal cavity?

A

Respiratory epithelium

Olfactory epithelium

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16
Q

What is olfaction?

A

Sense of smell

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17
Q

What nerve is the olfactory nerve?

A

CN 1

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18
Q

What type of nerve is olfactory?

A

Special sensory

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19
Q

What is the olfactory pathway?

A
Receptor cells in the olfactory epithelium
Pass up through cribriform plate 
Synapse with olfactory bulb
Then neurons pass along olfactory tract
To temporal lobe and olfactory
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20
Q

What is the innervation of the nasal cavity?

A

Top portion: CN V1

Bottom portion: CN V2

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21
Q

What bones are involved in the medial wall of the nasal cavity (septum)?

A

Perpendicular plate of ethmoid
Septal cartilage
Vomer

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22
Q

What bones are involved in the lateral wall of the nasal cavity?

A

Lateral cartilage
Maxilla
Palantine
S,M,I concha

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23
Q

Where is the olfactory bulb in relation to the nose?

A

Above the nasal cavity

24
Q

What is the origin of the anterior ethmoidal nerve?

A

Nasociliary

CN V1

25
Q

What does the anterior ethmoidal nerve pass through?

A

Anterior ethmoidal foramen

26
Q

What is the nasopalatine nerve a branch of?

A

CN V2

27
Q

What does the nasopalatine nerve pass through?

A

Sphenopalatine foramen

28
Q

What arteries supply the lateral nasal wall?

A
Anterior ethmidal artery
Posterior ethmoidal artery
Sphenopalatine artery
Greater palatine artery
Lateral nasal artery
29
Q

What is Kiesselbach’s (Little’s) area?

A

Site where anastomosis between the arterial contributions

30
Q

Where is Kiesselbach’s area located?

A

Anteroinferiorly on nasal septum

31
Q

What can irritation of kiesselbach’s area lead to?

A

Epistaxis

Nose bleed

32
Q

What is the name of the space below each nasal concha?

A

Meatus

33
Q

Label this diagram

A

INSERT

34
Q

What are concha often referred to as?

A

Turbinates

35
Q

What do concha do and what does this allow?

A

Causes turbulent airflow through the nasal cavity

Increases opportunity for humidifying, warming and filtering air

36
Q

How can airflow through the nose be impacted?

A

Engorgement of the nasal mucosa

37
Q

How often does the side of nasal mucosa engorgement swap?

A

Every 1-5 hours

38
Q

How many paranasal sinuses does the body have?

A

4 pairs (bilateral)

39
Q

What are the 4 paranasal sinuses called?

A

Frontal sinuses
Ethmoidal air cells
Maxillary sinuses
Sphenoid sinuses

40
Q

What lines each sinus?

A

Respiratory epithelium

41
Q

Where does the sphenoid sinus drain?

A

Sphenoethmoidal recess

42
Q

Where do the posterior ethmoidal air cells drain?

A

Superior meatus

43
Q

What drains into the semilunar hiatus of the middle meatus?

A

Frontal sinus
Maxillary sinus
Anterior ethmoidal air cells

44
Q

What drains into the ethmoidal bulla of the middle meatus?

A

Middle ethmoidal air cells

45
Q

What drains into the inferior meatus?

A

Nasolacrimal duct

46
Q

How does lacrimal fluid drain?

A

Inferomedially to the nasolacrimal duct which drains into the inferior meatus

47
Q

What is sinusitis?

A

Inflammation of the mucosa in 1 or more of the paranasal sinuses

48
Q

What are the 3 subtypes off sinusitis?

A

Acute
Sub chronic
Chronic

49
Q

What direction do the cilia of respiratory mucosa waft towards?

A

Ostia

50
Q

What can a viral URTI cause?

A

Swelling of mucosa, reducing diameter of ostia

51
Q

What can fill sinuses causing pressure to build?

A

Infected mucous

52
Q

Where can pain from sinusitis be referred?

A

Teeth

53
Q

Which sinus is predisposed to infection?

A

Maxillary

54
Q

Why is the maxillary sinus predisposed to infection?

A

Ostium of maxillary sinus is located superiorly in relation to its cavity
Cilia must work against gravity

55
Q

What is an oro-antral fistula?

A

A communication between maxillary sinus and tooth socket