Nasal cavity Flashcards
Why can you not use adrenaline-containing local anaesthetics near the nasal cartilages?
- Cartilage doesn’t have direct blood supply
- It relies on diffusion from surrounding arteries
- It can constrict these arteries to the point where cartilage can die
What are the 7 bones of the nasal cavity?
- frontal
- nasal
- ethmoid
- inferior nasal concha
- maxilla
- perpendicular plate of the ethmoid bone
- the vomer
What bone is the roof of the ethmoid bone?
cribriform plate and crista galli
what is the lateral wall of the nasal cavity?
superior and middle conchae
what is the septum of the ethmoid bone?
perpendicular plate of ethmoid and vomer
What is the le fort fracture I?
separation of alveolar bone from the rest of the maxilla
what is the le fort fracture II?
majority of viscerocranium is separated away
what is the le fort fracture III?
separation of viscerocranium from neurocranium
What level fractures can disrupt the cribriform plate of the ethmoid bone?
2 and 3
What is the danger of disrupting the ethmoid bone?
danger of infection spreading from the nasal cavity and paranasal sinuses into the anterior cranial fossa
What bones make up the medial wall of right nasal cavity?
- septal cartilage
- the vomer
- perpendicular plate of the ethmoid bone
what bones make up the lateral wall of the nasal cavity?
- frontal bone
- nasal bone
- maxilla
- palatine bone
- inferior, middle, and superior concha
- pterygoid plates of the sphenoid bone
what are the 3 types of mucosa of the nasal cavity?
- keratinised stratified squamous epithelium
- respiratory epithelium
- olfactory mucosa
What is cranial nerve 1?
olfactory
what type of nerve is the olfactory nerve?
special sensory
what is the pathway of olfactory nerves receptor cells?
from olfactory mucosa, through cribriform plate of ethmoid bone, 1st neurones in chain
where is the olfactory nerve ganglion?
olfactory bulb
what cell bodies are in the olfactory bulb?
cell bodies of 2nd neurones
where does the olfactory tract end?
temporal lobe
where do receptor cells synapse?
olfactory bulb
where are the olfactory receptor cells found?
olfactory mucosa on lateral wall and septum
what provides the somatic sensory nerve supply to the lateral wall and septum of the nasal cavity?
trigeminal nerve
where does the blood supply to the nasal cavity originate?
from both external and internal carotid arteries
what does the external carotid artery branch into to supply the nasal cavity?
facial
maxillary