Nasal cavity Flashcards
name this part of the external nose
root
name this part of the external nose
dorsum
name this part of the external nose
tip
name this part of the external nose
ala
what is the structure ala?
wing of tissue that bounds each nostril
name this part of the external nose
nostril
name this part of the external nose
septum
name this part of the external nose
philtrum of upper lip
what is this structure?
nasal bone
what is this structure?
nasal cartilages
what local anaesthetic can’t you use near the cartilage? why?
adrenaline containing LA
As cartilage doesn’t have a direct blood supply it relies on diffusion from surrounding arteries so vasoconstrictor can stop blood reaching the cartilage so it dies
name this structure
nasal bone
name this structure
middle nasal concha of ethmoid bone
name this structure
inferior nasal concha
bones in their own right
name this structure
maxilla
name this structure
perpendicular plate of ethmoid bone
name this structure
vomer
what are the external superior, inferior and lateral boundaries of the nasal cavity?
nasal bones
maxilla
name this part of the ethmoid bone
crista galli
name this part of the ethmoid bone
cribriform plate
name this part of the ethmoid bone
orbital plate
name this part of the ethmoid bone
ethmoid air cells
name this part of the ethmoid bone
perpendicular plate
name this part of the ethmoid bone
middle nasal concha
name this part of the ethmoid bone
superior nasal concha
what is the function of crista galli on ethmoid bone?
for attachment of dura mater - falx cerebri
what forms the roof of the nasal cavity?
cribriform plate and crista galli of ethmoid bone
what forms the nasal septum?
the perpendicular plate of ethmoid and vomer
what is a le fort I fracture?
alveolar bone separated from the rest of the maxilla
what is a le fort II fracture?
maxilla and nasal bone separated from rest of skull
what is a le fort III fracture?
viscerocranium separated from neurocranium
le fort I and III level fractures can disrupt the cribriform plate of the ethmoid bone. what is bad about this?
danger of infection spreading from the nasal cavity and paranasal siuses into the anterior cranial fossa
what forms the lateral walls of the nasal cavity
superior and middle nasal concha of ethmoid
inferior concha
maxilla
perpendicular plate of palatine bone
name this structure of the lateral wall of the nasal cavity
superior concha
name this structure of the lateral wall of the nasal cavity
middle concha
name this structure of the lateral wall of the nasal cavity
inferior concha
name this structure of the lateral wall of the nasal cavity
maxilla
name this structure of the lateral wall of the nasal cavity
perpendicular plate of palatine bone
what forms the medial wall of the nasal cavity?
perpendicular plate of ethmoid
the vomer
septal (hyaline) cartilage
name this structure of the medial wall of the nasal cavity
perpendicular plate of the ethmoid bone
name this structure of the medial wall of the nasal cavity
septal (hyaline) cartilage
name this structure of the medial wall of the nasal cavity
the vomer
what is a septal haematoma?
blood blister in the septal (hyaline) cartilage
how is a septal haematoma treated? why?
incised and drained as it will prevent the diffusion of nutrients into the cartilage resulting in necrosis
what are the types of mucosa found in the nasal cavity?
keratinised stratified squamous epithelium
respiratory epithelium
olfactory mucosa
name this type of epithelium
keratinised stratified squamous epithelium
name this type of epithelium
respiratory epithelium
name this type of epithelium
olfactory mucosa
what is the function of keratinised stratified squamous epithelium?
protection
what is the function of olfactory mucosa?
sense of smell
what nerve is CNI
olfactory nerve
which cranial nerve is for sense of smell?
CNI - olfactory
explain the pathway of special sensory fibres from nose to brain
First neurones from the olfactory mucosa
Through the cribriform plate
Synapse in the olfactory bulb
2nd neurones pass down olfactory tract
Ends in temporal lobe
name this nerve
CNI olfactory
name this part of CNI
olfactory bulb
name this part of CNI
olfactory tract
what is the special sensory nerve supply to the nasal cavity?
CNI - olfactory nere
what is the somatic sensory nerve supply to the nasal cavity?
CNV1 anterosuperiorly
CNV2 posteroinferiorly
the nasal cavity is considered to have a dual blood supply. why is this?
it is supplied by both the internal and external carotid arteries
what branch of the external carotid artery supply the nasal cavity?
facial
maxillary
what branch of the internal carotid artery supply the nasal cavity?
ophthalmic
what branch of the ophthalmic artery supplies the nasal cavity?
anterior and posterior ethmoidal arteries
what branch of the maxillary artery supplies the nasal cavity?
sphenopalatine and greater palatine arteries
what branch of the facial artery supplies the nasal cavity?
lateral nasal branch of facial
or
septal branch of superior labial
what is kiesselbach’s area?
an arterial anastomosis on the nasal septum.
its a common site for epistaxis (nose bleeds) as rich blood supply.
name this artery
anterior and posterior ethmoidal arteries
name this artery
sphenopalatine
name this artery
greater palatine
name this artery
lateral nasal
name this artery
anterior and posterior ethmoidal
name this artery
sphenopalatine
name this artery
greater palatine
name this artery
septal
name this structure
superior concha
name this structure
middle concha
name this structure
inferior concha
what are the functions of the conchae?
warm and humidify air
protections from pathogens and particles by trapping them
name this space
sphenoethmoidal recess
name this space
superior meatus
name this space
middle meatus
name this space
inferior meatus
what are paranasal sinuses?
air filled spaces within bones surrounding the nasal region
name the paranasal sinuses
frontal sinuses
maxillary sinuses
ethmoid air cells
sphenoidal sinuses
what bone are the frontal sinuses located in?
frontal bone
what bone are the maxillary sinuses located in?
maxillae
what bone are the ethmoid air cells located in?
ethmoid
what bone are the sphenoidal sinuses located in?
sphenoid
name this sinus
frontal sinuses
name this sinus
ethmoid air cells
name this sinus
maxillary sinuses
name this sinus
sphenoidal sinus
paranasal sinuses are lined by what?
mucous-secreting respiratory mucosa
mucous drains into the nasal cavities via what?
ostia in the lateral walls of the nasal cavities
where does the sphenoidal sinus drain into?
the sphenoethmoidal recess
where does the ethmoid air cells drain into?
middle and superior meatuses
where does the frontal sinus drain into?
middle meatus
where does the maxillary sinus drain into?
middle meatus
explain nasolacrimal drainage
lacrimal gland produces tears
wash over eye
drain into lacrimal sac
then nasolacrimal duct
which drains into inferior meatus of nasal cavity
what is sinusitis?
inflammation and infection of the mucosa of paranasal sinuses. through trapped infected mucous that cant drain due to cilia or ostia being interfered with
name three possible causes of sinusitis
infection
allergy
autoimmune issue
the painful sensation of sinusitis is provided by what nerve?
CNV1 and CNV2
maxillary sinusitis is often confused with what?
toothache
as the roots of the upper dentition sit very close to floor of maxillary sinus
which sinus is predisposed to inflammation? why?
maxillary sinus
ostia is located superiorly in the medial wall of the sinus
so mucous has to drain against gravity