Nasal Cavity Flashcards

1
Q

What are the functions of the respiratory system?

A
  1. warm, humidify and filter inhaled air
  2. olfaction
  3. help produce sound
  4. provide O2 and remove CO2
  5. helps maintain acid-base balance
  6. protective and reflexive non-breathing air movements (cough/sneeze)
  7. assist circulation of blood and lymph towards heart
  8. help abdo muscles during defecation, parturition, lifting a heavy object to function effectively
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2
Q

What is included in the upper respiratory tract?

A
  • nose (nasal cavity)

- nasopharynx

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3
Q

What is included in the lower respiratory tract?

A
  • larynx
  • trachea
  • bronchial tree
  • alveolar ducts
  • pulmonary alveoli
  • alveolar sac
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4
Q

What forms the medial wall of the nasal cavity?

A
  • bone: vomer and ethmoid posteriorly

- cartilage anteriorly

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5
Q

What forms the roof of the nasal cavity?

A

bones:

  • nasal
  • frontal
  • ethmoid
  • sphenoid
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6
Q

What forms the floor of the nasal cavity?

A
  • palatine bones
  • maxilla
  • hard and soft palates
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7
Q

What is an important feature of the hard palate?

A
  • it is horizontal

- clinical application: insertion of nasogastric tube

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8
Q

Where would you find nasal conchae (turbinates)?

A

projecting from the lateral wall and forming meatuses

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9
Q

What is the function of the muscles around the nostrils?

A
  • act as sphincters or dilators

- control the diameter of nares and adjust air flow

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10
Q

What are the muscles around the nostrils?

A
  • procerus
  • nasalis
  • levator labii superioris alaeque nasi
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11
Q

What are the function of conchae?

A
  • increase surface area

- form air channels (meatuses) where paranasal sinuses and the nasolacrimal duct open into

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12
Q

What are the gateways of the nasal cavity?

A
  • foramen caecum (between nasal veins and superior sagittal sinus)
  • cribiform plate
  • sphenopalatine foramen
  • incisive canal (2 way passage)
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13
Q

Where does the olfactory nerve pass through?

A

cribiform plate

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14
Q

What vessels pass through the sphenopalatine foramen?

A
  • sphenopalatine artery (maxillary a.)
  • nasopalatine nerve (maxillary n.)
  • superior nasal branches of maxillary nerve
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15
Q

What vessels pass through the incisive canal?

A
  • nasopalatine nerve (from nasal to oral)

- terminal end of greater palatine artery (from oral to nasal)

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16
Q

What vessels pass through the small foramina in the lateral wall of the nasal cavity?

A

inferior nasal branches of greater palatine nerve (maxillary a.)

17
Q

List the paranasal sinuses?

A
  • frontal sinuses
  • sphenoid sinus
  • ethmoidal cells
  • maxillary sinuses
18
Q

What lines the paranasal sinuses?

A

ciliated and mucous secreting respiratory mucosa

19
Q

Where does the frontal sinus drain mucus to?

A
  • through frontonasal duct to ethmoidal infundibulum

- part of middle meatus of nasal cavity

20
Q

Where does the maxillary sinus drain mucus to?

A

middle meatus of nasal cavity

21
Q

Where does the ethmoid sinus drain mucus to?

A
  • middle ethmoid sinus: bulla ethmoidalis on middle meatus
  • anterior ethmoid sinus: ethmoidal infundibulum on middle meatus
  • posterior ethmoid sinus: superior meatus
22
Q

Where does the sphenoid sinus drain mucus to?

A
  • through the spheno-ethmoidal recess to the superior meatus of the nasal cavity
23
Q

Where does the nasolacrimal duct drain mucus to?

A

inferior meatus

24
Q

Describe the vascular supply of the nasal cavity

A
  • terminal branches of maxillary and facial arteries (branch of external carotid a.)
  • ethmoidal branches of opthalmic artery (branch of internal carotid a.)
  • anastomose between internal and external carotid a.
25
Describe the arterial supply of the septum
- Keisselbach's Area (anastomosis between sphenopalatine, greater palatine and anterior ethmoidal artery) - posterior ethmoidal artery
26
Describe the arterial supply of the sinuses
- frontal: supra-orbital and anterior ethmoidal a. - ethmoid: anterior and posterior ethmoidal and sphenopalatine a. - sphenoid sinus: posterior ethmoidal a. - maxillary: infraorbital, greater palatine, and superior alveolar branches of maxillary a.
27
Describe the venous drainage of the nasal cavity and sinuses
- mirrors arteries - pterygoid plexus of veins in infratemporal fossa - facial vein - superior opthalmic vein to cavernous sinus - emissary vein in the foramen caecum
28
What is the clinical signifiance of the emissary vein?
Can allow spread of infection into cranial cavity
29
Describe lymph drainage of the nasal cavity
- anterior: submandibular nodes | - posterior: via retropharyngeal nodes to upper deep cervical nodes
30
How can you feel for a nasal cavity infection?
jugulodigastric is palpable
31
Describe the nerve supply of the lateral wall of the nasal cavity
- V1: opthalmic division of trigeminal nerve - to nasociliary, anterior ethmoidal nerve to give off nasal branches - V2: maxillary division of trigeminal nerve - to give off nasal branches, mainly greater palatine nerve
32
Describe the nerve supply of the nasal septum
- V1: opthalmic division of trigeminal nerve - to anterior ethmoidal to give off septal branches - V2: maxillary division of trigeminal nerve - becomes mainly nasopalatine nerve
33
Describe the nerve supply of the paranasal sinuses
- frontal: V1 - supra-orbital n - ethmoid: nasociliary n - sphenoid sinus: V1 - posterior ethmoidal n - maxillary sinus: * V2 - infra-orbital - middle and anterior superior alveolar n * V2 - posterior superior alveolar n
34
What forms the different walls of the choanae of the nasopharynx?
- inferior: horizontal plate of palatine bone - lateral: medial plate of pterygoid process - medially: vomer
35
What are the important structures of the nasopharynx?
- opening of pharyngotympanic tube (inferior-lateral wall) - tubal tonsils (around opening of pharyngotympanic tube) - pharyngeal tonsils (lymphoid tissue on roof of pharyngotympanic tube) - salpingopharyngeus and salpingopalatine muscles between torus tubarius and pharynx and palate respectively forming folds
36
Where is the pharyngeal recess and what is its significance?
- behind the auditory tube - most common site of craniopharyngioma - where the anterior lobe of the pituitary gland develops (adenohypophysis)
37
Describe Waldeyer's Ring
- ring of protection around nasal and oral cavity - tubal and pharyngeal tonsils protect nasal cavity - palatine and lingual tonsils protect oral cavity