Nose & Paranasal Sinuses Flashcards

1
Q

first 1/3rd of nasal mucosal lining?

A

stratified squamous epithelium with nasal hairs trapping large particles

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2
Q

posterior 2/3rd of nasal mucosal lining?

A

pseudo stratified columnar epithelium which consists of cilia

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3
Q

what is the nasal roof/walls floor?

A

cribriform plate
turbinates
hardplate

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4
Q

where does cartilage get its blood supply?

A

poor blood supply so gets it from overlying mucosa

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5
Q

what are turbinates?

A

bony scroll-like projections from lateral wall of nose that increase surface area for humidification

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6
Q

what opens underneath turbinates?

A

sinuses and nasolacrimal duct open underneath

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7
Q

what is the nasolacrimal duct and where does it open?

A

drainage pathway for lacrimal secretions (tears) which opens underneath the inferior turbinate

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8
Q

what are the three paranasal sinuses?

A

frontal
maxillary
sphenoid

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9
Q

ethmoid sinus structure?

A

anterior and posterior ethmoids split by ground lamella

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10
Q

where do anterior and posterior ethmoids drain?

A

anterior into the middle meatus and posterior into superior meatus

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11
Q

what is the clinical relevance of the ethmoids?

A

paper thin bone between ethmoids and orbit

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12
Q

where is sphenoid sinus and where does it drain?

A

right at back behind eyes and drains into the sphenoethmoidal recess

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13
Q

what runs above, behind and to side of sphenoid sinus?

A

optic nerve above
ICA side
pituitary posterior

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14
Q

what is the external bloody supply to nose?

A

sphenopalatine artery (via maxillary)

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15
Q

what is the internal bloody supply to nose?

A

anterior and posterior ethmoidal artery (via ophthalmic)

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16
Q

what is the most common site for nosebleeds?

A

Little’s area or Kiesselbach’s area

17
Q

nasal innervation comes from?

A

almost all the Trigeminal nerve CN. V (I+II)