Noses, Sinuses, Orbit & Nerves Flashcards
What is the only sensory nerve arising from the anterior division ofV3?
Buccal nerve.
What are the 4 ganglia associated with the cranial parasympathetic system?
Ciliary, pterygopalatine, submandibular, and otic.
Preganglionic parasympathetic cell bodies are associated with which nerves in the head and neck?
Cranial nerves III, VII, IX, X and spinal nerves 2, 3, and 4.
What is the stellate ganglion?
Fusion of the of the first thoracic ganglion and the inferior cervical ganglion; it relays sympathetic input to the upper limbs.
What is the terminal branch ofV2?
Infraorbital nerve.
What is the function of the glossopharyngeal nerve?
Motor to the stylopharyngeus; taste to posterior 1/3 tongue; parotid gland stimulation; sensation of postauricular skin, pharynx, soft palate, tympanic cavity, and eustachian tube.
From what nerve do the anterior and posterior ethmoidal nerves arise?
Nasociliary nerve.
What nerve usually passes from lateral to medial over the optic nerve?
Nasociliary.
What are the nuclei of the vagus nerve?
Nucleus ambiguus, dorsal motor nucleus, and the nucleus of the solitary tract.
Which of these controls voluntary motor information?
Nucleus ambiguus.
Which of these receives sensory information?
Nucleus of the solitary tract.
What information is relayed through the inferior ganglion?
Sensation from the epiglottis and larynx.
What information is relayed through the superior ganglion?
Sensation from the external auditory canal and posterior auricle via Arnold’s nerve.
What are the two ganglia of the vagus nerve?
Superior (jugular) ganglion and inferior (nodose) ganglion.
Which cranial nerve has the longest intracranial course?
VI.
With one exception, all the muscles of the pharynx are innervated by what nerve?
X.
What is the distance from the posterior ethmoid artery to the optic foramen?
5-10 mm.
When does aeration of the frontal sinus begin?
Age 4-5 years, and continues into the late teens.
Where is the anterior ethmoid artery found intranasally?
Anterior to the vertical portion of basal lamella, immediately below the skull base, and posterior to the frontal recess.
Where does the maxillary sinus ostium lie in relation to the ethmoid infundibulum?
At the floor and lateral aspect of the infundibulum, between its middle and posterior 1/3.
What structure separates the anterior and posterior ethmoid complexes?
Basal lamella of the middle turbinate.
What is the most posterior part of the middle turbinate attached to?
Crista ethmoidalis of the perpendicular process of the palatine bone.
What recess does the suprabullar recess open into?
Frontal recess; anteriorly, it is separated from the recess by the bulla lamella.
What does the retrobullar recess drain into?
Hiatus semilunaris superior.
What are the borders of the ethmoid infundibulum?
Medially, the uncinate process; laterally, the lamina papyracea and frontal process of the maxilla; and posteriorly, the ethmoid bulla.
What is the narrowest portion of the nasal cavity?
Nasal valve.
What is the most common cause of taste loss?
Olfactory dysfunction.
What are the 4 possible configurations of the ethmoid roof described by Keros
- Type 1: olfactory fossa I - 3 mm deep.
- Type I I: olfactory fossa 4 - 7 mm deep.
- Type III: olfactory fossa 8 - 16 mm deep.
Asymmetric skull base
Where does the sphenoid ostium lie in relation to the chonal bridge
1.5 em above or 1/3 distance from chonae to the skull base.
What percent of the population has a unilateral frontal sinus?
10%.
What % of people have a sphenoethmoid cell
12%.
Where are the natural ostia of the sphenoid sinus’
2/3 of the way from the vaginal process to the top of the anterior sphenoid wall.
What % of patients have a bony dehiscence of the canal covering the anterior ethmoid artery
20- 40%.
What % of patients have a bony dehiscence of the cavernous portion of the carotid canal
22%.
What are the normal dimensions of the frontal sinus
28 mm (length) x 24 mm (width) x 20 mm (depth) (Van Alyea).
Where does the nasolacrimal duct lie in relation to the ostium of the maxillary sinus
3 - 6 mm anteriorly.
What is the normal angle of a line drawn from the nasal spine to the sphenoid ostium
30 degrees.
Where does the nasolacrimal duct lie in relation to the ostium of the maxillary sinus?
3-6 mm anteriorly.
What % of patients have a very thin or absent bone of the optic canal
4%.
What is the distance from the posterior ethmoid artery to the optic foramen
5- 10 mm.
What percent of the population has a supreme nasal concha?
60%.
When does aeration of the frontal sinus begin
Age 4 - 5 and continues into the late teens.
At what age can the maxillary sinuses be visualized on a computed tomography (CT) scan?
Age 4-5 months.
Which muscles depress the nose?
Alar nasalis and depressor septi nasi muscles.
Where is the anterior ethmoid artery found intranasally
Anterior to the vertical portion of basal lamella, immediately below the skull base, and posterior to the frontal recess.
Where is the optic canal in relation to the sphenoid
Anterolateral aspect of the sphenoid roof.
Where does the maxillary sinus ostium lie in relation to the ethmoid infundibulum
At the floor and lateral aspect of the infundibulum between its middle and posterior I /3.
What structure separates the anterior and posterior ethmoid complexes
Basal lamella of the middle turbinate.
What are the nasal fontanelles
Bony dehiscences of the lateral nasal wall usually above the insertion of inferior turbinate where the nasal mucosa approximates the mucoperiosteum of the maxillary sinus.
What is the optic nerve tubercle
Bony protuberance on the medial surface of the optic foramen.
How is the sensory epithelium of the olfactory system different from the surrounding respiratory epithelium?
Both have cilia, but the cilia of the olfactory epithelium do not beat synchronously.
What is the term for a pneumatized second basal lamella?
Bulla ethmoidalis.
What is the term for a pneumatized second basal lamella
Bulla ethmoidalis.
What is the blood supply to the retina
Choroid chorio capillaries (outer half) and central retinal artery and branches.
What type of epithelium lines the nasal cavity?
Ciliated pseudostratified epithelium.
What bony structure is found posterior to the sphenoid
Clivus.
What are the major tip support mechanisms?
Contour, size, and strength of the lateral crura; attachment of the medial crural footplate to the caudal septum; and attachment of the caudal edge of the upper lateral cartilage to the upper edge of the alar cartilages (Scroll area)
What is the most posterior part of the middle turbinate attached to
Crista ethmoidalis of the perpendicular process of the palatine bone.
What is parosmia?
Distorted perception of an odor.
What are odorous substances made of?
Either gases or volatile liquids.
Where does the natural ostium of the maxillary sinus empty?
Ethmoid infundibulum.
Where does the natural ostium of the maxillary sinus empty
Ethmoid infundibulum.
T /F: Presence of a conchal sphenoid is an absolute contraindication to transsphenoidal hypophysectomy.
False (the bone can be drilled out to permit access).
T/F: Tumors isolated to the sphenoid sinus and sella are best approached trans palatally
False, best approach is transseptal or transethmoid unless the tumor extends into the nasopharynx.