Orientation to Nose and Palate Flashcards

1
Q

Where does the maxillary artery pass? What arteries does it terminate as?

A

Pterygomaxillary fissure. It becomes the infraorbital artery and terminates by dividing into the sphenopalatine artery and the descending palatine artery.

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2
Q

What is the otic ganglion innervated by?

A

Glossopharyngeal nerve

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3
Q

What is the submandibular ganglion & pterygopalatery ganglion innervated by?

A

Facial nerve

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4
Q

Where do some branches of V2 go?

A
  • Down to the teeth

- Over and up to the lacrimal nerve (to the lacrimal gland)

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5
Q

What supplies the nasal cavity and hard palate?

A

Maxillary division of the Trigeminal!

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6
Q

What comes into the ptergyopalatine ganglion and runs with every branch of V3? [IMP]

A

Pre-ganglionic fibers from CN VII - via the greater petrosal nerve and the nerve of the pterygoid canal.

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7
Q

What innervates a small amount of the anterior nasal cavity ?

A

Sensory branches from nasociliary nerve, a branch of CN V1.

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8
Q

What does the sphenopalatine artery supply?

A

Much of the nasal mucosa.

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9
Q

What is located in the lateral regions of the hard plate? What can they give rise to? What are they supplied by?

A

Palatine glands which can give rise to tumors of the mouth. They are supplied by the postganglionic fibers from pterygopalatine ganglion.

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10
Q

What supplies the nasal cavity with blood?

A

Maxillary artery, ethmoidal artery and facial artery.

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11
Q

Where do most nosebleeds occur?

A

Anterior nasal septum at Kiesselbach’s area. (blood from sphenopalatine, ethmoidal and superior labial arteries).

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12
Q

What odd thing may Bell’s Palsy influence?

A

Affects secretions from oral cavity and glands - tear production, saliva production, nasal secretions. The nerves can regenerate but they may get mixed up. (ex: crying when you should salivate upon seeing food)

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13
Q

The ostium of the maxillary sinus opens into the. . .

A

Middle meatus

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14
Q

What drains into the middle meatus?

A
  • Ethmoidal sinuses
  • Frontal sinus
  • Maxillary sinus
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15
Q

The nasal septum is formed by. . .

A

. . .the septal cartilage, the vomer, and the perpendicular plate of the ethmoid bone!

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16
Q

After a car accident, CSF escapes the nose of a patient, what is most likely fracture location?

A

Ethmoid bone

17
Q

What innervates the lateral-dorsal and lateral nasal wall mucosa?

A

CN I and CN V1 and V2.

18
Q

How and where is mucous moved from the nasal glands?

A

It’s continuously moved towards the pharynx by cilia.

19
Q

The nasolacrimal duct communicates in the nasal cavity with the?

A

Inferior meatus

20
Q

What innervates (sensory) the bridge of the nose?

A

Ophthalmic division of trigeminal nerve.

21
Q

What nerves are in the pterygoid canal? IGNORE

A

Post-ganglionic sympathetic neurons and pre-ganglionic sympathetic neurons

22
Q

Where are the cell bodies of parasympathetic neurons innervating the nasal mucosal glands?

A

Pterygopalatine ganglion

23
Q

Where are the cell bodies of parasympathetic neurons innervating secretory cells of the lacrimal gland?

A

Pterygopalatine ganglion

24
Q

Sensory neurons to the roof of the hard and soft palate have their cell bodies in the:

A

Trigeminal ganglion

25
Q

What blood vessel supplies the hard and soft palates?

A

Maxillary artery

26
Q

Which of the following nerves innervates the roof of the mouth immediately posterior to the incisor teeth?

A

Nasopalatine nerve

27
Q

Where are the post-ganglionic cell bodies of parasympathetic neurons that innervate the secretary cells of the maxillary sinus located?

A

Pterygopalatine ganglion

28
Q

Where are the post-ganglionic cell bodies of parasympathetic neurons that innervate the submandibular, sublingual and mucosal glands of the oral cavity located?

A

Submandibular ganglion

29
Q

What supplies preganglionic neurons to the pterygopalatine ganglion?

A

Facial Nerve (CN VII)

30
Q

Where are the cell bodies of general sensory nerves that travel through the greater and lesser palatine nerves?

A

Trigeminal ganglion