Paranasal sinus Flashcards

1
Q

what are the paranasal sinuses?

A

air-filled extensions of the respiratory part of the nasal cavity

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2
Q

how many paranasal sinuses are there and how are they named? what are they?

A

4 paired sinuses, named according to the bone in which they are located:
maxillary, frontal, sphenoid and ethmoid

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3
Q

function of sinuses?

A

not clear:
they may contribute to the humidifying of the inspired air
They also reduce the weight of the skull

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4
Q

when and how are sinuses formed?

A

formed in childhood by the nasal cavity eroding into surrounding bone

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5
Q

how do paranasal sinuses relate to nasal cavity?

A

outgrowths of the nasal cavity

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6
Q

where do paranasal sinuses drain?

A

they all drain back into nasal cavity (outgrowths)

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7
Q

where are openings to the paranasal sinuses found?

A

on the roof and lateral walls of the nasal cavity

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8
Q

what is the inner surface of the paranasal sinuses lined by?

A

respiratory mucosa

pseudostratified ciliated columnar epithelium with goblet cells

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9
Q

where are the frontal sinuses found?

A

These are the most superior in location, found under the forehead, always triangular-shaped

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10
Q

where do frontal sinuses drain into?

A

the nasal cavity via the frontonasal duct, which opens out at the hiatus semilunaris on the lateral wall

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11
Q

where do sphenoid sinuses lie?

A

relatively superiorly, at the level of the spheno-ethmodial recess

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12
Q

where are the sphenoid sinuses found?

A

more posteriorly, and are related superiorly and laterally to the cranial cavity

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13
Q

where do the sphenoid sinuses drain into?

A

drain out onto the roof of the nasal cavity

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14
Q

clinical relevance of sphenoid sinuses?

A

the pituitary gland can be surgically accessed via passing through the nasal roof, into the sphenoid sinus and through the sphenoid bone

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15
Q

ethmoidal sinuses? how many and where do they empty into?

A

There are three ethmoidal sinuses; anterior, middle and posterior. They empty into the nasal cavity at different places

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16
Q

where do ethmoidal sinuses empty into?

A

Anterior – Hiatus semilunaris (middle meatus)
Middle – Ethmoid bulla (middle meatus cells)
Posterior – Superior meatus (lateral wall)

17
Q

where are maxillary sinuses found?

A

The largest of the sinuses. It is located laterally and slightly inferiorly to the nasal cavities

18
Q

where do maxillary sinuses drain into?

A

It drains into the nasal cavity at the hiatus semilunaris (middle meatus), underneath the frontal sinus opening

19
Q

significance of maxillary sinuses drainage? (underneath frontal sinus opening)

A

a potential pathway for spread of infection – fluid draining from the frontal sinus (superior - near forehead) can enter the maxillary sinus (to nasal cavity)

20
Q

what are the paranasal sinuses continuous with?

A

continuous with the nasal cavity

21
Q

significance of paranasal sinuses continuous with nasal cavity?

A

an upper respiratory tract infection can spread to the sinuses

22
Q

what can infection of the sinuses cause? known as?

A

inflammation (particularly pain and swelling) of the mucosa

known as sinusitis

23
Q

what is it called when more than 1 sinus is affected?

A

pansinusitis