Pterygopalatine fossa, Nasal Cavity, and Paranasal sinuses Flashcards
The nose and bilateral nasal cavities are comprised of
Cartilage and bone
Divides the nasal cavities and forms their medial wall
-also consists of bone and cartilage
Midline nasal septum
The LATERAL walls of the nasal cavities typically contain three shell-like bones called
Concha or turbinates (Superior, middle, and inferior)
Increase the surface area of each nasal cavity
Superior, middle, and inferior concha
Inferior to each concha is a meatus that baffles air and receives drainage from one or more
Paranasal sinuses
The nose and nasal cavity function as a
Respiratory and olfactory organ
External air enters the nose through the
Nares
External air enters the nose through the nares and passes into the nasal cavities where it is
Warmed, filtered, and humidified
External air enters the nose through the nares where it is warmed, filtered, and humidified before it passes to the
Choanae to enter nasopharynx
Scent molecules are detected by olfactory nerves underlying the
Olfactory mucosa
Superiorly, the nasal cavities communicate with the
Anterior cranial fossa
Superiorly, the nasal cavities communicate with the anterior cranial fossa via the
Cribiform plate of the ethmoid bone
Inferiorly the nasal cavities communicate with the
Oral cavity
Inferiorly, the nasal cavities communicate with the oral cavity via the
Incisive foramen
What is transmitted between the nasal cavities and the anterior cranial fossa via the cribiform plate?
Olfactory nerves
The nasal cavities communicate superiolaterally with the
Orbit
The nasal cavities communicate superiolaterally with the orbit via the
Ethmoid bone
The nasal cavities communicate superiolaterally with the orbit via the ethmoid bone to transmit the
Ethmoidal branches of the nasocilliary nerve and opthalmic artery
The nasal cavities also communicate with the orbit via the
Bony nasolacrimal canal
The nasal cavities also communicate with the orbit via the bony nasolacrimal canal to transmit the
Nasolacrimal duct
The nasal cavities communicate with the oral cavity via the incisive foramen to transmit the
Nasopalatine nerve and accompanying blood vessels
The nasal cavities communicate with the pterygopalatine fossa via the
Shenopalatine foramen
The nasal cavities communicate with the pterygopalatine fossa via the sphenopalatine foramen to transmit the
Sphenopalatine artery, palatine nerves, and lateral and septal nerve branches
The mucosa overlying the olfactory area of the nasal cavity is innervated by
Olfactory nerve (CN I)
The SOMATIC SENSORY innervation of the RESPIRATORY mucosa is from branches of the
Opthalmic and maxillary divisions of Trigeminal nerve (V1 and V2)
Production of nasal mucous is stimulated by
Parasympathetic innervation of mucous glands
Describe the innervation of the mucous glands that produce nasal mucous?
Greater petrosal nerve (VII) to Pterygopalatine ganglion then to glands via branches of maxillary nerve (V2)
The anterior portion of the nasal cavity receives its blood supply via branches from the
Facial and opthalmic arteries
The posterior portion of the nasal cavity is primarily supplied via branches of the
Sphenopalatine artery (branch of 3rd part of maxillary artery)
What are the four paired paranasal sinuses in the head
Frontal, ethmoidal, sphenoidal and maxillary
Interconnected, air filled chambers lined with a mucous membrane
Frontal, ethmoidal, sphenoidal, and maxillary paranasal sinuses
Thought to lighten the head, facilitate growth of the face, and play a role in vocal resonance
-function is not really known though
Paranasal sinuses
Paranasal sinuses can easily become inflamed resulting in often painful
Sinusitis
The mucous produced in these paranasal sinuses drains into the nasal cavities via openings in a
Meatus
Once the mucous from the paranasal sinuses enters the nasal cavities through openings in a meatus, it then enters the
Nasopharynx, where it is ultimately swallowed
For the FRONTAL sinus, what is the
- ) Opening
- ) Meatus or recess
- ) Frontonasal duct
2. ) Middle meatus
For the ETHMOIDAL sinus, what is the
- ) Opening
- ) Meatus or recess
Anterior and middle air cells w/ middle meatus
Posterior air cells w/ superior meatus
For the SPHENOIDAL sinus, what is the
- ) Opening
- ) Meatus or recess
- ) Sphenoidal osteum
2. ) Sphenoethmoidal Recess
For the MAXILLARY sinus what are the TWO
- ) Openings
- ) Meatus or recesses
- )
a. Maxillary osteum w/ middle meatus
b. Nasolacrimal duct w/ inferior meatus
Considered the crossroads of the skull because it and its contents communicate with so many different regions of the skull
Pterygopalatine Fossa
The bilateral pterygopalatine fossa are filled with
Parasympathetic ganglion and branches of maxillary nerve and artery
You can locate the pterygopalatine fossa on a bony skull by placing a pipe cleaner through the
Pterygomaxillary fissue and sphenopalatine foramen
When you do this, part of the pipe cleaner will be visible in
The infratemporal fossa and other part in nasal cavity
When you look inferiorly at the skull, the portion of the pipe cleaner that you DON’T see is the
Pterygopalatine fossa
What are the 4 main maxillary nerve branches in the pterygopalatine fossa?
Palatine, Nasopalatine, Posterior superior alveolar, and Infraorbital
What types of nerve fibers are in the Palatine nerve?
Somatic sensory, postganglionic parasympathetic and sympathetic, and taste
The palatine nerve innervates the
Palate, mucosa, and palatine taste
What type of fibers are in the nasopalatine nerve?
Somatic sensory, postganglionic parasympathetic and sympathetic
The nasopalatine nerve passes through the
Sphenopalatine foramen
The nasopalatine nerve innervates the
Nasal cavity mucosa
What types of fibers are in the posterior alveolar nerve?
Somatic sensory
The posterior superior alveolar nerve passes through the
Pterygomaxillary fissure
The posterior superior alveolar nerve innervates the
Maxillary teeth
What type of fibers does the infraorbital nerve have?
Somatic sensory
The infraorbital nerve passes through the
Inferior orbital fissure
The infraorbital nerve innervates the
Face
The palatine nerve passes through the
Palatine foramina
The pterygopalatine ganglion consists of post ganglionic parasympathetic cell bodies whose axons innervate the
Lacrimal gland and mucous glands of the oral and nasal cavities
These post ganglionic axons are distributed with branches of the
Maxillary nerve (oral and nasal cavities) and Opthalmic nerve (lacrimal gland)
Preganglionic parasympathetic innervation of the pterygopalatine ganglion is from nerve fibers in the
Greater petrosal nerve (of VII)
Somatic sensory fibers from the maxillary nerve enter the pterygopalatine fossa via
-but they don’t synapse
Pterygopalatine nerves
Postganglionic sympathetic axons reach the pterygopalatine ganglion via the
-Also do not synapse in the ganglion
Deep petrosal nerve
Both the greater and deep petrosal nerves reach the pterygopalatine fossa by passing through the
Pterygoid canal
While in the pterygoid canal, the greater and deep petrosal nerves collectively are referred to as the
Nerve of pterygoid canal or the Vidian nerve
Preganglionic parasympathetic axons from the greater petrosal nerve synapse on cells in the
Pterygopalatine fossa
Post ganglionic axons then pass from the pterygopalatine ganglion to the maxillary nerve via
Pterygopalatine nerves
The maxillary nerve then gives off the zygomatic branch and the postganglionic fibers travel on it through the
Inferior orbital fissure to reach the orbit
The zygomatic nerve carries the postganglionic fibers to a communicating brancgh in the lateral wall of the orbit which then unites with the
Lacrimal branch of opthalmic nerve
The postganglionic fibers then travel on the lacrimal nerve to reach the
Lacrimal gland
The maxillary artery enters the pterygopalatine fossa from the
Infratemporal fossa
The maxillary artery enters the pterygopalatine fossa freom the infratemporal fossa via the
Pterygomaxillary fissure
Within the pterygopalatine fossa, the maxillary artery branches into the
Descending palatine, sphenopalatine, posterior superior alveolar, and infraorbital arteries
The descending palatine artery travels through the
Palatine foramina
The descending palatine artery supplies the
Palate
The sphenopalatine artery travels though the
Sphenopalatine foramen
The sphenopalatine artery supplies the
Nsala cavity
The posterior superior alveolar artery travels through the
Pterygomaxillary fissure
The posterior superior alveolar artery supplies the
Maxillary teeth
The Infraorbital artery passes through the
Inferior orbital fissure
The infraorbital artery supplies the
Face