Pterygopalatine fossa, Nasal Cavity, and Paranasal sinuses Flashcards

1
Q

The nose and bilateral nasal cavities are comprised of

A

Cartilage and bone

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2
Q

Divides the nasal cavities and forms their medial wall

-also consists of bone and cartilage

A

Midline nasal septum

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3
Q

The LATERAL walls of the nasal cavities typically contain three shell-like bones called

A

Concha or turbinates (Superior, middle, and inferior)

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4
Q

Increase the surface area of each nasal cavity

A

Superior, middle, and inferior concha

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5
Q

Inferior to each concha is a meatus that baffles air and receives drainage from one or more

A

Paranasal sinuses

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6
Q

The nose and nasal cavity function as a

A

Respiratory and olfactory organ

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7
Q

External air enters the nose through the

A

Nares

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8
Q

External air enters the nose through the nares and passes into the nasal cavities where it is

A

Warmed, filtered, and humidified

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9
Q

External air enters the nose through the nares where it is warmed, filtered, and humidified before it passes to the

A

Choanae to enter nasopharynx

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10
Q

Scent molecules are detected by olfactory nerves underlying the

A

Olfactory mucosa

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11
Q

Superiorly, the nasal cavities communicate with the

A

Anterior cranial fossa

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12
Q

Superiorly, the nasal cavities communicate with the anterior cranial fossa via the

A

Cribiform plate of the ethmoid bone

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13
Q

Inferiorly the nasal cavities communicate with the

A

Oral cavity

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14
Q

Inferiorly, the nasal cavities communicate with the oral cavity via the

A

Incisive foramen

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15
Q

What is transmitted between the nasal cavities and the anterior cranial fossa via the cribiform plate?

A

Olfactory nerves

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16
Q

The nasal cavities communicate superiolaterally with the

A

Orbit

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17
Q

The nasal cavities communicate superiolaterally with the orbit via the

A

Ethmoid bone

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18
Q

The nasal cavities communicate superiolaterally with the orbit via the ethmoid bone to transmit the

A

Ethmoidal branches of the nasocilliary nerve and opthalmic artery

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19
Q

The nasal cavities also communicate with the orbit via the

A

Bony nasolacrimal canal

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20
Q

The nasal cavities also communicate with the orbit via the bony nasolacrimal canal to transmit the

A

Nasolacrimal duct

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21
Q

The nasal cavities communicate with the oral cavity via the incisive foramen to transmit the

A

Nasopalatine nerve and accompanying blood vessels

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22
Q

The nasal cavities communicate with the pterygopalatine fossa via the

A

Shenopalatine foramen

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23
Q

The nasal cavities communicate with the pterygopalatine fossa via the sphenopalatine foramen to transmit the

A

Sphenopalatine artery, palatine nerves, and lateral and septal nerve branches

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24
Q

The mucosa overlying the olfactory area of the nasal cavity is innervated by

A

Olfactory nerve (CN I)

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25
The SOMATIC SENSORY innervation of the RESPIRATORY mucosa is from branches of the
Opthalmic and maxillary divisions of Trigeminal nerve (V1 and V2)
26
Production of nasal mucous is stimulated by
Parasympathetic innervation of mucous glands
27
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)
28
The anterior portion of the nasal cavity receives its blood supply via branches from the
Facial and opthalmic arteries
29
The posterior portion of the nasal cavity is primarily supplied via branches of the
Sphenopalatine artery (branch of 3rd part of maxillary artery)
30
What are the four paired paranasal sinuses in the head
Frontal, ethmoidal, sphenoidal and maxillary
31
Interconnected, air filled chambers lined with a mucous membrane
Frontal, ethmoidal, sphenoidal, and maxillary paranasal sinuses
32
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
33
Paranasal sinuses can easily become inflamed resulting in often painful
Sinusitis
34
The mucous produced in these paranasal sinuses drains into the nasal cavities via openings in a
Meatus
35
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
36
For the FRONTAL sinus, what is the 1. ) Opening 2. ) Meatus or recess
1. ) Frontonasal duct | 2. ) Middle meatus
37
For the ETHMOIDAL sinus, what is the 1. ) Opening 2. ) Meatus or recess
Anterior and middle air cells w/ middle meatus Posterior air cells w/ superior meatus
38
For the SPHENOIDAL sinus, what is the 1. ) Opening 2. ) Meatus or recess
1. ) Sphenoidal osteum | 2. ) Sphenoethmoidal Recess
39
For the MAXILLARY sinus what are the TWO 1. ) Openings 2. ) Meatus or recesses
1. ) a. Maxillary osteum w/ middle meatus b. Nasolacrimal duct w/ inferior meatus
40
Considered the crossroads of the skull because it and its contents communicate with so many different regions of the skull
Pterygopalatine Fossa
41
The bilateral pterygopalatine fossa are filled with
Parasympathetic ganglion and branches of maxillary nerve and artery
42
You can locate the pterygopalatine fossa on a bony skull by placing a pipe cleaner through the
Pterygomaxillary fissue and sphenopalatine foramen
43
When you do this, part of the pipe cleaner will be visible in
The infratemporal fossa and other part in nasal cavity
44
When you look inferiorly at the skull, the portion of the pipe cleaner that you DON'T see is the
Pterygopalatine fossa
45
What are the 4 main maxillary nerve branches in the pterygopalatine fossa?
Palatine, Nasopalatine, Posterior superior alveolar, and Infraorbital
46
What types of nerve fibers are in the Palatine nerve?
Somatic sensory, postganglionic parasympathetic and sympathetic, and taste
47
The palatine nerve innervates the
Palate, mucosa, and palatine taste
48
What type of fibers are in the nasopalatine nerve?
Somatic sensory, postganglionic parasympathetic and sympathetic
49
The nasopalatine nerve passes through the
Sphenopalatine foramen
50
The nasopalatine nerve innervates the
Nasal cavity mucosa
51
What types of fibers are in the posterior alveolar nerve?
Somatic sensory
52
The posterior superior alveolar nerve passes through the
Pterygomaxillary fissure
53
The posterior superior alveolar nerve innervates the
Maxillary teeth
54
What type of fibers does the infraorbital nerve have?
Somatic sensory
55
The infraorbital nerve passes through the
Inferior orbital fissure
56
The infraorbital nerve innervates the
Face
57
The palatine nerve passes through the
Palatine foramina
58
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
59
These post ganglionic axons are distributed with branches of the
Maxillary nerve (oral and nasal cavities) and Opthalmic nerve (lacrimal gland)
60
Preganglionic parasympathetic innervation of the pterygopalatine ganglion is from nerve fibers in the
Greater petrosal nerve (of VII)
61
Somatic sensory fibers from the maxillary nerve enter the pterygopalatine fossa via -but they don't synapse
Pterygopalatine nerves
62
Postganglionic sympathetic axons reach the pterygopalatine ganglion via the -Also do not synapse in the ganglion
Deep petrosal nerve
63
Both the greater and deep petrosal nerves reach the pterygopalatine fossa by passing through the
Pterygoid canal
64
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
65
Preganglionic parasympathetic axons from the greater petrosal nerve synapse on cells in the
Pterygopalatine fossa
66
Post ganglionic axons then pass from the pterygopalatine ganglion to the maxillary nerve via
Pterygopalatine nerves
67
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
68
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
69
The postganglionic fibers then travel on the lacrimal nerve to reach the
Lacrimal gland
70
The maxillary artery enters the pterygopalatine fossa from the
Infratemporal fossa
71
The maxillary artery enters the pterygopalatine fossa freom the infratemporal fossa via the
Pterygomaxillary fissure
72
Within the pterygopalatine fossa, the maxillary artery branches into the
Descending palatine, sphenopalatine, posterior superior alveolar, and infraorbital arteries
73
The descending palatine artery travels through the
Palatine foramina
74
The descending palatine artery supplies the
Palate
75
The sphenopalatine artery travels though the
Sphenopalatine foramen
76
The sphenopalatine artery supplies the
Nsala cavity
77
The posterior superior alveolar artery travels through the
Pterygomaxillary fissure
78
The posterior superior alveolar artery supplies the
Maxillary teeth
79
The Infraorbital artery passes through the
Inferior orbital fissure
80
The infraorbital artery supplies the
Face