Res Flashcards
NASAL CARTILAGES in external nose
.Lateral process of septal nasal cartilage
• Major alar cartilage
• Minor alar cartilages
• Accessory nasal cartilages
Skeletal framework of external nose
Nasal bone
Frontal bone, nasal part
Maxilla, frontal process
Piriform aperture (nasal opening) borders
- Superiorly inferior margin of nasal bone,
- Laterally nasal notch of maxilla,
- Mid anterior nasal spine
Arteries of External Nose
• Facial artery – Lateral nasal artery – Septal nasal branch of superior labial artery • Ophthalmic artery – (dorsal nasal artery) • Maxillary artery – (infraorbital artery)
Veins of External Nose
• Drains into facial vein and ophthalmic vein
Sensory innervation of external nose
- Infratrochlear nerve – nasociliary nerve,
- External nasal nerve– anterior ethmoidal nerve
- Infraorbital nerve– branch of maxillary nerve
Motor innervation of facial expression muscles
Facial nerve
The anterior apertures of the nasal cavities are the…, which open onto …
nares
the inferior surface of the nose
The posterior apertures of nasal cavity are the …., which open into …
choanae
the nasopharynx
Borders of choanae
•Laterally, by the medial medial plate of pterygoid process
•Superiorly, by the body of sphenoid bone
.Medially vomer,
.Inferiorly, by the posterior margin of horizontal plate of palatine bone
NASAL CAVITY borders roof
- Nasal bone,
- Frontal bone,
- Cribriform plate of ethmoid bone
- Body of sphenoid bone
NASAL CAVITY floor
palatine process of maxilla and horizontal plate of palatine bone
• Bony palate, hard palate
Medial wall “Nasal septum” of nasal cavity
- Perpendicular plate of ethmoid bone
- Vomer
- Septal nasal cartilage
Lateral wall of nasal cavity
- Frontal process of maxilla
- Lacrimal bone
- Superior, middle and inferior nasal conchae
- Perpendicular plate of palatine bone
- Medial plate of pterygoid process
- Superior nasal meatus,
- Middle nasal meatus
- Inferior nasal meatus (nasolacrimal duct)
- Sphenoethmoid recess
Arteries of nasal cavity
- Anterior ethmoidal artery and posterior ethmoidal artery (branch of ophthalmic artery)
- Sphenopalatine artery (branch of maxillary artery)
- Greater palatine artery (branch of maxillary artery)
- Nasal septal branch (branch of superior labial artery)
What artery supply the roof of nasal cavity
Anterior ethmoidal artery and posterior ethmoidal artery
What does Sphenopalatine artery supply
conchae, meatus and nasal septum
What does Greater palatine artery supply
anterior regions of medial wall and adjacent floor of nasal cavity
What does Nasal septal branch purpose
anastomoses with sphenopalatine artery in nasal vestibule and supply nasal septum
Innervation of nasal cavity (nerves)
• Anterior ethmoidal nerve (branch of nasociliary nerve)
• Infraorbital nerve (maxillary nerve), anterior superior alveolar nerve, nasopalatine nerve and greater palatine nerve
.olfactory nerve
Secretomotor innervation of mucous glands in the nasal cavities is by
postganglionic parasympathic fibers emerge from pterygopalatine ganglion
Vasomotor sympathetic fibers also take place around the arteries that
supply the nasal cavity
Olfactory nerve is composed of
axons from receptors in the olfactory epithelium at the top of each nasal cavity. Bundles of these axons pass superiorly through
perforations in the cribriform plate to synapse with neurons in the olfactory bulb of the brain
4 PARANASAL SINUSES
ethmoidal ,sphenoidal, maxillary, and frontal sinuses.
Contents of infratemporal fossa
Lateral and medial pterygoid muscles Mandibular nerve and its branches Maxillar artery and its branches Maxillary veins Pterygoid venous plexus Otic ganglion Inferior part of temporal muscle
Contents of Pterygopalatine Fossa
- Pterygopalatine branches of maxillary artery
- Maxillary nerve and branches
- Pterygopalatine ganglion
The first part of the maxillary artery (Mandibular part) branches
middle meningeal inferior alveolar arteries deep auricular anterior tympanic accessory meningeal
The second part of the maxillary artery (Pterygoid part) branches
deep temporal Posterior temporal masseteric, buccal,
pterygoid branches
The third part of the maxillary artery (Pterygopalatine part)
Artery of pterygoid canal Pharyngeal artery Sphenopalatine artery Infraorbital artery
Posterior superior alveolar a. Descending palatine artery
Connections of Pterygopalatine Fossa via pterygo maxillary fissure to
Infra temporal fossa
Connections of Pterygopalatine Fossa via sphenopalatine foramen to
Nasal cavity
Connections of pterygopalatine fossa via interior orbital fissure to
Orbit
Connections of pterygopalatine fossa via pterygopalatine canal
Oral cavity
Layers (sheaths) of cervical fascia:
Investing (superficial) layer
Pretracheal layer
Prevertebral layer
Carotid sheath
Sternocleidomastoid muscle origin
Sternal head: Upper part of anterior surface of manubrium of sternum
Clavicular head : superior surface of medial one-third of clavicle
Sternocleidomastoid muscle insertion
Lateral surface of mastoid process,
Lateral half of superior nuchal line
Innervation of sternocelidomastoid muscle
Accesory nerve and branches from anterior rami of C2 to C3
What muscle is responsible for tilting head towards shoulder on same side rotating head turn face to opposite side
Sternocleidomastoid
SUPRAHYOİD Muscles
- digastric
- mylohyoid
- stylohyoid
- geniohyoid