Session 7 - The Nose Flashcards

1
Q

What two main parts is the nose divided into?

A

External and internal

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2
Q

What are the two main tissues which make up the external nose?

A

Bony and cartaliginous parts

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3
Q

What are the three main bony parts of the nose?

A

 Nasal Bones
 Maxillae frontal processes
 Frontal Bone (nasal part and nasal spine)

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4
Q

What are the three main cartilages of the nose?

A

 2 Lateral cartilages
 2 Alar cartilages
 1 Septal cartilage

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5
Q

What is anterior portion of the nasal septum made up of?

A

Cartilage

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6
Q

What is the middle portin of the nasal septum made up from?

A

Perpendicular plate of the ethmoid bone

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7
Q

What is the posterior portion of the nasal septum made up of?

A

The vomer

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8
Q

What separates the nasal and oral cavities?

A

The hard palate, made up of the palatine and maxillary bones

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9
Q

Give a complication of nasal fracture

A

Septal haematoma

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10
Q

What are the main dividing part of the nasal cavity?

A

The nasal conchae

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11
Q

How many passages do the nasal conchae create in the nasal cavity?

A

5 passages

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12
Q

What are the three conchae of the nose?

A

Superior
Middle
Inferior

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13
Q

What is the inferior conchae formed by?

A

The inferior concha bone

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14
Q

What are the middle and superior conchae derived from?

A

The medial processes of the ethmoid bone

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15
Q

What lies beneath each conchae?

A

A nasal meatus

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16
Q

What is the recess which lies superoposterior to the sphenoidal conchae

A

The sphenoethmoidal recess receives the opening of the sphenoidal sinus

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17
Q

Where does olfaction take place in the nose?

A

Sphenoethmoidal recess

Lining epithelium of mucus membrane modified for olfaction

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18
Q

Outline the journey of axonal processes of olfaction to the brain

A

o Axonal processes of the olfactory cell pass through the cribriform plate and penetrate the meninges before entering the olfactory bulb

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19
Q

Give four main openings of the nasal cavity

A

Cribiform plate
Sphenopalatine forament
Incisive foramen
Foramen cecum

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20
Q

What runs through cribiform plate?

A

Olfactory nerve

21
Q

What does fracture of the cribiform plate cause?

A

CSF leakage and anosmia

22
Q

Where is the main blood supply to the nasal cavity?

A

o Branches of the Opthalmic Artery
 Branch of the Internal Carotid Artery
o Branches of the Maxillary and Facial Arteries
 Branches of the External Carotid Artery

23
Q

What is the area of the nose with the densest block of capillaries called?

A

Kiesselbach’s area

24
Q

Where do nose bleeds most often occur?

A

Kiesselbach’s area

25
Q

What are twodifferent places nose bleeds can occur, and what are the percentage chance of it happening in each place?

A

Anterior bleed - 90%

Posterior bleed - 10%

26
Q

What artery is responsible for posterior bleeds?

A

Sphenopalatine artery

27
Q

Where do the veins of the nasal cavity drain into?

A

Cavernous sinus
Facial vein
Pteryoid plexus

28
Q

What provides special sensory smell in the nose?

A

Olfactory nerve

29
Q

What provides general sensation to the posteroinferior nasal mucosa?

A

 Maxillary Division of the Trigeminal Nerve (CN V2)

 Nasopalatine Nerve

30
Q

What provides general sensation to anterosuperior nasal mucosa

A

 Opthalmic Division of the Trigeminal Nerve (CN V1)

 Anterior and Posterior Ethmoidal Nerves

31
Q

What provides general sensation to the external nose?

A

 External Nasal Nose (CN V1)

 Infraorbital Nerve (CN V2)

32
Q

What is the epithelium of the respiratory region of the nasal cavity?

A

Pseudostratified columnar ciliated with goblet cells

33
Q

What is the epithelium of the olfactory region of the nasal cavity?

A

Olfactory cells with olfactory receptors

34
Q

What are the paranasal sinuses?

A

air-filled extensions of the respiratory part of the nasal cavity into cranial bones

35
Q

What are the names of the four paranasal sinuses?

A

Frontal, ethmoid, sphenoid and maxilla

36
Q

Where are the frontal sinuses found?

A

between the outer and inner tables of the frontal bone, posterior to the superciliary arches and the root of the nose

37
Q

When are the frontal sinuses usually detectable?

A

By age of 7 years in children

38
Q

Where do the frontal sinuses drain?

A

They each drain through a Frontonasal Duct into the ethmoidal infundibulum, which opens into the semilunar hiatus of the Middle Nasal Recess.

39
Q

What are the ethmodal sinuses?

A

Small invaginations of the mucous membrane of the middle and superior nasal recesses into the Ethmoid bone

40
Q

What are the three ethomoidal sinuses?

A

Anterior ethmoidal cells
Middle ethmoidal cells
Posterior ethmoidal cells

41
Q

Where do anterior ethmoidal cells drain?

A

Ethmoidal infundibulum -> Middle nasal recess

42
Q

Where do the middle ethmoidal cells open into?

A

Middle nasal recess directly

43
Q

Where do the posterior ethmoidal cells open?

A

Directly intot he superior nasal recess

44
Q

Where are the sphenoidal sinuses located?

A

Body and wings of the sphenoid

45
Q

What is the clinical significance of the location of hte sphenoidal sinus?

A

Body is fragile and only thin plates of bone separate the sinuses from important structures (optic nerves and chiasm, pituitary and internal carotid arteries)

46
Q

Where does the sphenoidal sinus drain?

A

Sphenoethmoidal recess

47
Q

Where are the maxillary sinuses found?

A

Bodies of the maxillae

48
Q

Where do the maxillary sinuses drain?

A

The Maxillary Sinuses are the largest of the paranasal sinuses. They occupy the bodies of the Maxillae.
They drain by one or more openings, the Maxillary Ostium (ostia), into the middle nasal recess by way of the semilunar hiatus.