the Paranasal Sinuses: nerves and vessels Flashcards
Identify
- Frontal sinus
- Ethmoid sinuses
- Maxillary sinus
Identify
- Frontal sinus
- Ethmoid sinuses
- Maxillary sinus
Identify
- Frontal sinus
- Ethmoid sinuses
- Maxillary sinus
Identify
- Frontal sinus
- Ethmoid sinuses
- Sphenoid sinus
Location of frontal sinus
Within frontal bone
Arterial supply of frontal sinus
Ophthalmic branches (anterior ethmoidal, supraorbital, supratrochlear arteries)
Nerve supply of frontal sinus
ophthalmic division of trigeminal nerve
Location of maxillary sinus
Within maxillary bone
Arterial supply of maxillary sinus
Maxillary branches
Nerve supply of maxillary sinus
Within Maxillary division of trigeminal
Location of ethmoid sinus
Within ethmoid bone
Arterial supply of ethmoid sinus
Ophthalmic and maxillary branches
Nerve supply of ethmoid sinus
Ophthalmic and maxillary division of trigeminal
Vascular Supply of the Frontal Sinuses
What are the 3 branches that supply frontal sinus?
Anterior ethmoidal artery
Supraorbital artery
supratrochlear artery
→ coming from Ophthalmic a. (from internal carotid)
Vascular Supply of the Frontal Sinuses
Identify 1 → 3
- Supraorbital a.
- Supratrochlear a.
- Frontal sinus
Vascular Supply of the Frontal Sinuses
Identify 4 → 5
- Lacrimal a.
- Optic n
Vascular Supply of the Frontal Sinuses
Identify 6 - 7
- Posterior ethmoid a.
- Anterior ethmoid a.
Nerve Supply of the Frontal Sinuses
→ What are the 2 nerves that supply frontal sinuses? Their sources?
Ophthalmic division of trigeminal
→ Supraorbital & supratrochlear nerves
Nerve Supply of the Frontal Sinuses
→ Supraorbital nerve passes between ___ and ____
levator palpebrae superioris m. and periosteum of orbit
Nerve Supply of the Frontal Sinuses
→ Identify 1 → 3
- Supraorbital n.
- Supratrochlear n.
- Frontal sinus
Nerve Supply of the Frontal Sinuses
→ Identify 4 → 6
- Lacrimal n.
- Frontal n.
- Nasociliary n.
Nerve Supply of the Frontal Sinuses
→ Identify 7 -8
- Posterior ethmoid n.
- Anterior ethmoid n.
Vascular Supply of the Ethmoid Sinuses
Identify 1 - 2
- Anterior ethmoid a.
- Posterior ethmoid a.
Vascular Supply of the Ethmoid Sinuses
Identify 3 - 4
- Sphenopalatine a.
- Posterior lateral nasal a.
Vascular Supply of the Ethmoid Sinuses
Arterial branches that supply ethmoid sinuses?
- Anterior ethmoidal a. (Ophthalmic a. (from internal carotid))
- Posterior ethmoidal a Ophthalmic a. (from internal carotid))
- Posterior lateral nasal branches (Sphenopalatine a. (from maxillary a. from external carotid))
Vascular Supply of the Ethmoid Sinuses
Source of Posterior lateral nasal branches a.
Sphenopalatine a. (from maxillary a. from external carotid)
Vascular Supply of the Ethmoid Sinuses
Posterior lateral nasal branches a.
→ Anastomose with ___ to help supply ethmoid air cells and sphenoid sinus
ethmoidal aa.
Nerve Supply of the Ethmoid Sinuses
Nerve Branches that supply ethmoid sinuses
- Anterior ethmoid
- Posterior ethmoid
- Posterior lateral superior nasal
- Posterior lateral inferior nasal
Nerve Supply of the Ethmoid Sinuses
Identify 1 - 2
- Anterior ethmoid n.
- Posterior ethmoid n.
Nerve Supply of the Ethmoid Sinuses
Identify 3 - 4
- Pterygopalatine ganglion
- Posterior lateral superior nasal n.
Nerve Supply of the Ethmoid Sinuses
Identify 5 - 7
- Lesser palatine n.
- Greater palatine n.
- Posterior lateral inferior nasal n.
Vascular Supply of the Maxillary Sinuses
3 branches? Their source(s)?
Maxillary a. from external carotid give rise to
- Anterior superior alveolar
- Middle superior alveolar
- Posterior superior alveolar
Vascular Supply of the Maxillary Sinuses
Identify 1
- Maxillary a.
Vascular Supply of the Maxillary Sinuses
Identify 2
- Infraorbital a.
Vascular Supply of the Maxillary Sinuses
Identify 3 - 5
- Posterior superior alveolar a.
- Middle superior alveolar a.
- Anterior superior alveolar a.
Vascular Supply of the Maxillary Sinuses
Anterior superior alveolar a.
→ Arises from _____ after it passes through inferior orbital fissure and into infraorbital canal and descends via alveolar canals to supply sinus
infraorbital a. of maxillary
Vascular Supply of the Maxillary Sinuses
Anterior superior alveolar a.
→ Arises from infraorbital a. of maxillary after it passes through inferior orbital fissure and into infraorbital canal and descends via ___ to supply sinus
alveolar canals
Vascular Supply of the Maxillary Sinuses
Middle superior alveolar a.
→ When present, it arises from infraorbital a. of maxillary after passing through ____ and into infraorbital canal and descends via alveolar canals to supply sinus
inferior orbital fissure
Vascular Supply of the Maxillary Sinuses
Posterior superior alveolar a.
→ Arises from 3rd part of maxillary a. before maxillary a. enters_____
pterygopalatine fossa (and then branch)
Vascular Supply of the Maxillary Sinuses
Posterior superior alveolar a.
→ Arises from 3rd part of maxillary a. before maxillary a. enters pterygopalatine fossa and branch
→ Enters _____ to supply sinus
infratemporal surface of maxilla
Nerve Supply of the Maxillary Sinuses
Identify 1
- Maxillary n.
Nerve Supply of the Maxillary Sinuses
Identify 2
- Posterior superior alveolar n.
Nerve Supply of the Maxillary Sinuses
Identify 3
- Infraorbital n.
Nerve Supply of the Maxillary Sinuses
Identify 4 - 5
- Middle superior alveolar n.
- Anterior superior alveolar n.
Nerve Supply of the Maxillary Sinuses
Source of Anterior superior alveolar, Middle superior alveolar, Posterior superior alveolar nerves?
Maxillary division of trigeminal nerve
Nerve Supply of the Maxillary Sinuses
Anterior superior alveolar nerve
→ Branches from (1)___ as it travels in infraorbital canal
→ As it descends to form (2)____, it innervates part of maxillary sinus
- infraorbital n.
- superior dental plexus
Nerve Supply of the Maxillary Sinuses
Middle superior alveolar nerve
→ When present, it branches from infraorbital n. as it travels in (1)____
As it descends to form superior dental plexus, it innervates part of (2)____
- infraorbital canal
- maxillary sinus
Nerve Supply of the Maxillary Sinuses
Posterior superior alveolar nerve
→ Arises in ___
pterygopalatine fossa
Nerve Supply of the Maxillary Sinuses
Posterior superior alveolar nerve
→ Arises in pterygopalatine fossa and travels laterally through ____ to enter infratemporal fossa where it enters infratemporal surface of maxilla
pterygomaxillary fissure
Nerve Supply of the Maxillary Sinuses
Posterior superior alveolar nerve
→ Arises in pterygopalatine fossa and travels laterally through pterygomaxillary fissure to enter ____
infratemporal fossa where it enters infratemporal surface of maxilla
Nerve Supply of the Maxillary Sinuses
What is superior dental plexus? How is it formed?
The superior dental plexus is a nerve plexus which supplies the upper jaw.
-→ Formed by posterior superior alveolar nerve, middle superior alveolar nerve, and anterior superior alveolar nerve
Vascular Supply of the Sphenoid Sinuses
Identify 1 - 2
- Posterior ethmoid a.
- Sphenopalatine a.
Vascular Supply of the Sphenoid Sinuses
Identify 3
- Posterior lateral nasal a.
Vascular Supply of the Sphenoid Sinuses
Source of posterior ethmoidal artery
Ophthalmic a. (from internal carotid)
Vascular Supply of the Sphenoid Sinuses
posterior ethmoidal artery
→ Passes through posterior ethmoid foramen to enter canal where it supplies___ and ____
sphenoid sinus and posterior ethmoid air cells
Vascular Supply of the Sphenoid Sinuses
Source of Posterior lateral nasal branches
Sphenopalatine a. from maxillary (from external carotid)
Vascular Supply of the Sphenoid Sinuses
Posterior lateral nasal branches
→ anastomose with ethmoidal aa. to help supply ____ and ____
sphenoid sinus and ethmoid air cells
Nerve Supply of the Sphenoid Sinuses
Identify 1 → 2
- Frontal sinus
- Ethmoid sinus
Nerve Supply of the Sphenoid Sinuses
Identify 3
- Posterior ethmoid n.
Nerve Supply of the Sphenoid Sinuses
Identify 4
- Pterygopalatine ganglion
Nerve Supply of the Sphenoid Sinuses
Identify 5
- Orbital branch from pterygopalatine ganglion
Nerve Supply of the Sphenoid Sinuses
Identify 6 - 7
- Nerve of the pterygoid canal
- Nasopalatine n.
Nerve Supply of the Sphenoid Sinuses
Identify 8
- Posterior lateral superior nasal n.
Nerve Supply of the Sphenoid Sinuses
Identify 9 - 10
- Lesser palatine n.
- Greater palatine n.
Nerve Supply of the Sphenoid Sinuses
Source of Orbital branch from pterygopalatine ganglion
Maxillary division of trigeminal