Upper Respiratory tract Flashcards
Blood supply of External nose
ARTERY:
- angular artery (facial a.)
- Dorsal nasal artery (opthalmic artery)
- External nasal branches (anterior ethmoidal a.)
- Infraorbital artery (maxillary artery)
VEIN:
- facial vein
- Superior ophthalmic vein
Innervation of External nose
- Ophthalmic nerve (sensory, ⇒Nasociliary)
- Maxillary nerve (sensory, ⇒ infraorbital)
- Facial nerve (motor)
Walls of Nasal Cavity
SUPERIOR WALL: - nasal bone - nasal part of frontal bone - cribriform plate of ethmoid bone - body of sphenoid bone INFERIOR WALL: - palatine process of maxilla - horizontal plate of palatine bone - premaxilla LATERAL WALL: - maxilla anteriorly - lacrimal bone - ethmoid bone: superior and middle nasal concha - inferior nasal concha - perpendicular process of palatine bone
Superior nasal meatus
- under superior nasal concha
- posterior ethmoidal cells open
- sphenoethmoidal recess⇒ sphenoid sinus drains into
- sphenopalatine foramen
Middle nasal meatus
- below middle nasal concha
- frontal, maxillary and anterior ethmoidal air cells open
- unicate process
- ethmoidal bulla
- semilunar hiatus
Inferior nasal meatus
- below inferior nasal concha
- nasolacrimal duct opens
Blood supply of Lateral wall of nasal cavity
ARTERY:
- Anterior Ethmoidal artery (ophthalmic)
- Posterior Ethmoidal artery (ophthalmic)
- Sphenopalatine artery (maxillary)
- Lateral nasal branches of facial artery
- Alar branches of superior labial artery (facial)
VEIN:
- Ophthalmic vein
- Pterygoid venous plexus
- Facial vein
Innervation of Lateral wall of Nasal Cavity
- ophthalmic nerve⇒ anterior and posterior ethmoidal nerves
- maxillary nerve⇒
posterior superior lateral nasal branches
posterior inferior nasal branches
infraorbital nerve
anterior superior alveolar branches
Blood supply of Nasal Septum
ARTERY: - anterior ethmoidal artery (ophthalmic) - posterior ethmoidal artery (ophthalmic) - sphenopalatine (maxillary) - superior labial artery (facial) VEIN: ophthalmic vein - pterygoid venous plexus - facial vein LYMPH: - anterior: ⇒ submandibular and superficial lymph nodes of anterior neck - posterior: ⇒ retropharyngeal and deep cervical lymph nodes
Kiesselbach’s area
well developed cavernous area on the anterior portion of the nasal septum rich in capillaries and often site of bleeding
Innervation of Nasal Septum
- Ophthalmic nerve⇒ anterior and posterior ethmoidal nerves
- Maxillary nerve
nasopalatine nerve od Scarpa
posterior superior medial nasal branches
infraorbital nerve - Olfactory nerves
Paranasal sinuses
- Frontal sinus (⇒ middle nasal meatus)
- Ethmoidal sinus (⇒superior and middle nasal meatus)
- Sphenoidal sinus (⇒ sphenoethmoidal recess)
- Maxilary sinus (⇒ middle nasal meatus)
Ligaments of Larynx
- Extrinsic ligaments:
- Thyrohyoid membrane
- Thyroepiglottic ligament
- Hyoepiglottic ligament
- Cricotracheal ligament - Intrisic Ligaments:
- Quadrangular membrane
- Triangular membrane
Cricothyroideus
O: anterior arch of cricoid cartilage
I: wing of thyroid cartilage
I: superior laryngeal nerve
F: tenses vocal folds by tilting thyroid cartilage
Lateral cricoarytenoid
O: arch of cricoid cartilage
I: muscular process of Arytenoid cartilage
I: Recurrent laryngeal nerve
F: narrows rima glottides