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Head and Neck - nose, nasal cavity and sinuses
Anatomy of the head and neck
38
Health Care
Professional
10/10/2010

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Cards

Term
The inferior surface of the nose has nares bounded by...
Definition
alae.
Term
The skeleton of the nose includes which bones, which cartilages?
Definition
Nasal bones
Frontal bone (nasal process and spine)
Frontal process of the maxilla
Bony parts of nasal septum
Lateral cartilages
Alar cartilages
Septal cartilage
Term
Describe the nasal vestibule
Definition
Nasal vestibule – internal to the nares, lined by skin and contains numerous hair follicles
Term
Describe the respiratory region of the nose
Definition
Respiratory region – the largest part of the nasal cavity and lined by respiratory epithelium, has very rich neurovascular supply
Term
Describe the olfactory region of the nose
Definition
Olfactory region – at the apex of each nasal cavity, lined by olfactory epithelium and contains peripheral olfactory receptors
Term
The nasal cavity opens posteriorly through the...
Definition
choanae
Term
The superior meatus has an opening for what?
Definition
posterior ethmoidal sinuses
Term
The middle meatus has what openings?
Definition
Infundibulum opening of frontonasal duct that drains frontal sinus and anterior ethmoidal, ethmoidal bulla (middle ethmoidal cell), opening of maxillary sinus (semilunar hiatus)
Term
The inferior meatus has what opening?
Definition
opening of nasolacrimal duct (anteriorly)
Term
What passes in the shenopalatine foramen?
Definition
branches of maxillary artery and CN V2
Term
What passes in the incisive canal?
Definition
nasopalatine nerve; greater palatine artery
Term
Briefly map the main 3 source of blood supply to the nasal cavity
Definition
External carotid artery-> Maxillary artery-> sphenopalatine and greater palatine arteries
Internal carotid artery-> Ophthalmic artery-> Anterior and posterior ethmoidal arteries
Facial artery -> septal branch of superior labial artery
Term
What is the arterial plexus on the nasal septum?
Definition
kiesselbach's plexus
Term
Which arterial branch supplies anterior region of medial wall and floor of nasal cavity?
Definition
Greater palatine artery
Term
What two branches of the facial artery supply the anterior nasal cavity and external nose?
Definition
Septal branch from nasal artery from superior labial, alar branch of lateral nasal artery
Term
Anterior and posterior ethmoidal arteries enter the nasal cavity through what openings? What do they supply?
Definition
Cribiform plate. They both do medial and lateral walls, anterior ethmoidal also supplies external nose.
Term
A rich venous plexus is found where in the nose?
Definition
submucosa of inferior and middle conchae and nasal septum
Term
Where do tributaries of the nasal venous plexus drain?
Definition
- posteriorly to pterygoid plexus
- anteriorly to superior labial to
facial vein
- superiorly to ophthalmic veins to
cavernous sinus
Term
Sympathetics in the nasal cavity come from...
Definition
T1/deep petrosal
Term
Which branches of CN V innervate the nasal cavity?
Definition
V1 and V2
Term
Axons from receptors in the olfactory epithelium synapse with neurons in the...
Definition
olfactory bulb
Term
Trace the path of the anterior ethmoidal nerve.
Definition
From nasociliary nerve, leaves orbit through the canal between ethmoid and frontal bones; supplies ethmoidal cells and frontal sinus, enters the cranial cavity
- enters the nasal cavity through the foramen lateral to crista galli, has branches to the medial and lateral wall, terminates as external nasal nerve
Term
Trace the path of the posterior ethmoidal nerve
Definition
From nasociliary, leaves orbit through the medial wall and supplies ethmoidal cells and sphenoidal sinus
Term
Where do posterior superior lateral and medial nasal nerves come from? What do they innervate?
Definition
from V2, supply lateral wall, roof and nasal septum
Term
Where does the nasopalatine nerve come from? What does it innervate?
Definition
V2, supplies medial wall and passes through incisive canal into oral cavity
Term
Which nerves branch from the greater palatine nerve (from the pterygopalatine fossa via the palatine canal), and innervate the lateral wall?
Definition
Posterior inferior lateral nasal nerves
Term
What does the small nasal nerve come from? What does it supply?
Definition
from infra-orbital nerve, passes through maxilla and supplies lateral wall
Term
Lymphatics of anterior nasal cavity go to...
Definition
submandibular nodes
Term
Lymphatics of the posterior nasal cavity and sinuses drain to...
Definition
plexus anterior to jugulodigastric node, part of upper deep cervical nodes
Term
Which paranasal sinuses are usually absent at birth?
Definition
Frontal and sphenoidal
Term
What lines the nasal sinuses?
Definition
mucoperiosteum
Term
How many ethmoid air cells are there?
Definition
6-20, 3 groups
Term
What are ethmoid cells innervated by?
Definition
Ethmoidal branches of nasociliary nerve (V1)
Term
Thin bone separates the sphenoidal sinuses from what? What are they innervated by?
Definition
optic nerves and chiasm, pituitary gland, internal carotid artery and cavernous sinus. Posterior ethmoidal nerves from nasociliary (V1)
Term
The apex of the maxillary sinus is toward which bone?
Definition
zygomatic
Term
What forms the base of the maxillary sinus?
Definition
Lateral wall of nasal cavity
Term
What forms the roof and floor of the maxillary sinus?
Definition
Orbit and alveolar part of maxilla
Term
What is the blood supply and innervation of the maxillary sinus?
Definition
Superior alveolar artery from maxillary artery, superior alveolar nerves from V2
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