Anatomy Of The Nose And Paranasal Air Sinuses Flashcards

1
Q

What are the main functions of the nose and nasal cavity?

A

Olfaction, warming and humidifying air, drainage of secretions

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2
Q

Which bones contribute to the external nose?

A

Nasal bones and frontal processes of maxilla

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3
Q

What are the three divisions of the nasal cavity?

A

Vestibule, respiratory region, olfactory region

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4
Q

What are nasal conchae?

A

Curved shelves of bone projecting out of the lateral walls of the nasal cavity

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5
Q

What are pathways for air called that are created by the conchae?

A

Meatuses

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6
Q

What is the function of the conchae?

A

Increase surface area of the nasal cavity and slows flow of air, so increases amount of air it can come into contact with and amount of time it spends in nasal cavity

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7
Q

Where do the frontal, maxillary and anterior ethmoid also sinuses drain into to enter the nasal cavity?

A

Middle meatus (inferior to middle conchae)

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8
Q

What structures drain into the nasal cavity?

A

Para nasal sinuses, nasolacrimal duct, Eustachian tube

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9
Q

Where is epistaxis most likely to take place within the nose?

A

Kiesselbach area (anterior third of nasal cavity)

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10
Q

What happens in a septal haematoma?

A

Injury to nose can shear blood vessels, blood accumulates sub-perichondrium depriving underlying cartilage of its blood supply from perichondrium

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11
Q

How would you manage a septal haematoma?

A

Aspirate and apply tamponade

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12
Q

What deformity can result from inadequate treatment of a septal haematoma?

A

Saddle-nose deformity

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13
Q

Which cranial nerve carries general sensation from the nasal cavity?

A

Trigeminal nerve

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14
Q

Which divisions of the trigeminal nerve supply the external nose and nasal cavity?

A

External nose is opthalmic division (via nasociliary nerve). Nasal cavity is maxillary division (via nasopalatine nerve)

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15
Q

What cells are found in the respiratory division of the nasal cavity?

A

Pseudostratified columnar ciliated epithelia and goblet cells

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16
Q

Where does the arterial supply to nasal mucosa come from?

A

Branches of opthalmic and maxillary artery

17
Q

What are the names of the four pairs of para nasal air sinuses?

A

Maxillary, ethmoid, frontal and sphenoid sinuses

18
Q

What cell types line the para nasal sinuses?

A

Respiratory mucosa (ciliated and produce mucus)

19
Q

What cranial nerve branches supply the para nasal sinuses?

A

Va- frontal, ethmoid and sphenoid

Vb- maxillary

20
Q

Which para nasal sinus is mot likely to be affected by sinusitis?

A

Maxillary