Nasal cavity Flashcards

(60 cards)

1
Q

Why can you not use adrenaline-containing local anaesthetics near the nasal cartilages?

A
  • Cartilage doesn’t have direct blood supply
  • It relies on diffusion from surrounding arteries
  • It can constrict these arteries to the point where cartilage can die
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2
Q

What are the 7 bones of the nasal cavity?

A
  • frontal
  • nasal
  • ethmoid
  • inferior nasal concha
  • maxilla
  • perpendicular plate of the ethmoid bone
  • the vomer
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3
Q

What bone is the roof of the ethmoid bone?

A

cribriform plate and crista galli

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4
Q

what is the lateral wall of the nasal cavity?

A

superior and middle conchae

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5
Q

what is the septum of the ethmoid bone?

A

perpendicular plate of ethmoid and vomer

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6
Q

What is the le fort fracture I?

A

separation of alveolar bone from the rest of the maxilla

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7
Q

what is the le fort fracture II?

A

majority of viscerocranium is separated away

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8
Q

what is the le fort fracture III?

A

separation of viscerocranium from neurocranium

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9
Q

What level fractures can disrupt the cribriform plate of the ethmoid bone?

A

2 and 3

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10
Q

What is the danger of disrupting the ethmoid bone?

A

danger of infection spreading from the nasal cavity and paranasal sinuses into the anterior cranial fossa

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11
Q

What bones make up the medial wall of right nasal cavity?

A
  • septal cartilage
  • the vomer
  • perpendicular plate of the ethmoid bone
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12
Q

what bones make up the lateral wall of the nasal cavity?

A
  • frontal bone
  • nasal bone
  • maxilla
  • palatine bone
  • inferior, middle, and superior concha
  • pterygoid plates of the sphenoid bone
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13
Q

what are the 3 types of mucosa of the nasal cavity?

A
  1. keratinised stratified squamous epithelium
  2. respiratory epithelium
  3. olfactory mucosa
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14
Q

What is cranial nerve 1?

A

olfactory

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15
Q

what type of nerve is the olfactory nerve?

A

special sensory

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16
Q

what is the pathway of olfactory nerves receptor cells?

A

from olfactory mucosa, through cribriform plate of ethmoid bone, 1st neurones in chain

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17
Q

where is the olfactory nerve ganglion?

A

olfactory bulb

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18
Q

what cell bodies are in the olfactory bulb?

A

cell bodies of 2nd neurones

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19
Q

where does the olfactory tract end?

A

temporal lobe

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20
Q

where do receptor cells synapse?

A

olfactory bulb

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21
Q

where are the olfactory receptor cells found?

A

olfactory mucosa on lateral wall and septum

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22
Q

what provides the somatic sensory nerve supply to the lateral wall and septum of the nasal cavity?

A

trigeminal nerve

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23
Q

where does the blood supply to the nasal cavity originate?

A

from both external and internal carotid arteries

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24
Q

what does the external carotid artery branch into to supply the nasal cavity?

A

facial
maxillary

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25
what does the internal carotid artery branch into to supply the nasal cavity?
ophthalmic
26
what does the ophthalmic artery branch into to supply the nasal cavity?
anterior and posterior ethmoidal arteries
27
what does the maxillary artery branch into to supply the nasal cavity?
sphenopalatine and greater palatine arteries
28
what does the facial artery branch into to supply the nasal cavity?
lateral nasal branch of facial or septal branch of superior labial artery
29
what is kiesselbach's area?
an arterial anastomosis on the nasal spetum
30
what is the name of the arterial anastomosis of the nasal septum?
kiesselbachs area
31
what is epistaxis?
nosebleed
32
what is the anatomical term for a nosebleed?
epistaxis
33
what are the 3 nasal conchae?
inferior middle and superior
34
what are the spaced under each concha?
meatuses
35
what are the 3 meatuses?
inferior middle and superior
36
what is the recess in the nasal cavity?
sphenoethmoidal
37
what lies above the superior concha?
sphenoethmoidal recess
38
what is the name for air filled spaces within bones?
paranasal sinuses
39
what are the 4 paranasal sinuses?
frontal maxillary ethmoidal air cells sphenoid
40
what are the frontal sinuses separated by?
bony septum
41
what are paranasal sinuses lined by?
mucous-secreting respiratory mucosa
42
how does mucous drain into nasal cavities?
ostia in the lateral walls of the nasal cavity
43
where does the frontal sinus drain in to?
middle meatus
44
where do the ethmoidal cells drain in to?
superior and middle meatuses
45
where does the sphenoidal sinus drain in to?
sphenoethmoidal recess
46
where does the maxillary sinus drain in to?
middle meatus
47
what gland produces tears?
lacrimal gland
48
where do tears drain to?
lacrimal sac to the nasolacrimal duct then the inferior meatus of nasal cavity
49
what is inflammation of the mucosa of paranasal sinuses?
sinusitis
50
what is sinusitis?
inflammation of the mucosa of the paranasal sinuses
51
what are the 3 causes of sinusitis?
infection allergy autoimmune issues
52
what nerves create the pain sensation in sinusitis?
CN V1 and V2
53
What are the right and left nasal cavities separated by?
nasal septum
54
what is the nasal septum formed from?
perpendicular plate of the ethmoid bone and the vomer and septal cartilages
55
what is the roof of the nasal cavity formed by?
nasal bones and the cribriform plate of the ethmoid bone
56
what is the floor of the nasal cavity formed by?
right and left maxillae and palatine bones
57
what arteries form the anastomosis in the nasal cavity?
ophthalmic, maxillary and facial
58
what are the nasal cavities mainly lined by?
respiratory epithelium - pseudostratified columnar with cilia and goblet cells
59
what are ostia?
"holes" in the recesses and meatuses of the lateral walls
60
what is the role of ostia's?
allow drainage of mucous from the paranasal sinuses