Nasal Cavity and Paranasal Sinuses Flashcards

1
Q

Why is it important for air to flow through the concha and meatuses?

A

creates more surface area, warms air, humidifies and filters air

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2
Q

Where does frontal sinus drain?

A

into infundibulum via the frontonasal duct into the semilunaris hiatus to the middle meatus

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3
Q

Where do anterior ethmoidal cells drain?

A

semilunaris hiatus

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4
Q

Where do middle ethmoidal air cells drain?

A

ethmoidal bulla

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5
Q

What makes the inferior surface of the semilunar hiatus?

A

uncinate process of ethmoidal bone

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6
Q

What are the 3 walls of the maxillary sinus?

A
superior = separates sinus from orbit 
Medial= separates sinus from nasal cavity
Lateral = separates from infra temporal fossa
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7
Q

T/F Maxillary sinus cannot dip below the hard palate

A

F; can

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8
Q

Where does maxillary sinus drain?

A

middle meatus through the maxillary ostium

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9
Q

What does the nasal cavity share borders with?

A

oral cavity, anterior cranial fossa and orbit

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10
Q

What does the nasal cavity share neurovasculature with?

A

oral cavity

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11
Q

What might the roots of upper teeth be covered by in the maxillary sinus?

A

mucoperiosteum

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12
Q

Why is it bad if tooth root extends into maxillary sinus?

A

infection could spread, extraction may tear the membrane, produces fistula between mouth and maxillary sinus

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13
Q

What happens if fistula forms between mouth and maxillary sinus?

A

patient unable to blow cheeks out

  • air from mouth escapes via fistula into sinus and nasal cavity
  • no way to filter air
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14
Q

Where do posterior ethmoidal air cells drain?

A

superior meatus

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15
Q

Where does the nasolacrimal duct drain?

A

inferior meatus

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16
Q

Why can profuse bleeding occur in nasal cavity?

A

from extensive anastomoses in Kiesselbach’s area

17
Q

What are the anastomoses in Kiesselbach’s area?

A

facial = superior labial and lateral nasal of facial arteries
Greater palatine a. via the incisive foramen/canal

18
Q

How is epistaxisis controlled?

A

nasal packs or cautery

19
Q

What are the orbital branches in the nasal cavity?

A

septal and lateral branches of anterior and posterior ethmoidal aa.

20
Q

What are the facial artery branches?

A

alar branch of lateral nasal a and septal branch of nasal from superior labial artery

21
Q

What are the maxillary artery branches?

A

lateral and septal branches of spenopalatine a, and greater palatine a

22
Q

What is the special sensory n of the nasal cavity?

A

CN I

23
Q

What are the general sensory n from?

A

CN V1 = nasociliary n

CN V2 = infraorbital, nasopalatine, ASA, PS lateral , PIL nn

24
Q

What are the branches from nasociliary n?

A

external nasal br of anterior ethmoidal n, anterior ethmoidal n, septal branch of anterior ethmoidal n

25
Q

What anastomoses in incisive canal?

A

posterior septal branch of sphenopalatine and greater palatine aa

26
Q

Where does deep petrosal n come from?

A

Internal carotid n plexus through carotid canal