Documente Academic
Documente Profesional
Documente Cultură
sinuses
AYMAN YAKOUT
GMU AJMAN UAE
NOSE
External nose
Bones
Nasal cavity
Mucous membrane
Olfactory portion
Respiratory portion
Communications of nasal cavity
Floor
Roof
Lateral wall
Medial wall
Relations of nasal
cavity
Important in the spread of infection
Direct continuity with
(i) the anterior cranial
fossa (via the cribriform plate of the ethmoid bone)
(ii) the nasopharynx and, through the
pharyngotympanic tube, the middle ear
(iii) the paranasal air sinuses
(iv) the lacrimal apparatus and conjunctiva.
Nasal Mucosa
Functions of Nose
Olfaction
Respiration
Filtration of dust
Humidification
Elimination of secretions from
paranasal sinuses and nasolacrimal
ducts
-Sphenopalatine artery
Blood supply
The upper part of the nasal cavity
receives its arterial supply from the
ethmoidal branches of the ophthalmic
artery, a branch of the internal
carotid.
The sphenopalatine branch of the
maxillary artery, a terminal of the
external carotid, supplies the lower
part of the cavity.
Kesselbachs
Plexus/Littles Area:
-Anterior Ethmoid (Opth)
-Superior Labial A (Facial)
-Sphenopalatine A (IMAX)
-Greater Palatine (IMAX)
Woodruffs Plexus:
-Pharyngeal & Post. Nasal
AA of Sphenopalatine A
(IMAX)
Epistaxis
venous drainage
Veins accompany the arteries
The veins drain downwards into the
facial vein
and upwards to the ethmoidal
tributaries of the ophthalmic veins.
Innervation
Sense of smell is via the olfactory nerve,
which sends microscopic fibers from the
olfactory bulb through the cribiform plate
to reach the top of the nasal cavity.
General sensory innervation is by
branches of the
Trigeminal nerve (V1 & V2)
Nasociliary nerve (V1)
Nasopalatine nerve (V2)
Posterior nasal branches of Maxillary nerve
(V2)
Lymphatics
Clinical features
Nasal Fractures
Epistaxis
Rhinitis
Deviated nasal septum
Nasal polyps
Boil on nose
Pathology
Deviation
Usually in
cartilagenous part
Different shapes
C shaped
S shaped
Spur
At junction of
cartilage and bone
Symptoms
Nasal obstruction
Nasal deformity
Sense of smell and
taste are disturbed
Recurrent epistaxis
Nasal Polyp
Smooth glistening
grape like masses
Pale but Protruding
polyp may appear pink
Insensitive to probing
Do not bleed on touch
Sinuses
Functions of sinuses
Warm and humidify inspired air
Resonance of voice
Reduce the weight of skull
Guess what?
Guess what?