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Anatomy and physiology
● Nose
● Paranasal sinuses
Nasal cavity
● The nasal cavity participates in speech
resonance with either closure or opening of
velopharyngeal port.
● Production of M,N requires closure
somewhere in oral cavity combined with
opening of velopharyngeal port, allowing the
nasal cavity to serve as primary
resonator.
Function of the Nose
⮚The only externally visible part
of the respiratory system that
functions by
⮚Providing an airway for
respiration
Moistening and warming the
entering air
Function of the Nose
⮚ Filtering inspired air and cleaning it of foreign
matter
⮚ Serving as a resonating chamber for speech
⮚ Housing the olfactory receptors
Structure of the Nose
The nose is divided into two regions
⮚ The external nose, including the root, bridge,
dorsum nasi, and apex
⮚ The internal nasal cavity
⮚ Philtrum: a shallow vertical groove inferior to
the apex
⮚ The external nares (nostrils) are bounded
laterally by the alae
Structure of the Nose
Structure of the Nose
The structure of Nose
● above by
– Nasal bones,
– maxillae, and
– frontal bone.
● Below,
– plates of cartilage
External Nose
External nose
● The external nose has two orifices.. naris
(nostrils), which are separated from each
other by the columela.
● The lateral margin, the ala nasi, is rounded
and mobile.
Nasal Cavity
⮚ Lies in and posterior to the external nose
Is divided by a midline nasal septum
Opens posteriorly into the nasal pharynx via
internal nares
⮚ The ethmoid and sphenoid bones form the
roof
⮚ The floor is formed by the hard and soft
palates
⮚ Vestibule: nasal cavity superior to the nares
⮚ Vibrissae: hairs that filter coarse particles
from inspired air
⮚ Olfactory mucosa Lines the superior nasal
cavity, Contains smell receptors
Respiratory mucosa
⮚ Lines the inner surface of the nasal cavity
⮚ Glands secrete mucus containing lysozyme
and defensins to help destroy bacteria
Inspired air is:
⮚ Humidified by the high water content in the
nasal cavity
⮚ Warmed by rich plexuses of capillaries
⮚ Ciliated mucosal cells remove contaminated
mucus
Superior, medial, and inferior conchae:
Protrude medially from the lateral walls
⮚ Increase mucosal area
⮚ Enhance air turbulence and help filter air
⮚ Sensitive mucosa triggers sneezing when
stimulated by irritating particles
Functions of the Nasal Mucosa and
Conchae
During inhalation the conchae and nasal
mucosa:
⮚ Filter, heat, and moisten air
⮚ During exhalation these structures:
⮚ Reclaim heat and moisture
⮚ Minimize heat and moisture loss
Nerve supply of nose
● The sensation of the nose is derived from the
first 2 branches of the trigeminal nerve.
Ophthalmic division
⮚ Nasociliary - Skin of the nose and mucous
membrane of anterior nasal cavity
● Anterior ethmoid - Anterior half of nasal cavity: (1)
internal - ethmoid and frontal sinuses and (2) external -
nasal skin to tip of nose
● Posterior ethmoid - Superior half of nasal cavity, namely
the sphenoid and ethmoids
● Maxillary division
– Maxillary
– Infraorbital - External nares
– Zygomatic
– Superior posterior dental
– Superior anterior dental - Mediates sneeze reflex
– Sphenopalatine - Divides into lateral and septal branches
and conveys sensation from posterior and central regions of
the nasal cavity
● .
● The parasympathetic supply is derived from
the cranial nerve VII.
Paranasal Sinuses
● Purpose of sinuses
⮚ Resonating chamber for
voice
⮚ Decrease weight of skull
⮚ Warm & moisten air
⮚ Shock absorbers
⮚ Immune system
Sinus Anatomy
⮚ Aerated at birth
⮚ Maxillary sinuses
⮚ Age 6-7
⮚ Frontal /sphenoidal
sinuses
⮚ Puberty- approx 17-18
yrs
⮚ Ethmoid
Maxillary Sinuses
⮚ Largest sinuses
⮚ 3.5 cm high
⮚ 2.5 – 3 cm wide
⮚ Within maxilla
⮚ Above upper teeth
⮚ Paired & symmetric
⮚ Communicates with middle
nasal meatus
Frontal Sinuses
⮚ Second largest sinuses
⮚ 2 – 2.5 cm
⮚ Normally:
⮚ Between tables of vertical plate in
frontal bone
⮚ Can extend beyond frontal bone
inot the orbital plates
⮚ Rarely symmetrical
⮚ Number varies (occassionally
absent)
⮚ Drain into middle nasal meatus
Sphenoid Sinuses
⮚ Below sella turcica
⮚ Extends between dorsum
sellae and post clinoid
processes
⮚ Can be single or paired
⮚ Usually no more than two
⮚ Drains into sphenoethmoidal
recess of nasal cavity
Ethmoid Sinuses
⮚ Within lateral masses of ethmoid
bone
⮚ Three groups:
⮚ Anterior, middle & posterior
⮚ Anterior & middle
⮚ 2-8 cells
⮚ Drains into middle nasal meatus
⮚ Posterior
⮚ 2-6 cells
⮚ Drain into superior nasal meatus
THANK YOU

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Nose.pptx

  • 1. Anatomy and physiology ● Nose ● Paranasal sinuses
  • 2.
  • 3. Nasal cavity ● The nasal cavity participates in speech resonance with either closure or opening of velopharyngeal port. ● Production of M,N requires closure somewhere in oral cavity combined with opening of velopharyngeal port, allowing the nasal cavity to serve as primary resonator.
  • 4. Function of the Nose ⮚The only externally visible part of the respiratory system that functions by ⮚Providing an airway for respiration Moistening and warming the entering air
  • 5. Function of the Nose ⮚ Filtering inspired air and cleaning it of foreign matter ⮚ Serving as a resonating chamber for speech ⮚ Housing the olfactory receptors
  • 6. Structure of the Nose The nose is divided into two regions ⮚ The external nose, including the root, bridge, dorsum nasi, and apex ⮚ The internal nasal cavity
  • 7. ⮚ Philtrum: a shallow vertical groove inferior to the apex ⮚ The external nares (nostrils) are bounded laterally by the alae
  • 10. The structure of Nose ● above by – Nasal bones, – maxillae, and – frontal bone. ● Below, – plates of cartilage
  • 12. External nose ● The external nose has two orifices.. naris (nostrils), which are separated from each other by the columela. ● The lateral margin, the ala nasi, is rounded and mobile.
  • 13. Nasal Cavity ⮚ Lies in and posterior to the external nose Is divided by a midline nasal septum Opens posteriorly into the nasal pharynx via internal nares ⮚ The ethmoid and sphenoid bones form the roof ⮚ The floor is formed by the hard and soft palates
  • 14. ⮚ Vestibule: nasal cavity superior to the nares ⮚ Vibrissae: hairs that filter coarse particles from inspired air ⮚ Olfactory mucosa Lines the superior nasal cavity, Contains smell receptors
  • 15. Respiratory mucosa ⮚ Lines the inner surface of the nasal cavity ⮚ Glands secrete mucus containing lysozyme and defensins to help destroy bacteria
  • 16.
  • 17. Inspired air is: ⮚ Humidified by the high water content in the nasal cavity ⮚ Warmed by rich plexuses of capillaries ⮚ Ciliated mucosal cells remove contaminated mucus
  • 18. Superior, medial, and inferior conchae: Protrude medially from the lateral walls ⮚ Increase mucosal area ⮚ Enhance air turbulence and help filter air ⮚ Sensitive mucosa triggers sneezing when stimulated by irritating particles
  • 19. Functions of the Nasal Mucosa and Conchae During inhalation the conchae and nasal mucosa: ⮚ Filter, heat, and moisten air ⮚ During exhalation these structures: ⮚ Reclaim heat and moisture ⮚ Minimize heat and moisture loss
  • 20. Nerve supply of nose ● The sensation of the nose is derived from the first 2 branches of the trigeminal nerve. Ophthalmic division ⮚ Nasociliary - Skin of the nose and mucous membrane of anterior nasal cavity ● Anterior ethmoid - Anterior half of nasal cavity: (1) internal - ethmoid and frontal sinuses and (2) external - nasal skin to tip of nose ● Posterior ethmoid - Superior half of nasal cavity, namely the sphenoid and ethmoids
  • 21. ● Maxillary division – Maxillary – Infraorbital - External nares – Zygomatic – Superior posterior dental – Superior anterior dental - Mediates sneeze reflex – Sphenopalatine - Divides into lateral and septal branches and conveys sensation from posterior and central regions of the nasal cavity ● .
  • 22. ● The parasympathetic supply is derived from the cranial nerve VII.
  • 23. Paranasal Sinuses ● Purpose of sinuses ⮚ Resonating chamber for voice ⮚ Decrease weight of skull ⮚ Warm & moisten air ⮚ Shock absorbers ⮚ Immune system
  • 24. Sinus Anatomy ⮚ Aerated at birth ⮚ Maxillary sinuses ⮚ Age 6-7 ⮚ Frontal /sphenoidal sinuses ⮚ Puberty- approx 17-18 yrs ⮚ Ethmoid
  • 25. Maxillary Sinuses ⮚ Largest sinuses ⮚ 3.5 cm high ⮚ 2.5 – 3 cm wide ⮚ Within maxilla ⮚ Above upper teeth ⮚ Paired & symmetric ⮚ Communicates with middle nasal meatus
  • 26. Frontal Sinuses ⮚ Second largest sinuses ⮚ 2 – 2.5 cm ⮚ Normally: ⮚ Between tables of vertical plate in frontal bone ⮚ Can extend beyond frontal bone inot the orbital plates ⮚ Rarely symmetrical ⮚ Number varies (occassionally absent) ⮚ Drain into middle nasal meatus
  • 27. Sphenoid Sinuses ⮚ Below sella turcica ⮚ Extends between dorsum sellae and post clinoid processes ⮚ Can be single or paired ⮚ Usually no more than two ⮚ Drains into sphenoethmoidal recess of nasal cavity
  • 28. Ethmoid Sinuses ⮚ Within lateral masses of ethmoid bone ⮚ Three groups: ⮚ Anterior, middle & posterior ⮚ Anterior & middle ⮚ 2-8 cells ⮚ Drains into middle nasal meatus ⮚ Posterior ⮚ 2-6 cells ⮚ Drain into superior nasal meatus