The nose has several important functions including respiration, olfaction, conditioning of inspired air, and protection of the lower airways. It has external and internal structures. The external nose consists of bone and cartilage while the internal nose includes nasal cavities divided by nasal conchae into passages that lead to paranasal sinuses. The nasal mucosa conditions air and supports smell. Olfactory neurons detect smells and relay signals to brain areas involved in processing odors.
osteology of head and neck is explained in complete detail.
It has two part. plz read both parts to get an complete overview about the osteology of head and neck region.
osteology of head and neck is explained in complete detail.
It has two part. plz read both parts to get an complete overview about the osteology of head and neck region.
Slideshow is from the University of Michigan Medical
School's M1 Immunology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Immunology
This is an educational presentation that describes methods of studying skull. Various Normas has been explained with diagrams. The presentation is the continuation of previously uploaded matter wherein major bones of the skull was explained. link to previous ppt is https://www.slideshare.net/AyshahHashimi/skull-copy
INTRODUCTION
Tongue is a muscular organ
Situated in the floor of the mouth
FUNCTION
Taste
Speech
Mastication
Deglutition
EXTERNAL FEATURES
Tongue has
A Root
A tip
A body
ROOT
Is attached to the mandible and soft palate above and hyoid bone below.
These attachments prevent the swallowing of the tongue.
In between the 2 bones it is related to the geniohyoid and mylohyoid muscles.
TIP
Of the tongue forms the anterior free end which lies behind the upper incisor teeth.
BODY
Has
A curved upper surface or dorsum
An inferior or ventral surface MUSCLES OF THE TONGUE
Middle fibrous septum divides the tongue into right and left halves.
Intrinsic muscles
Superior longitudinal
Inferior longitudinal
Transverse
Vertical
Extrinsic muscles
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
Development of tongue
Anatomy of tongue
Parts and surfaces of the tongue
Muscles of the tongue
Vascular supply of the tongue
Lymphatic drainage of the tongue
Innervation of the tongue
Examination of the tongue
Clinical considerations and diseases of the tongue
Slideshow is from the University of Michigan Medical
School's M1 Immunology sequence
View additional course materials on Open.Michigan:
openmi.ch/med-M1Immunology
This is an educational presentation that describes methods of studying skull. Various Normas has been explained with diagrams. The presentation is the continuation of previously uploaded matter wherein major bones of the skull was explained. link to previous ppt is https://www.slideshare.net/AyshahHashimi/skull-copy
INTRODUCTION
Tongue is a muscular organ
Situated in the floor of the mouth
FUNCTION
Taste
Speech
Mastication
Deglutition
EXTERNAL FEATURES
Tongue has
A Root
A tip
A body
ROOT
Is attached to the mandible and soft palate above and hyoid bone below.
These attachments prevent the swallowing of the tongue.
In between the 2 bones it is related to the geniohyoid and mylohyoid muscles.
TIP
Of the tongue forms the anterior free end which lies behind the upper incisor teeth.
BODY
Has
A curved upper surface or dorsum
An inferior or ventral surface MUSCLES OF THE TONGUE
Middle fibrous septum divides the tongue into right and left halves.
Intrinsic muscles
Superior longitudinal
Inferior longitudinal
Transverse
Vertical
Extrinsic muscles
Genioglossus
Hyoglossus
Styloglossus
Palatoglossus
Development of tongue
Anatomy of tongue
Parts and surfaces of the tongue
Muscles of the tongue
Vascular supply of the tongue
Lymphatic drainage of the tongue
Innervation of the tongue
Examination of the tongue
Clinical considerations and diseases of the tongue
Dentist in pune.(BDS. MDS) - Dr. Amit T. Suryawanshi. Nose & Paranasal sinuses.All Good Things
Dentist in pune. (BDS. MDS) - Dr. Amit T. Suryawanshi. Seminar- Nose & Paranasal sinuses.
Email ID- amitsuryawanshi999@gmail.com
Contact -Ph no.-9405622455
Subscribe our channel on youtube - Copy and paste this URL. https://www.youtube.com/channel/UC_gylEXTrjmEbbOTSXjuZ4Q/videos?view_as=public
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The respiratory system is a vital organ system responsible for gas exchange between the body and the environment. Its primary function is to supply oxygen to the blood and remove carbon dioxide. Here’s an overview of the components and functions of the respiratory system:
Components of the Respiratory System
Nose and Nasal Cavity
Function: Filters, warms, and moistens the air; detects odors.
Components: Nostrils, nasal septum, nasal conchae.
Pharynx (Throat)
Function: Passageway for air and food.
Divisions: Nasopharynx, oropharynx, laryngopharynx.
Larynx (Voice Box)
Function: Produces sound; routes air and food into the proper channels.
Components: Epiglottis, vocal cords, thyroid cartilage.
Trachea (Windpipe)
Function: Conducts air to the bronchi.
Structure: C-shaped cartilaginous rings maintain an open airway.
Bronchi and Bronchioles
Function: Conduct air from the trachea to the lungs; branch into smaller passages.
Structure: The right and left primary bronchi lead into the lungs and branch into secondary and tertiary bronchi, and then into bronchioles.
Lungs
Function: Main organs of respiration; contain alveoli where gas exchange occurs.
Structure: The right lung has three lobes (superior, middle, inferior) and the left lung has two lobes (superior, inferior).
Alveoli
Function: Site of gas exchange; oxygen diffuses into the blood, and carbon dioxide diffuses out.
Structure: Tiny air sacs surrounded by capillaries.
Functions of the Respiratory System
Gas Exchange
Oxygen Intake: Oxygen from inhaled air diffuses through the alveoli into the blood.
Carbon Dioxide Removal: Carbon dioxide from the blood diffuses into the alveoli and is exhaled.
Regulation of Blood pH
Carbon Dioxide Levels: The respiratory system helps regulate blood pH by controlling the levels of carbon dioxide through breathing.
Protection
Filtering Mechanisms: The nasal hairs, mucus, and cilia trap dust, pathogens, and other particles.
Reflexes: Coughing and sneezing expel irritants from the respiratory tract.
Sound Production
Vocal Cords: Air passing through the larynx vibrates the vocal cords to produce sound.
Olfaction (Sense of Smell)
Olfactory Receptors: Located in the nasal cavity, these receptors detect airborne chemicals.
Breathing Process
Inhalation (Inspiration)
Diaphragm and Intercostal Muscles: The diaphragm contracts and flattens, and the intercostal muscles lift the ribs, expanding the thoracic cavity and reducing pressure, drawing air in.
Exhalation (Expiration)
Relaxation of Muscles: The diaphragm and intercostal muscles relax, the thoracic cavity decreases in volume, increasing pressure and pushing air out.
Control of Breathing
Medulla Oblongata and Pons: These brainstem regions regulate the rate and depth of breathing.
Chemoreceptors: Located in the medulla, aorta, and carotid arteries, these receptors monitor levels of carbon dioxide, oxygen, and blood pH, and adjust breathing accordingly.
Health and Diseases of the Respiratory System
Common Cond
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxSwetaba Besh
Delve into valuable content elucidating the anatomy and physiology of the respiratory system, in line with the PCI syllabus for pharmacy and PharmD students.
Nose is the part of respiratory system. External nose and nasal cavity. The visible portion that project from the face. It's skeleton is mainly cartilaginous ( small bony contributions are present). The superior bony part of the nose, including it's root, is covered by thin skin. Nasal septum has bony part vomer bone . Sometimes the deviation is so severe that the nasal septum is in contact with the lateral wall of the nasal cavity and often obstruct breathing or except snoring........................
Boundaries of the nasal cavity and often do I get to know about you guys are present for the nasal cavity and often do I need some of you thank god I was in my heart and soul mate is the nasal cavity and I can is wider than the roof. Inferior concha is the longest and border and is formed by an independent bone covered by
Similar to 2.FUNCTIONAL ANATOMY OF THE NOSE.pptx (20)
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
2. GROUP MEMBERS
i. Ataryeba Henon
ii. Lekuru Charity
iii. Ndwadewazibwa Damalie
iv. Mbeiza Fazirah
v. Akoon Andrea
vi. Nalugya Grace Victoria
vii. Erima Timothy
3. WHAT IS THE NOSE?
•The nose is that part projecting above the mouth
on the face of a person or animal, in other wise the
most anterior protuberance of the face containing
the nostrils and used is for breathing and smelling.
It is a triangular pyramid with its base continuous
with the forehead and lower end is called apex or
tip of the nose.
4. ANATOMY OF NOSE
It consists of:
1. External nose
2. Nasal vestibule
3. Nasal cavity.
4.Paranasal Sinuses
5. FUNCTIONS OF NOSE
• Two important functions: Respiration. Olfaction. Minor function:
Aesthetics.
• It conditions inspired air i.e. filters, warms and humidifies.
• Imparts vocal resonance to the voice.
• Drains and clears the paranasal sinuses and lacrimal ducts.
• Protective function of lower airway: reflexes e.g. sneezing and mucus
secretions (pH 7). Lysozymes in nasal secretion also kill bacteria and
viruses. Mucociliary mechanism (nasal mucosa cilia beat constantly at a
speed of 5 to 10 mm per minute) and are in contact with serous layer of
mucous blanket and superficial layer of mucus which entraps the foreign
bodies, allergens and carry it to nasopharynx every 5 to 10 minutes.
• Air conditioning of air involves filtration and purification of inspired air
followed by regulation of its temperature by large surface area of nasal
mucosa and its humidification as required.
6. EXTERNAL NOSE
• The external nose varies considerably in size and shape, mainly
because of differences in the nasal cartilages, race and sex. The
dorsum of the nose extends from its superior angle (the root/
glabella) to the apex (tip) of the nose.
• The inferior surface of the nose is pierced by two piriform
openings (the anterior L. pear-shaped opening of the nasal cavity in
the skull), the nares (nostrils, anterior nasal apertures), which are
bound laterally by the alae (wings) of the nose and separated from
each other by the nasal septum.
• Lateral surfaces meet in the midline called bridge of nose.
• External nares on the inferior aspect of the nose are separated by
septum mobi nasi.
7.
8. EXTERNAL NOSE
The external nose consists of the bony part and the cartilaginous part.
The bony part of the nose consists of the:
• Nasal bones.
• Frontal processes of the maxillae.
• Nasal part of the frontal bone and its nasal spine.
• Bony part of the nasal septum.
The cartilaginous part of the nose consists of five main cartilages:
• Two lateral cartilages
• Two U-shaped alar cartilages (free and movable; they dilate or constrict)
• Septal cartilage.
9. EXTERNAL NOSE
• These bony and cartilaginous portions are bound to each other
by fibrous tissue and by perichondrium and periosteum. Skin
on dorsum of nose is quite thin as compared to skin on alae
nasi.
• Muscles of external nose are procerus and nasalis consisting of
compressor and dilator naris. These muscles arise from the
fascia and are inserted into the skin. These muscles are supplied
by branches of facial nerve
10.
11. Blood Supply of External Nose
• Alar and septal branches of facial artery.
• Dorsal nasal branch of ophthalmic artery.
• Infraorbital branch of maxillary artery
Drainage supply of the External Nose
• They drain into anterior facial and ophthalmic veins which
communicate with cavernous sinus.
Nerve Supply of the External Nose
• Infratrochlear and external nasal branch of ophthalmic nerve.
• Infraorbital branch of maxillary nerve.
Lymphatics
• They drain into submandibular and preauricular group of lymph
nodes.
12. NASAL VESTIBULE
• It is a skin-lined entrance to the nasal cavity containing hair
follicles, sebaceous glands, and sweat glands.
• It is bounded by alae nasi laterally and medially by septum mobi
nasi. The columella/columna separates two vestibules. Each
vestibule is limited above by limen nasi corresponding to the upper
border of major alar cartilage.
13.
14. NASAL CAVITIES
• Communicates posteriorly with nasopharynx through posterior choanae.
• Has four walls, i.e. roof, floor, medial and lateral wall.
• The nasal mucosa is firmly bound to the periosteum and perichondrium
of the supporting bones and cartilages of the nose respectively. The
mucosa is continuous with the lining of all the chambers with which the
nasal cavities communicate:
• The nasopharynx posteriorly,
• The paranasal sinuses superiorly and laterally
• The lacrimal sac and conjunctiva superiorly.
15. NASAL CAVITIES
• The inferior two thirds of the nasal mucosa is the respiratory area, and
the superior one third is the olfactory area. is lined by ciliated
pseudostratified epithelium. Within the epithelium are interspersed
mucus-secreting goblet cells.
• Air passing over the respiratory area is warmed and moistened before it
passes through the rest of the upper respiratory tract to the lungs by the
rich blood capillary supply from the.
• The olfactory area is a specialized mucosa containing the peripheral
organ of smell; sniffing draws air to the area. The central processes of
the olfactory receptor neurons in the olfactory epithelium unite to form
nerve bundles that pass through the cribriform plate and enter the
olfactory bulb.
16. NASAL CAVITIES (ROOF)
• The roof of the nasal cavity is curved and narrow, except at the
posterior end; the roof is divided into three parts (frontonasal,
cribriform plate of ethmoid bone and sphenoidal), which are
named from the bones that form each part. Fractures to the roof
will cause the leakage of CSF a condition known as rhinorrhea.
It is composed of the olfactory mucous membrane which is
yellowish in colour and is limited to the superior concha, roof
of nasal cavity and the uppermost part of nasal septum. It is
composed of olfactory receptor cells, supporting cells, basal
cells and olfactory glands of Bowman.
17.
18. NASAL CAVITIES (FLOOR)
• The floor of the nasal cavity is wider than the roof and it separates the nose from
the mouth. It is formed by the palate which is divided into soft and hard palate.
The hard palate is formed by the palatine process of the maxilla (premaxilla) and
the horizontal plate of the palatine bone.
• The soft palate is formed by 5 muscles namely;
Uvulae muscle, Levator veli palatine, Tensor veli palatine, Palatoglossus muscle,
and Palatopharyngeous muscle.
• The soft palate is composed of muscles and connective tissue which give it both
mobility and support. This palate is very flexible. When elevated for swallowing
and sucking, it completely blocks and separates the nasal cavity and nasal portion
of the pharynx from the mouth and the oral part of the pharynx. During sneezing,
it protects the nasal passage by diverting a portion of the excreted substance to
the mouth.
19.
20. NASAL CAVITIES (MEDIAL WALL)
• Medial wall or the septum divides the nasal cavity into the left and
right sides. The medial wall has both a bony part and a
cartilaginous part that is to say, the bony part is formed by the
vomer and the vertical plate of the ethmoid bone, while the
cartilaginous part is formed by the septal cartilage.
• Blood Supply of Nasal Septum is by the external and internal
carotid system i.e. branches of sphenopalatine, branch of maxillary
artery, branches of greater palatine branch of maxillary and septal
branch of superior labial branch of facial artery. Internal carotid
system supplies through branches of ophthalmic artery, i.e. anterior
and posterior ethmoidal arteries.
21.
22. NASAL CAVITIES (LATERAL WALL)
The lateral wall, made the nasal conchae/ turbinates i.e. superior, middle,
and inferior, three elevations that project/curve inferomedially, each
forming a roof for a meatus, or recess.
The nasal conchae divide the nasal cavity into four passages;
• Spheno-ethmoidal recess,
• Superior nasal meatus
• Middle nasal meatus
• Inferior nasal meatus.
23.
24.
25. NASAL CAVITIES (PASSAGES)
• The spheno-ethmoidal recess, (superoposterior to the superior concha)
receives opening of the sphenoidal air sinus.
• The superior nasal meatus is a narrow passage between the superior
and the middle nasal conchae (parts of the ethmoid bone) into which the
posterior ethmoidal sinuses open by one or more orifices.
• The inferior nasal meatus is a horizontal passage, inferolateral to the
inferior nasal concha (an independent, paired bone). It receives the
opening of nasolacrimal duct at junction of anterior one-third and
posterior two-thirds. This duct is guarded by a lacrimal fold called
Hasner’s valve (an imperfect valve).
26. NASAL CAVITIES (PASSAGES)
• The middle nasal meatus is longer and deeper than the superior
one. The anterosuperior part of this passage leads into the
ethmoidal infundibulum, an opening through which it
communicates with the frontal sinus, via the frontonasal duct. It lies
between middle and inferior turbinates and is important because of
presence of osteomeatal complex area in this meatus.
• The function of the conchae is to increase the surface area of the
nasal cavity – this increases the amount of inspired air that can
come into contact with the cavity walls. They also disrupt the fast,
laminar flow of the air, making it slow and turbulent. The air spends
longer in the nasal cavity, so that it can be humidified.
27. NASAL CAVITIES (OSTEOMEATAL
COMPLEX)
The various important landmarks in the osteomeatal (OM)
complex area are as follows:
• Uncinate process: It is a ridge of bone of ethmoidal labyrinth
which articulates with the ethmoidal process of inferior
turbinate. It partly covers the opening of the maxillary sinus
and forms lower boundary of hiatus semilunaris.
• Bulla ethmoidale (L. bubble): Is a rounded elevation located
superior to the semilunar hiatus. The bulla is formed by middle
ethmoidal cells, which constitute the ethmoidal sinuses and
open on or above it.
28. NASAL CAVITIES
(OSTEOMEATAL COMPLEX)
• Hiatus semilunaris: It is a space bounded above by bulla ethmoidale
and below and in front by uncinate process. Anterior ethmoids open into
it behind the opening of frontonasal duct which opens into anterior part
of the meatus. Opening of maxillary sinus lies below the bulla.
Accessory ostium of maxillary sinus in 40% cases lies below and behind
the hiatus semilunaris. The maxillary sinus also opens into the posterior
end of the semilunar hiatus.
Infundibulum: It is a short passage at the anterior end of hiatus semilunaris
and its average depth is 5 mm.
29.
30. PARANASAL SINUSES
Are air-filled extensions of the respiratory part of the
nasal cavity into the following cranial bones: frontal,
ethmoid, sphenoid, and maxilla.
Function: Humidifying and warming inspired air,
Regulation of intranasal pressure, Increasing surface
area for olfaction, Lightening the skull, Resonance,
Absorbing shock, Contribute to facial growth.
31. PARANASAL SINUSES
•Is lined with Ciliated columnar and Non-cilliated
columnar cells epithelial cells which are interspersed
with goblet Cells that produce Glycoproteins (mucous)
hence increasing viscosity and elasticity.
•The secretions of the mucous membranes trap bacteria
and particulate matter. The cilia beat moving the mucous
toward the choane.
32.
33. PARANASAL SINUSES (FRONTAL)
• The frontal sinuses are between the outer and the inner tables
of the frontal bone, posterior to the superciliary arches and the
root of the nose. Each sinus drains through a frontonasal duct
into the ethmoidal infundibulum, which opens into the
semilunar hiatus of the middle meatus. The frontal sinuses are
innervated by branches of the supraorbital nerves (Opthalmic
division of the trigeminal nerve).
34. PARANASAL SINUSES
(EHMOIDAL)
• The ethmoidal cells (sinuses) include several cavities that are located in
the lateral mass of the ethmoid bone between the nasal cavity and the
orbit. The anterior ethmoidal cells drain directly or indirectly into the
middle meatus through the infundibulum. The middle ethmoidal cells
open directly into the middle meatus. The posterior ethmoidal cells,
which form the ethmoidal bulla, open directly into the superior meatus.
The ethmoidal sinuses are supplied by the anterior and posterior
ethmoidal branches of the nasociliary nerves (Opthalmic division of the
trigeminal nerve).
35. PARANASAL SINUSES
(SPHENOIDAL)
• The sphenoidal sinuses, unevenly divided and separated by a
bony septum, occupy the body of the sphenoid bone; they may
extend into the wings of this bone in the elderly. Because of
these sinuses, the body of the sphenoid is fragile. Only thin
plates of bone separate the sinuses from several important
structures: the optic nerves and optic chiasm, the pituitary
gland, the internal carotid arteries, and the cavernous sinuses.
The posterior ethmoidal artery and nerve supply the sphenoidal
sinuses.
36. PARANASAL SINUSES
(MAXILLARY)
• The maxillary sinuses are the largest of the paranasal sinuses.
These large pyramidal cavities occupy the bodies of the maxillae.
• The apex of the maxillary sinus extends toward and often into the
zygomatic bone.
• The base of the maxillary sinus forms the inferior part of the
lateral wall of the nasal cavity.
• The roof of the maxillary sinus is formed by the floor of the orbit.
• The floor of the maxillary sinus is formed by the alveolar part of
the maxilla. The roots of the maxillary teeth, particularly the first
two molars, often produce conical elevations in the floor of the
maxillary sinus.
37. PARANASAL SINUSES
(MAXILLARY)
• Each sinus drains by an opening, the maxillary ostium, into
the middle meatus of the nasal cavity by way of the semilunar
hiatus. Because of the superior location of this opening, it is
impossible for the sinus to drain when the head is erect until the
sinus is full. The arterial supply of the maxillary sinus is mainly
from superior alveolar branches of the maxillary artery;
however, branches of the greater palatine artery supply the
floor of the sinus. Innervation of the maxillary sinus is from the
anterior, middle, and posterior superior alveolar nerves,
branches of (Maxillary branch of the Trigeminal nerve).
38. MUCOUS MEMBRANE OF NOSE
• It is the thickest and very vascular over nasal turbinates and very
thin in the meatuses. It is pseudostratified ciliated columnar type of
epithelium with goblet cells, mucous and serous glands.
• The nerve supply of the posteroinferior half to two thirds of the
nasal mucosa is chiefly from Maxillary nerve by way of the
nasopalatine nerve to the nasal septum and posterior lateral nasal
branches of the greater palatine nerve to the lateral wall. The
anterosuperior part of the nasal mucosa (both the septum and lateral
wall) is supplied by the anterior ethmoidal nerves, branches of
Ophthalmic nerve. The lymphatic drainage is by the submandibular
and deep cervical lymph nodes.
39. OLFACTORY FUNCTION
These first order neurons are twenty in number, pass through
cribriform plate of ethmoid and end in olfactory bulb which
conveys secondary olfactory neurons to olfactory tract. It further
relays it to anterior perforated substance, amygdaloid nucleus
and area piriformis. Here, the tertiary olfactory neurons arise
which travel to hippocampal formation which relays to
paraterminal gyrus, then to the fornix and, hence, to nucleus
habenular and mammillary body in thalamus.