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ANATOMY OF NOSE
Dr. Gangaprasad Waghmare
MS
EXTERNAL NOSE
• PROJECTING TRIANGULAR PYRAMID
DIRECTED DOWNWARD
• INFERIOR BASE PERFORATED BY TWO
NOSTRILS
• NOSTRILS ARE SEPARETED BY
MEDIAN SEPTUM
• TIP OF NOSE- CARTILAGENOUS-
THICK SKIN
• BRIDGE OF NOSE –BONY-THIN
SKIN
• TIP- SKIN CONTAIN SEBACEOUS
ATTACHMENTS
• ABOVE- FRONTAL BONE
• LATERALLY-NASAL PROCESS OF
MAXILLA
• MEDIALLY-TO EACH OTHER
• INFERIORLY-UPPER LATERAL
CARTILAGE
EXTERNAL NOSE
MUSCLES
• 3
COMPRESSORS
• 4 DILATORS
SUPPLY
• NERVE- FACIAL
• ARTERIAL-
MAXILLARY &
OPTHALMIC
VESTIBULE
• LINED BY HAIR BEARING SQUAMOUS
EPITHELIUM
• STARTS FROM ENTRANCE OF NASAL
CAVITY TO MUCOCUTANEOUS
JUNCTION
COLUMELLA
• STRIP OF - SKIN,
CONNECTIVE TISSUE &
MEDIAL CRURI OF LOWER
LATERAL CARTILAGE
• SEPARATE THE TWO NOSTRILS
NASAL CAVITY
• FORMED BY TWO NASAL FOSSAE.
• EXTENDS FROM MUCOCUTANEOUS
JUNCTION TO THE NASOPHARYNX.
• LINED BY CILLIATED COLUMNAR
EPITHELIUM/RESPIRATORY
EPITHELIUM.
• CONTAINS GOBLET CELLS &
SEROUS GLANDS
• THICKEST & MOST VASCULAR
OVER LOWER ASPECT OF SEPTUM
• CONTRIBUTE TO FORMATION OF
MUCUS
LATERAL WALL OF NOSE
• 3 TURBINATES
1)SUPERIOR
2)MIDDLE
3)INFERIOR
SUPERIOR MEATUS- POSTERIOR
1/3rd OF
LATERAL WALL
MIDDLE MEATUS-POSTERIOR 2/3rd
OF
LATERAL WALL
INFERIOR MEATUS- RUNS ALONG
LENGTH
OF LATERAL
WALL
OLFACTORY CLEFT
• SUPERIOR TURBINATE
• CRIBRIFORM PLATE
• CORRESPONDING AREA OF SEPTUM
• LINED BY SPECIALIZED OLFACTORY
EPITHELIUM
MIDDLE MEATUS-ANTERIOR GROUP
OF SINUSES
SUPERIOR MEATUS-POSTERIOR
ETHAMOID SINUSES
SPENOETHAMOIDAL RECESS-
SPHENOID SINUSES
OMC
• HIATUS SEMILUNARIS
• BULLA ETHAMOIDALIS
• UNCINATE PROCESS
NASAL SEPTUM
• SEPARATE THE TWO NASAL CAVITY
• ANTERIORLY-CARTILAGENOUS
POSTERIORLY-BONY
DIVIDED INTO 5 AREAS
1)THE VESTIBULE
2)THE VALVE
3)THE ATTIC
4)TURBINATES
5)POSTERIOR CHOANAL
AREA
ATTACHMENTS
• INFERIORLY-MAXILLARY CREST
• POSTERIORLY-VOMER
• POSTEROSUPERIORLY-
PERPENDICULAR PLATEOF ETHAMOID
ARTERIAL SUPPLY
• EXTERNAL CAROTID ARTERY
1) MAXILLARY ARTERY
2)SPHENOPALATINE
ARTERY-
DIVIDES INTO THREE BRANCHES I.E
TO
1)INFERIOR TUEBINATE
2)MIDDLE TURBINATE
3)NASOPALATINE
• INTERNAL CAROTID SYSTEM
BY ANTERIOR ETHAMOIDAL ARTERY
b/o OPTHALMIC ARTERY—SUPERIOR
TURBINATE
KIESSELBACH’S PLEXUS
• LITTLE’S AREA
• ANTEROINFERIOR ASPECTS OF
SEPTUM
1)LONG SPHENOPALATINE ARTERY
2)ANTERIOR ETHAMOIDAL ARTERY
3)GREATER PALATINE ARTERY
4)SUPERIOR LABIAL ARTERY
NERVE SUPPLY
• SENSORY-TRIGEMINAL NERVE
• SECRETORY-VIDIAN NERVE
PARANASAL SINUSES
• AIR FILLED CAVITIES
• LINED BY MUCOUS MEMBRANE
• ARRANGE IN PAIRS
• TWO GROUPS-ANTERIOR GROUP &
POSTERIOR GROUP
MAXILLARY SINUS
• APEX- MOLAR PROCESS R
B
• BASE- LATERAL WALL OF NOSE F
• ROOF-FLOOR OF ORBIT A
• FLOOR-ALVEOLAR PROCESS OF
MAXILLA
• MEDIAL WALL- LATERAL WALL OF
NASAL
CAVITY
• OSTIUM IS SITTED HIGH ON THE WALL
• AT BIRTH IT IS RUDIMENTARY &
GROWTH IS SLOW.
• AVERAGE ADULT SIZE IS 35MM HIGH
FRONTAL SINUSES
• ABOVE-SUPRAORBITAL MARGINE &
ROOT OF NOSE
• UNEVENLY DIVIDED BY A VERTICAL
BONY SEPTUM, VARY IN SIZE
• ANTERIOR WALL-ANTERIOR TABLE OF
SKULL
• POSTERIOR WALL-FRONTAL LOBES
• INFERIORLY-FRONTONASAL DUCT
• POSTERIORLY-SUPRAORBITAL
EXTENSION
ETHMOID SINUSES
• VARIABLE IN SIZE & NUMBER
• RELATIVELY LARGE AT BIRTH
• GROW EXTREMELY SLOW
• LATERALLY –MEDIAL WALL OF ORBIT
• MEDIALLY-NASAL CAVITY
• LIE INFERIOR TO CRANIAL FOSSA
AT ON EACH SIDE OF CRIBRIFORM
PLATE
SPHENOID SINUSES
• TRUE GROWTH OCCURS AT PUBERTY
• UNEVENLY DIVIDED ,VARIES IN SIZE
• LATERALLY- ICA,OPTIC NERVE
• SUPERIORLY-FRONTAL LOBE &
OLFACTORY APPT.
• POSTERIORLY-PITUITARY FOSSA.

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ANATOMY OF NOSE

  • 1. ANATOMY OF NOSE Dr. Gangaprasad Waghmare MS
  • 2.
  • 3. EXTERNAL NOSE • PROJECTING TRIANGULAR PYRAMID DIRECTED DOWNWARD • INFERIOR BASE PERFORATED BY TWO NOSTRILS • NOSTRILS ARE SEPARETED BY MEDIAN SEPTUM
  • 4. • TIP OF NOSE- CARTILAGENOUS- THICK SKIN • BRIDGE OF NOSE –BONY-THIN SKIN • TIP- SKIN CONTAIN SEBACEOUS
  • 5.
  • 6. ATTACHMENTS • ABOVE- FRONTAL BONE • LATERALLY-NASAL PROCESS OF MAXILLA • MEDIALLY-TO EACH OTHER • INFERIORLY-UPPER LATERAL CARTILAGE
  • 7.
  • 8. EXTERNAL NOSE MUSCLES • 3 COMPRESSORS • 4 DILATORS SUPPLY • NERVE- FACIAL • ARTERIAL- MAXILLARY & OPTHALMIC
  • 9. VESTIBULE • LINED BY HAIR BEARING SQUAMOUS EPITHELIUM • STARTS FROM ENTRANCE OF NASAL CAVITY TO MUCOCUTANEOUS JUNCTION
  • 10. COLUMELLA • STRIP OF - SKIN, CONNECTIVE TISSUE & MEDIAL CRURI OF LOWER LATERAL CARTILAGE • SEPARATE THE TWO NOSTRILS
  • 11. NASAL CAVITY • FORMED BY TWO NASAL FOSSAE. • EXTENDS FROM MUCOCUTANEOUS JUNCTION TO THE NASOPHARYNX. • LINED BY CILLIATED COLUMNAR EPITHELIUM/RESPIRATORY EPITHELIUM.
  • 12. • CONTAINS GOBLET CELLS & SEROUS GLANDS • THICKEST & MOST VASCULAR OVER LOWER ASPECT OF SEPTUM • CONTRIBUTE TO FORMATION OF MUCUS
  • 13. LATERAL WALL OF NOSE • 3 TURBINATES 1)SUPERIOR 2)MIDDLE 3)INFERIOR
  • 14.
  • 15.
  • 16. SUPERIOR MEATUS- POSTERIOR 1/3rd OF LATERAL WALL MIDDLE MEATUS-POSTERIOR 2/3rd OF LATERAL WALL INFERIOR MEATUS- RUNS ALONG LENGTH OF LATERAL WALL
  • 17. OLFACTORY CLEFT • SUPERIOR TURBINATE • CRIBRIFORM PLATE • CORRESPONDING AREA OF SEPTUM • LINED BY SPECIALIZED OLFACTORY EPITHELIUM
  • 18. MIDDLE MEATUS-ANTERIOR GROUP OF SINUSES SUPERIOR MEATUS-POSTERIOR ETHAMOID SINUSES SPENOETHAMOIDAL RECESS- SPHENOID SINUSES
  • 19. OMC • HIATUS SEMILUNARIS • BULLA ETHAMOIDALIS • UNCINATE PROCESS
  • 20.
  • 21. NASAL SEPTUM • SEPARATE THE TWO NASAL CAVITY • ANTERIORLY-CARTILAGENOUS POSTERIORLY-BONY
  • 22. DIVIDED INTO 5 AREAS 1)THE VESTIBULE 2)THE VALVE 3)THE ATTIC 4)TURBINATES 5)POSTERIOR CHOANAL AREA
  • 23. ATTACHMENTS • INFERIORLY-MAXILLARY CREST • POSTERIORLY-VOMER • POSTEROSUPERIORLY- PERPENDICULAR PLATEOF ETHAMOID
  • 24.
  • 25. ARTERIAL SUPPLY • EXTERNAL CAROTID ARTERY 1) MAXILLARY ARTERY 2)SPHENOPALATINE ARTERY- DIVIDES INTO THREE BRANCHES I.E TO 1)INFERIOR TUEBINATE 2)MIDDLE TURBINATE 3)NASOPALATINE
  • 26. • INTERNAL CAROTID SYSTEM BY ANTERIOR ETHAMOIDAL ARTERY b/o OPTHALMIC ARTERY—SUPERIOR TURBINATE
  • 27. KIESSELBACH’S PLEXUS • LITTLE’S AREA • ANTEROINFERIOR ASPECTS OF SEPTUM 1)LONG SPHENOPALATINE ARTERY 2)ANTERIOR ETHAMOIDAL ARTERY 3)GREATER PALATINE ARTERY 4)SUPERIOR LABIAL ARTERY
  • 28.
  • 29. NERVE SUPPLY • SENSORY-TRIGEMINAL NERVE • SECRETORY-VIDIAN NERVE
  • 30. PARANASAL SINUSES • AIR FILLED CAVITIES • LINED BY MUCOUS MEMBRANE • ARRANGE IN PAIRS • TWO GROUPS-ANTERIOR GROUP & POSTERIOR GROUP
  • 31.
  • 32.
  • 33. MAXILLARY SINUS • APEX- MOLAR PROCESS R B • BASE- LATERAL WALL OF NOSE F • ROOF-FLOOR OF ORBIT A • FLOOR-ALVEOLAR PROCESS OF MAXILLA
  • 34. • MEDIAL WALL- LATERAL WALL OF NASAL CAVITY • OSTIUM IS SITTED HIGH ON THE WALL • AT BIRTH IT IS RUDIMENTARY & GROWTH IS SLOW. • AVERAGE ADULT SIZE IS 35MM HIGH
  • 35. FRONTAL SINUSES • ABOVE-SUPRAORBITAL MARGINE & ROOT OF NOSE • UNEVENLY DIVIDED BY A VERTICAL BONY SEPTUM, VARY IN SIZE • ANTERIOR WALL-ANTERIOR TABLE OF SKULL • POSTERIOR WALL-FRONTAL LOBES • INFERIORLY-FRONTONASAL DUCT • POSTERIORLY-SUPRAORBITAL EXTENSION
  • 36. ETHMOID SINUSES • VARIABLE IN SIZE & NUMBER • RELATIVELY LARGE AT BIRTH • GROW EXTREMELY SLOW • LATERALLY –MEDIAL WALL OF ORBIT • MEDIALLY-NASAL CAVITY • LIE INFERIOR TO CRANIAL FOSSA AT ON EACH SIDE OF CRIBRIFORM PLATE
  • 37. SPHENOID SINUSES • TRUE GROWTH OCCURS AT PUBERTY • UNEVENLY DIVIDED ,VARIES IN SIZE • LATERALLY- ICA,OPTIC NERVE • SUPERIORLY-FRONTAL LOBE & OLFACTORY APPT. • POSTERIORLY-PITUITARY FOSSA.