Sinuses and Nasal Cavity PDF

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GROUP 20

MBCHB LEVEL 1

MEMBERS

NAME REG NO
WAWERU SHARON NYAMBURA P29S/11835/2022
CHRISTOPHER PHILIPS ODERO P292/1396/2022
IAN OKINDO P292/1356/2022
JEREMIAH OMAIKO TWEYA P29S/11852/2022
LULU MBUCHE CYNTHIA P29S/11845/2022
DAVID SORE P29S/12618/2022
SHARON NYATICHI P29S/13801/2021

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1) What is the type of epithelia in the nose and paranasal sinuses mucosa

The lower part of the nasal cavity is lined with respiratory mucous membrane as pseudostratified
columnar ciliated epithelium with goblet cells. It forms ¾ of the nasal mucosa. The area above the
superior concha is lined with yellow olfactory mucous membrane as ¼ of nasal mucosa

The mucosa in the paranasal sinuses is ciliated pseudostratified epithelium with goblet cells

2) List the adaptations of nasal mucosa in relation to its functions


 The surface of the conchae contains mucous that traps foreign particles.
 Area above the superior concha contain nerve endings sensitive to the reception of
smell
 It contain goblet cells that secrete mucus, which help to trap and remove foreign
particles.
 It contain hair follicles to trap foreign materials.
 Its submucosa is supplied by a rich venous plexus containing warm blood that warms
the incoming air
 It is highly vascularized to provide oxygen and nutrients to cells.

3) List the vascular anastomosis at Little’s/Kieselbalch’s area. What is its clinical significance.
It is formed by the following branches of arteries:
 Sphenopalatine artery from maxillary artery
 Anterior and posterior ethmoidal from ophthalmic artery
 Greater palatine from maxillary artery
 Superior labial from facial artery
 Lateral nasal branches of facial artery

Clinical relevance

It is located the anterior part of the nasal septum where all these 5 arteries anastomose. This area is
often where profuse bleeding from the nose occurs (epistaxis).

4) List the openings in the nasal cavity and nasopharynx , pointing clinical significance.
 Opening of the frontal sinuses-Open into semilunar hiatus of middle nasal meatus via
frontonasal duct into ethmoid infundibulum. They lie between inner & outer table& often
unequal
 Opening of maxillary sinuses - Are the largest.Open into middle nasal meatus by maxillary
ostium at semilunar hiatus.The roots of three molar teeth may protrude into the maxillary
sinus leading to their dental caries may spread; oro-antral fistula.

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 Opening of the sphenoidal sinuses- Located at the sphenoeithmoidal recess, a small area
above and posterior to the superior concha.
 Opening of nasolacrimal duct—Located in the inferior meatus that is found below the
inferior concha.
 Opening of the anterior ethmoidal sinus---Located in the middle part of hiatus semilunaris
 Opening of anterior ethmoidal sinus---Located in the anterior part of hiatus semilunaris.
 Opening of the middle ethmoidal sinus---Located on the ethmoid bullae at the middle
hiatus that is below the middle concha.
 Opening of the posterior ethmoidal sinus---Located in the superior meatus, a narrow
passage below the superior concha.

5) Mention clinical conditions associated with nasal bone and nasal septum.
 Rhinitis
 Deviated nasal septum
 Turbinates hypertrophy
 Sinusitis
 Nasal cyst
 Nasal septal hematoma.

6) Mention 3 reasons why sinusitis is commonest in maxillary sinuses.


 The maxillar sinuses are the largest and most frequently affected by paranasal sinuses
 They are located in close proximity to the nose, making them especially vulnerable to
airborne irritants and bacteria
 The maxillary sinuses are more prone to blockage due to their connection with the nasal
cavity, which can cause mucus accuulationand lead to sinusitis.

7) Mention the functions of paranasal sinuses


 Add resonance to the voice
 Aid in growth of the facial skeleton after birth
 Act as air air conditioning chambers by adding humidity and warming the inspired air
 Makes the skiull lighter

8) Mention the functions of turbinates /conchae(5)


 They regulate the nasal airflow
 Superior turbinate drain posterior ethmoid sinus and sphenoid sinius
 The turbinate has sensory functionsincluding those of olfaction
 The turbinates humidify /moistens the inspired air
 Participate in warming the inhaled air

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9) Which is the” danger area of face” ? What is its clinical significance.
It is the area from the corners of the mouth to the bridge of the nose, including the nuse and
maxilla.
Because of its unique blood supply, it is considered dangerous area of the face as infection from
this region can spread to other internal organs.
The cavernous is connected to the anterior facial veins in two ways.
 Directly---Through the ophthalmic veins: superior and inferior ophthalmic veins
 Indirectly through--- Deep facial veins>>Pterigoid plexus>>Emmissary veins>>Cavernous
sinus.

Infection will spread from the dangerous area of the face through this routes.

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