Sinuses and Nasal Cavity PDF
Sinuses and Nasal Cavity PDF
Sinuses and Nasal Cavity PDF
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
1|Page
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
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.
2|Page
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.
3|Page
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.
4|Page