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    Nasal Oral Cavities Paranasal Sinuses Pharynx PART1

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    Nasal Oral Cavities Paranasal Sinuses Pharynx PART1

    Uploaded by

    aysoncolline24
    4 views38 pages

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    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    4 views38 pages

    Nasal Oral Cavities Paranasal Sinuses Pharynx PART1

    Uploaded by

    aysoncolline24

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 38

    Nasal & Oral Cavities,

    Paranasal Sinuses & Pharynx


    RENE R. AQUENDE, MD
    FACULTY , GHSB, OLFU
    Unit Outline
    At the end of the topic, student can
     Describe accurately the features of the external and internal nose
     Including their framework, blood and nerve supplies
     Walls of the nasal cavity & communication with oropharynx
     Describe location of paranasal sinuses including their
    communication with nasal cavity
     Discuss divisions of the oral cavity including its contents
     Name parts of the pharynx including its muscles
    THE NOSE

     EXTERNAL NOSE right ½


     ---- nasal septum
     NASAL CAVITY left ½
    framework
    Dried Skull

    NASAL BONE
     CONTINUOUS FREE MARGIN
    MAXILLA

    PIRIFORM
    NASAL CAVITY OPENING
    APERTURE
    External Nose

     w/ 2 elliptical apertures(openings)
     Nostrils
     Nasal septum
     Ala nasi
     Lateral margin
     Round/mobile
    INTERNAL NOSE

     NASAL CAVITY

    EXTENDS BETWEEN
    2 openings
    EACH CHONAE

    SUPERIORLY

    MEDIALLY

    LATERALLY INFERIORLY
    MEDIAL PTERYGOID PLATE
    Each Choanae -)))))))))))))) Nasopharynx
    Nasal Cavity
    Two Chambers
    Nasal vestibule Nasal cavity
    proper

    Conchae or
    turbinates
    Lined by skin

    Limen nasi

    Vibrissae
    Each Cavity
    OLFACTORY AREA
    Soft delicate
    Small mucus glands
    Olfactory Area

    Yellowish mucus
    RESPIRATORY AREA membrane
    Thick spongy vascular Respiratory Area
    Large mucus glands
    Innervation : Nasal Septum
    a. Special Sense (Smell)
    Olfactory Nerves

    b. Ordinary Sensation
    Medial Nasal Br. Of
    Anterior Ethmoidal N

    Sphenopalatine Nerve
    Pterrygopalatine Ganglion
    (sphenopalatine)
    Walls of the Nasal Cavity :
    MEDIAL WALL
    Septal Mucosa

    Roof

    Floor
    Nasal Septum :
    Seldom placed in median
    plane
    Walls of the Nasal Cavity :

    LATERAL WALL
    - Conchae(turbinates)
    ETHMOID
    1. Superior Concha

    2. Middle Concha

    FACIAL BONE
    3. Inferior Concha
    (independent)

    uncinate process
    Walls of the Nasal Cavity

    LATERAL WALL

    Nasal Meatuses
    - spaces between conchae
    Superior Meatus
    - short, upper and posterior part
    - receives opening of posterior
    ethmoidal sinus
    Walls of the Nasal Cavity :

    LATERAL WALL

    Middle Meatus
    HIATUS SEMILUNARIS
    >infundibulum
    >Anterior ethmoidal cells +
    maxillary sinus

    BULLA ETHMOIDALIS
    >middle ethmoidal air
    sinuses)

    Recall “uncinate process”


    Nasal Cavity:
    Middle meatus
    agger nasi(additional
    concha)

    Atrium
    Nasal Cavity:
    INFERIOR MEATUS
    - below inferior concha
    - opening of nasolacrimal
    duct

    Sphenoethmoidal Recess
    -Space between sphenoid and
    superior concha
    -Opening of sphenoidal sinus
    Arteries of the Nasal Septum

    Ophthalmic A (ICA)

    Maxillary A (ECA) Facial A


    Anterior
    Epistaxis = 90%
    (nosebleeds)

    L
    e
    g
    s
    Paranasal Sinuses
    Maxillary sinus infraorbital N

    Pain upper jaw


    /teeth
    Supraorbital N Frontal sinus
    Sphenoid sinus

    Skin, forehead
    Scalp → vertex

    Pain may be felt


    on these areas in
    frontal sinusitis
    Frontal sinus drains

    hiatus semilunaris

    near maxillary sinus


    opening

    Patients w/ Frontal sinusitis Maxillary sinusitis


    Groups Meatal drainage
    Anterior middle

    Middle middle/
    ethmoidal
    bulla
    Posterior superior

    Thin plate b/t them & orbit→ Easy infection spread


    Rudimentary Paranasal Sinuses
    SINUSITIS
    Common complication
    of sinus infection

    Maxillary sinus prone


    (badly placed drainage
    site near its roof)

    Rarely, maxillary sinusitis- extension of


    apical dental abscess
    END OF NASAL CAVITY
    THE ORAL CAVITY
    Palate

    Hard Palate Soft Palate


    Anterior 2/3 Posterior 1/3
    Palatine process
    maxilla
    Horizontal plate,
    Palatine bone
    ORAL CAVITY
    1st subdivision : digestive system
    Parts :
    Small external Oral vestibule
    Large internal Oral cavity
    proper
    Oral vestibule
    cleft-like space
    Boundaries
     Lips/cheeks : anterolaterally

     Teeth /gums: posteriorly

     Reflection : mucus membrane from


    lips/cheeks→ maxilla & mandible
    Above & below

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