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    The anatomy of the nasal cavity and paranasal sinuses. The skeletal and smoothmuscle tissues. The development of the pharyngeal gut.

    Posted in Head & Neckby Sahaja on December 6, 2008

    The anatomy of the nasal cavity and paranasal sinuses. The skeletal and smooth muscle tissues. The development ofthe pharyngeal gut.

    The anatomy of the nasal cavity and paranasal sinuses.

    asal Cavity:

    *For step by step amazing pictures of the nasal cavity: http://home.comcast.net/~WOR/lesson9.htm

    Borders:

    ant = nasal bone (ant nasal aperture = piriform aperture)

    sup =

    (ant) nasal part of frontal bone

    (middle) body of sphenoid,

    (post) body of sphenoid,

    the roof of the nasal cavity also has thecribriform plateof ethmoid bone, conveying fibers of CN I

    med = septum nasi made byperpendicular plate of ethmoidsup/post, vomerinf/post, andseptal cartilageant

    inf = hard palate, made ofpalatine process of maxilla (ant), andhorizontal plate of palatine bone (post)

    post border = outlet = choanae, that lead to nasopharynx

    lat = med pterygoid plate

    med = vomer

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    sup = body of sphenoid

    inf = horizontal plate of palatine bone

    There are two parts to the nasal cavity, thenasal vestibule, and the nasal cavityitself

    The line that divides the vestibule from the rest of the nasal cavity is limen nasi, which is the alse the line between the

    cutaneous and mucosal part of the nasal cavity

    On the sagittal section of the head, you can find limen nasi, by looking for where the nose hairs stop and you will be

    transitioning into the mucosal part.

    Medial Wall

    The nasal cavity itself is further subdivided into two regions:

    upper 1/3 = olfactory part, for smelling

    lower 2/3 = respiratory part,for breathing

    The medial wall of the nasal cavity is pretty lacking in any features, just mention what makes up the septum.

    CLICIAL OTE - the nasal septum can be deviated (bent) to one side or the other, if bent so far that it touches the lateral

    wall, can require surgery, because will affect breathing.

    Lateral Wall

    The lateral wall is much more complicated, having three projections coming from it, the nasal concha.

    There are3 nasal concha sup, mid, inf.

    Function of the nasal concha: is to spin the air within the nasal cavity, in order to:

    to help warm the air,

    as well as aid in filtering it

    adding moisture to the air.

    Above the superior nasal concha, is the sphenoethmoid recess - the sphenoid sinusopens into this space

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    between each concha, are thenasal meati.

    Superior nasal meatus B/w the superior and middle concha

    2 things open here :

    the posterior ethmoid air cells(one of the paranasal sinuses)1. sphenopalatine foramen thru it, go the sphenopalatine a, and post/ sup nasal n2.

    Middle nasal meatus= B/w middle and inf concha

    This area is a bit more complicated.

    There is a bony projection (bulge) into this area, made by middle ethmoid air cells called the ethmoidal bulla.

    Below the ethmoidal bulla is theuncinate process, a horn shaped bony projection.

    Leading into the uncinate process is theethmoidal infundibulum, that contains the fronto nasal duct. This duct leads from

    the frontal sinus, and allows it to empty into the middle nasal meatus.

    B/w the ethmoidal bulla and the uncinate process is a half moon shaped space = semi lunar hiatus.

    3 Things open here:

    Into the hiatus, the frontal sinusopens ( via thefronto nasal duct),1.

    maxillary sinusopens into the post part of the hiatus,2.

    ant/ mid ethmoid air cellsalso open here.3.

    So all together that is 4 things that open in the middle nasal concha.

    Inf nasal meatus= below the inf nasal concha,

    2 things open here:

    asolacrimal ductopens here in to the ant part of the meatus, draining excess tears into the inf nasal meatus this is1.

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    why your nose runs when you cry a lot.

    Incisive canal we mentioned this before in the oral cavity, is the connection b/w nasal and oral cavity, has

    nasopalatine n/a here.

    2.

    Blood Supply of asal Cavity:

    post lat nasal and post septal br (sphenopalatine a)

    ant post/ethmoid a (ophthalmic a)

    Gr palatine a (desc palatine a)Septal br of sup labial a (facial a)

    Lat nasal br (facial a)

    Huge venous plexusdrains the nsals mucosa > flow into sphenopalatine, facial, and ophthalmic v, plays a major role in

    warming air before it goes to lungs

    Innervation of asal Cavity:

    Respiratory region: SS

    Post/inf part of nasal cavity = nasopalatine n (V2) to septum, post lat nasal branches (gr palatine n) to lat wall

    ant /sup part = ant/post ethmoidal n (nasociliary n of V1)

    Olfactory region = CN I

    * Forinnervation of mucosal glands of asal Cavity, please see topic #3

    4 Paranasal sinuses:

    Function:

    decrease the weight of the facial skeleton

    vocal resonance why your voice changes when you have a cold/sinus infection, and your sinuses fill

    moisten and warm air

    1.Frontal Sinus - located w/ the frontal bone, behind the root of nose, innervated bysupraorbital n of V1

    2. Maxillary sinuses- largest paranasal sinuses

    Borders:

    roof = floor of orbit

    floor = alveolar process of maxilla

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    apex = zygomatic bone

    base inf/lat wall of nasal cavity

    CLINICAL NOTE maxillary sinus drains by an opening maxillary ostium in to middle nasal meatus, but this opening is

    located high on the walls, so sinus does not fully drain can get infected easier =sinusitis

    Blood supply= sup alveolar a (Maxillary a)

    Innervation= br of ant/mid/post superior alveolar n (V2)

    3. Ethmoidal sinuses(air cells)located lat to most superior part of nasal cavity. If you pinch the bridge of your nose, the ethmoid sinuses would be located

    post to your fingers.

    Innervation =by ant/post ethmoid n (nasocilary n of C1)

    4. Sphenoid sinus

    located in sphenoid bone, part of roof of nasal cavity

    Clincial NOTE b/c of this sinus, the roof of nasal cavity is weak. If broken in a fight, can cause to the leakage of sinus

    contents or even CSF out of the nose

    Innervation =by post ethmoidal a and post ethmoid n

    Histology: The skeletal and smooth muscle tissues.

    Smooth Muscle

    all musc tissue consist of elongated cells = fibers

    cytoplasm of musc cells = sarcoplasm

    contains a # of myofibrils, made of actin & myosin

    surrounding cell membrane = sarcolemma

    Smooth muscle

    found in numerous organs = uterus, SI, LI, stomach, a/v, trachealis

    contain contractile actin and myosin filaments

    not arranged in regular cross striated pattern

    appear smooth and non striated

    involuntary motion

    small, spindle, fusiform in shape single central nucleus

    actin/filaments attach dense bodies(adheron aggregates)to sarcolemme plaques

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    Function:

    exhibits spontaneous, wave like activity

    ureters, uterine tubes, digestive organs: produces peristalsis

    a/v = regulate luminal diameters

    connected w/ gap junctions rapid ionic communications

    regulated by SNS/PNS

    influence the rate and force of contractility

    Contraction:

    Sarcoplasmic reticulum release Ca2+1.

    Ca/calmodulin complex forms2.

    which activates MLCK (Myosin light chain kinase)3.

    this PO4s myosin > myosin attaches to actin = contraction4.

    Skeletal muscles

    long multinucleated cells w/ peripheral nuclei

    very regular formation of myosin & actin in cytoplasm

    contractile filaments form distinct cross striation patterns = dark A bands, light I bands

    3 CT layers:

    Skeletal musc surrounded by dense irregular CT = epimysium

    less dense, irregular CT = perimysium -comes inside and divides interior of muscle into fascicles (bundles)

    endomysium = CT fibers that go around individual fibers

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    w/in cell = 4-5 myofibrils

    groups of 8-9 myocytes =fascicles

    hasneuromuscular spindles CT capsule, contain musc fiber called intrafusal fibers, & n. endings, surrounding fluid filled

    space

    Other features:

    o cell junctions

    well developed ER & T tubules

    voluntary innervation

    all or non contraction

    NO mitosis

    grows in response to demand

    limited regeneration

    made by myoblasts of para-axial mesoderm

    Contraction:

    Thick (A) = Myosin tail region of globular head

    Thin (I) = Actin twisted chains

    1. when myosin head attached to actin no ATP present

    2. ATP binds to head > ATP becomes ADP + P, head moves away from actin

    3. fibers slide past each other

    4. length of sarcomere decreases

    5. I & H band disappear

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    Embryology:The development of the pharyngeal gut.

    The primitive gutforms during the 4th week of the development as a

    result of cephalocaudal and lateral folding of the embryo. This

    endoderm lined cavityis incorporated into the embryo, while the

    yolk sac and the allantois remain temporarily by outside the

    embryo.

    The endodermof the primitive gut gives rise to the epitheliumand glands of the digestive tract.

    The muscular and fibrous elements of the digestive tract are

    derived from the splanchnic mesoderm.

    The epithelium at the cranial and caudal extremities of the

    digestive tract is derived from the ectoderm of the stomodeum

    and the proctodeum (anal pit).

    Formation of the gut tube

    Formation of the primitive gut

    Formation of the ventralabdominal wall

    1. Foregut

    2. Hindgut

    3. Midgut

    4. Central nervous system5. Tracheobronchial

    diverticulum

    6. Heart

    7. Liver bud

    8. Buccopharyngeal membrane

    9. Vitelline duct

    10. Allantois

    11. Cloacal membrane

    1. Yolk sac

    2. Surface ectoderm

    3. Amniotic cavity

    4. Neural groove

    5. Splanchnic mesoderm

    6. Somatic mesoderm

    1. Yolk sac

    2. Surface ectoderm

    3. Amniotic cavity

    4. Neural tube

    5. Splanchnic mesoderm

    6. Somatic mesoderm

    1. Gut endoderm

    2. Intraembryonic coelomiccavity

    3. Amniotic cavity

    4. Dorsal mesentery

    5. Splanchnic mesoderm

    6. Somatic mesoderm

    7. Neural tube

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    Formation of the ventral

    abdominal wall

    The primitive gut is divided into four parts: a) the pharyngeal gutwhich extends from the buccopharyngeal

    (oropharyngeal)membrane to the respiratory (tracheobronchial) diverticulum;

    Tagged with: ethmoidal air cells, frontal sinus, fronto nasal duct, Meckel's, nasal cavity, nasal meatus,

    nasolacrimal duct, Paranasal sinuses,pharyngeal arches, sphenoid sinus

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    5. The anatomy of the oral cavity and salivary glands. The histology of the tongue and salivary glands. The development of

    the oral and nasal cavities.

    7. The anatomy, histology and development of the pharynx, larynx and thyroid gland.

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    theoretical topics are listed as described on the website of the Anatomy department.

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