6. the anatomy of the nasal ca
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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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