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This text provides a comprehensive overview of the functions and anatomy of the nose, nasal cavity, and paranasal sinuses. It covers topics such as respiratory function, olfaction, paranasal sinus resonance, and common investigations for nasal diseases.
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بسم الله الرحمن الرحيم NOSE I & IV DR. SAMI ALHARETHY associate. PROF. FACIALPLASTIC CONSULTANT KSU
Functions Of The Nose • Respiratory channel • Warming and humidifying inspired air • Cleaning and filtering inspired air • Olfaction
Function of Paranasal Sinuses • to act as resonators to the voice • They also reduce the weight of the skull • When the apertures of the sinuses are blocked or they become filled with fluid, the quality of the voice is markedly changed
ANATOMY OF SINO-NASAL TRACT • External nose • Nasal cavity • Paranasal sinuses
THE NASAL CAVITY • Nasal Vestibule • Nasal Cavity Proper
THE NASAL CAVITY • Roof • Floor • Lateral wall • Medial wall (septum)
The Lining Mucosa • Respiratory mucosa • Olfactory mucosa • skin
Arterial Blood Supply • External Carotid • Maxillary • Facial • Internal Carotid • Ophthalmic
Blood Supply Of The Nasal Cavity Lateral Wall Nasal Septum
Venous Drainage • Facial vein Internal jugular • Angular vein Ophthalmic Cavernous sinus
Lymphatic Drainage • Submandibular • Retropharyngeal • Superior deep cervical
Nerve Supply Of The Nasal Cavity • Olfactory • General sensory: Trigeminal nerve • Autonomic: sphenopalatine ganglion
Sensory Nerve Supply • Ophthalmic and maxillary branches of the trigeminal
The Maxillary Sinus • Sinus ostium located in the middle meatus
The Ethmoid sinuses • Anterior ethmoids: drain into the middle meatus • Posterior ethmoids: drain into superior meatus
The Frontal Sinus • Rarely present at birth; usually not visible until age 2 • Great variability in size; congenitally absent in 5%
Lining of the Sinuses • Pseudostratified columnar epithelium with goblet cells (respiratory epithelium) which is continuous with the nasal epithelium
Blood Supply • Branches from the internal and external carotids
Nerve Supply • Branches from the trigeminal
Investigation of Nasal Diseases • Endoscopy • Rhinometry • Measurement of olfaction • Skin allergy test • Mucociliary clearance tests • Imaging
Rhinometry • Objective measurement of the nasal resistance or the flow of air in the nasal cavities Poiseuille's Law
Imaging of The Paranasal Sinuses • Plain X-Rays • CT scan • MRI
CT Paranasal Sinuses Axial Coronal