It extends from: Anterior: Nostrils Posterior : Choanae It is divided by the Nasal Septum into right and left halves. It is narrow and arched. It lies below the Anterior Cranial Fossa. It is formed of: Nasal cartilages. Nasal and frontal bones. Cribriform Plate of Ethmoid. Body of sphenoid. It forms part of the roof of the oral cavity. It is composed of: Palatine process of maxilla . Horizontal plate of palatine bone. It is formed of: (1) Bony Part: Perpendicular Plate of Ethmoid: Superior Vomer : posterior & inferior. (2) Septal Cartilage: Anterior & inferior Irregular in contour . It is interrupted by Three Nasal ConChae. Inferior: A separate bone. Middle: Superior: Are parts of Ethmoid Bone The Inferior Concha is the largest. The nasal cavity is separated by the conchae into Four Air Channels: Superior Middle Inferior Meatuses. Spheno- Ethmoidal Recess : A triangular fossa between superior concha & roof of nose. • • • • • It is above nostrils . Lateral : ala of nose. Above & Behind : A curved elevation “Limen Nasi” It is lined by skin. It has short hairs. A depression between: Middle meatus & Vestibule • Above : a ridge “Agger Nasi” 1. 2. • • • Bulla Ethmoidalis: Dome shaped elevation Hiatus semilunaris: Crescentic groove below bulla. Infundibulum: Curved channel Anterior to Hiatus. Olfactory It lines : Roof. Upper surface of the superior concha. Spheno-ethmoidal recess. Corresponding area of the nasal septum. Respiratory : Lines the rest. It posses special olfactory nerve cells. Their central processes are Olfactory Nerves. Which pass through the Cribriform plate of Ethmoid into the Brain. • • • • • • A) Special : Olfactory nerve (B) General : 1. Ophthalmic Nerve: . Anterior Ethmoidal: It enters the nasal cavity through a slit medial to Crista Galli. It gives the Internal Nasal to the medial and lateral walls. It terminates as the External Posterior Ethmoidal: It enters the nasal cavity from the orbit. It supplies the Ethmoidal cells and Sphenoidal sinus. It does not extend into the nasal cavity itself. 1. Nasopalatine: It is the largest branch. It passes through the incisive fossa to the roof of the oral cavity. It supplies the oral mucosa posterior to the incisor teeth. 2. Posterior superior : lateral & medial nasal 3. Posterior inferior nasal: From the greater palatine . They supply the lateral wall. From Pterygopalatine ganglion. Preganglionic: From the facial nerve (greater petrosal). Postganglionic : Through maxillary nerve. The Preganglionic synapse in the Superior Cervical Ganglion. The Post ganglionic fibers pass onto the Internal Carotid Artery. They join the Greater Petrosal to the Pterygopalatine Ganglion. 1. Maxillary artery: Sphenopalatine. Greater palatine. 2. Facial artery: Superior labial. Lateral nasal. It is the terminal branch of the maxillary A. in the pterygopalatine fossa. It is the most important artery. It gives: Posterior lateral nasal. Posterior septal branches. It enters the floor of the nasal cavity through the incisive fossa and canal. It supplies: Anterior part of the septum. Adjacent part of the floor. Anterior Ethmoidal. Posterior Ethmoidal. They arise in the orbit from the Ophthalmic Artery. They supply : lateral and medial walls. 1. Anterior part of septum (Little’s area): • It is the major site of Epistaxis. • Anastomoses between: • (1) Sphenopalatine artery . (2) Septal branch of superior labial. (3) Greater palatine. (4) Anterior ethmoidal. • • • • 2. Posterior part of septum (less common) : Anastomoses between branches of Sphenopalatine artery 1. 2. 3. 4. 5. Facial vein. Pterygoid plexus An emissary vein. It passes through the foramen caecum and joins the Superior Sagittal Sinus. This can be a route of transmission of infection to the cranial cavity. Vestibule: Submandibular nodes. 2. Rest of nasal cavity: Upper deep cervical nodes. 1. Ethmoidal Cells. Sphenoidal. Maxillary. Frontal sinuses. They are outgrowths from the nasal cavities that erode into the surrounding bones. • Functions : 1. Lighten the weight of skull 2. Add resonance to voice • • • • • Lined with mucoperiosteum and filled with air. Open into lateral wall of nasal cavity. Innervated by branches of the trigeminal nerve. The maxillary and sphenoidal are rudimentary at birth. They enlarge after the 8th year. They are two in number. Most superior sinuses. Each is Triangular in shape. Extension: Upward above the medial end of the eye brow. Backward into the medial end of the roof of the orbit. • • • • Drainage: To the Infundibulum of the middle meatus through Frontonasal duct . Nerve supply: Supraorbital nerve.. They are the largest. Fill the bodies of the maxillae. Pyramidal in shape. Apex: In the zygomatic process of maxilla. Base : Forms to the lateral wall of the nose. • • • • Roof : Floor of orbit. (orbital plate of maxilla) Floor: Alveolar process of maxilla. • • 1. The roots of upper premolars & molars project into the floor of the sinus . Infection of them can cause Sinusitis Extraction of a tooth may result in a Fistula. • • Drainage: Into Hiatus Semilunaris. Nerve Supply: Superior alveolar. Infraorbital. Site : within ethmoid bone They are (3) groups: Anterior. Middle. Posterior. Drainage: • Anterior : Infundibulum. • Middle : • Bulla Ethmoidalis • Posterior : • Superior Meatus. Nerve Supply: Anterior & Posterior Ethmoidal. • The sinuses are separated from the orbit by a thin orbital plate of ethmoid bone. Infection can spread from the sinuses into the Orbit. It can cause Orbital Cellulitis. Two in number. Site: within the body of sphenoid. Drainage: Sphenoethmoidal Recess. Nerve supply : Posterior Ethmoidal