00:01
The next area we're
going to look at
is the nasal cavity and its
associated paranasal sinuses.
00:09
We'll start externally by
looking at the external nose.
00:14
Here we see the root,
bridge,
dorsum of the nose.
00:20
And then the anterior most
portion is called the apex.
00:25
Laterally we have
the ala or ala nasi
and the opening is
called the nostril.
00:34
We take off the skin, we
can see the nasal bone
which attaches to the nasal
cartilages most anteriorly
which gives the external
nose its flexibility.
00:46
Let's look at the cavities of
the nose or the nasal cavities.
00:52
In the midline, we
have the medial wall
and this is the nasal septum
that separates the cavity
into a left and
right nasal cavity.
01:01
Here we have the lateral wall,
the roof and the floor
of the nasal cavity.
01:08
The posterior border of the nasal
cavity something called the choana.
01:12
Beyond that we're going
to have the nasal pharynx.
01:16
So let's look at this lateral
wall of the nasal cavity.
01:20
We have the maxilla or the
medial surface of the maxilla.
01:24
We have a little bit
of the lacrimal bone.
01:29
We also have the ethmoid bone
because the ethmoid bone
is where we have the
superior and middle concha
as well as the
ethmoid labyrinth.
01:39
The inferior nasal
concha on the other hand
is not part of the ethmoid.
01:44
It's actually its own bone.
01:48
Just posterior to that,
we have the perpendicular
plate of the palatine bone.
01:53
And beyond that, we
have the medial plate
of the pterygoid process
of the sphenoid bone.
02:01
In terms of the roof
of the nasal cavity,
we have a little bit of
the nasal bone anteriorly,
the nasal spine of
the frontal bone
and then the cribriform
plate of the ethmoid bone
which is going to
be very important
for the passageway
of olfactory nerves.
02:19
Posterior Lee we have the anterior
surface of the sphenoid bone
or we also have the openings
to the sphenoidal sinus.
02:27
The floor of the nasal cavity
is actually the palate.
02:31
So we see the palatine process
of the maxilla, anteriorly.
02:35
And the horizontal plate of
the palatine bone, posteriorly.
02:41
The medial wall that separates the
nasal cavity and the left and right
is the nasal septum.
02:47
And here we have the perpendicular
plate of the ethmoid bone
as well as the vomer
and then the septal
cartilage more anteriorly.
02:59
If we swing around to a
posterior point of view,
we see the posterior borders
which are the nasal choanae.
03:08
And inferiorly, we again have the
horizontal plane of the palatine bone.
03:13
Mediately, the posterior
bodies of the vomer
which make up part
of the nasal septum.
03:20
Laterally, the medial plates
of the pterygoid process
and the roof again parts of
the vomer in sphenoid bone.
03:30
If we were to take a
cross section view,
through the nasal cavities,
we would see that
there's some other spaces
that are actually associated
with the nasal cavity.
03:39
We call these the
paranasal sinuses.
03:43
So here we see the
septum in the midline
and then the nasal concha on the
lateral wall of the nasal cavity.
03:52
Here we have the orbit
and then we start to see
the paranasal sinuses.
03:58
We have some in the frontal
bone called the frontal sinus,
some of the ethmoid bone
called the ethmoid sinus
sometimes called air cells.
04:08
And then we have maxillary
sinuses and the maxillary bone.
04:15
These parent nasal sinuses,
we don't really know
what they're doing there.
04:20
They might be making
the skull lighter,
they might be adding
resonance to the voice.
04:25
But either way,
the important thing
is that they all communicate
with the nasal cavity
and as such,
infections can
communicate as well
and you can get sinusitis.
04:37
So, these sinuses, all have
some sort of connection.
04:42
For example, in
the sagittal view,
we see the sphenoid sinus
entering the nasal cavity through
the sphenoethmoidal recess.
04:52
We also have the
posterior ethmoid sinus
training through
the superior meatus
which is an opening just below
the superior nasal concha.
05:03
The middle meatus, which is the
opening just below the middle concha
is where we have drainage
of the frontal sinus,
as well as the anterior and
middle ethmoidal sinuses.
05:14
It's also where we have the
maxillary sinus draining.
05:18
So we have multiple sinuses
draining in this middle meatus.
05:22
In the inferior meatus
or the opening below
the inferior concha,
this is where we have drainage
of the nasolacrimal duct.
05:30
So this is essentially
where tears end up draining.
05:34
And that's why if you've ever
cried for a long period of time,
it seems like your nose
might be getting runny.
05:39
Well that's because of this
drainage into the nasal cavity
via the nasolacrimal duct.