Page 7 - Edited - Webster HEAD AND NECK - part 2-Merge PDF
P. 7

205
                  (A)  RIGHT LATERAL WALL OF NASAL CAVITY AS HN 203 (C)
                                                        BUT WITH CONCHAE CUT AWAY
                                                                                                          HN 205


                                                            ETHMOID
                                                            (CRIBRIFORM PLATE)
                                                                                    SPHENOID (BODY)
                                                  (1)  SPHENO-
                                                        ETHMOIDAL
                                      (2)                    RECESS                                (MEATUS means
                                                                                                   “a hole”.)
                 ETHMOIDAL
                 BULLA ("bubble")
                 SEMILUNAR
                 HIATUS
                 ("gaping")      (3)
                                             INFERIOR

                                             MEATUS.
                 (1)  SUPERIOR                                                          PTERYGO PALATINE
                (2)  MIDDLE      CONCHA                                                 FORAMEN.
                (3)  INFERIOR
                                         BONY PALATE                                THREE CONCHAE
                                                                                    MEANS FOUR
                                                         PTERYGOID                  SPACES.
                                                          HAMULUS

           (B)  DRAINAGE OF THE PARANASAL AIR SINUSES                  The MAXILLARY, FRONTAL, ETHMOIDAL,
                                   and SPHENOIDAL air sinuses are cavities in the associated bones, filled with air,
                                      and connected to the nasal cavity. They are all PAIRED, except the ethmoidal,
                                           which are multiple on each side. Like the nasal cavity, they are lived with
              FRONTAL                       respiratory epithelium on a vascular muncosa equipped with MUCOUS
              AIR                         GLANDS (parasympathetic secretomoth from FACIAL nerve). The slime
              SINUS                                                 has to go somewhere, & infact joins that of the

                                                                             nasal cavity itself. NOTICE that with
                                                                                              the exception of the
                                                                                     SPHENOIDAL air sinus, ALL
                                                                  SPHENOIDAL          discharge into The MIDDLE
                                                                  ALR SINUS
            SEMI-                                                                           meatus. The exit from
            LUNAR                                                                                  the sphenoidal
            HIATUS                                                                                     air sinus is

          NASO-                                                                                  non-too-cleverly
          LACRIMAL                                                                                  placed (would
          DUCT                                                                                 you put a spigot in
          (SHEET 121)
                                                                               the top of a beer barrel?) – although
                                                                                                     the cilia help.
                                                                                              The arrangement for
                                                                                       the MAXILLARY air sinus
                                                                                     is even worse ( ). TEARS are
                                                     K.E.W.
                                              (Z)                          discharged into the INFERIOR meatus -
                                       (Y)
                                             OPENING FROM                  the largest, but with only a single inlet...
                                             MAXILLARY
                                             AIR SINUS
                   NB. THE SEMILAR HIATUS IS A CRESCENTIC
                   CLEFT BETWEEN THE BULLA OF THE
                   ETHMOID ABOVE & THE MAXILLA BELOW ( ).
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