Anatomy of Nose

Prepared by : Nurul Syazwani Binti Ramli

Anatomy of Nose

Nose

External

Internal (nasal cavities)

Bony Part

Cartilaginous Part

Skin-lined portion (Vestibule)

Mucosa-lined portion (Nasal cavity proper)

External Nose
Pyramidal in shape (root up & base downward) Consists of osteocartilaginous framework covered by muscles and skin.

External Nose
Bony Part Osteocartilaginous framework -Upper one-third -2 nasal bone

Cartilaginous
Part

-lower two-thirds -it consists of : a) Upper lateral cartilages

b) Lower lateral cartilages (alar cartilages) c) Lesser Alar (sesamoid) cartilages d) Septal cartilage

Nasal Musculature

-F(x) : movement of nasal tip, ala and the overlying skin -eg: procerus, nasalis (transverse and alar parts), levator labii superioris laeque nasi, ant. and post. dilator nares and depressor septi. -over nasal bone and upper lateral cartilages is thin and freely mobile -cover alar cartilges is thick and adherent and contain many sebaceous gland

Nasal Skin

External Nose
Bony Part Osteocartilaginous framework Cartilaginous Part -Upper one-third -2 nasal bone -lower two-thirds -it consists of : a) Upper lateral cartilages b) Lower lateral cartilages (alar cartilages) c) Lesser Alar (sesamoid) cartilages d) Septal cartilage

External Nose

Nasal Musculature

-F(x) : movement of nasal tip, ala and the overlying skin -eg: procerus, nasalis (transverse and alar parts), levator labii superioris laeque nasi, ant. and post. dilator nares and depressor septi.

Nasal Skin

-over nasal bone and upper lateral cartilages is thin and freely mobile -cover alar cartilges is thick and adherent and contain many sebaceous gland

Internal Nose
Divided into right and left nasal cavities Communicates with:
Exterior: through naris (nostril Nasopharynx: through post. nasal aperture (choana)
Vestibule Internal Nose Nasal Cavity Proper Has a lateral wall, a medial wall, a roof and a floor -lined by skin and contains sebaceous glands, hair follicles and hair (vibrissae)

Internal Nose
Turbinates (conchae) Lateral nasal wall Meatus Medial wall Nasal Cavity Proper

-superior -middle -inferior -superior -middle -inferior

Roof

Floor

Internal Nose
Lateral nasal wall

Nasal Cavity Proper

Medial wall (nasal septum) Roof Floor

1) Columellar septum 2) Membranousseptum 3) Septum proper

Internal Nose

Lateral nasal wall

Medial wall
Nasal Cavity Proper

Anterior Sloping Part :- nasal bones

Posterior Sloping Part :- body of sphenoid bone Middle Horizontal Part :cribriform plate of ethmoid

Roof Floor

Internal Nose

Lateral nasal wall

Medial wall

Nasal Cavity Proper

Roof

Anterior three-fourths :- palatine process of the maxilla

Floor Posterior one-fourth :- horizontal part of the palatine bone

Lining Membrane of Internal Nose

Vestibule Lined by skin containing hair, hair follicles and sebaceous glands Olfactory region Mucous membrane is paler in colour Respiratory region Lined by pseudostratified ciliated columnar epithelium which contains plenty of goblet cells

Mucose membrane

Paranasal Sinuses

Blood Supply of Nose

Nasal septum :
Internal carotid :

Anterior ethmoid Posterior ethmoid

External carotid :

Sphenopalatine Greater palatine Superior labial

Blood Supply of Nose

Lateral wall :
Internal carotid : Anterior ethmoid Posterior ethmoid External carotid : Sphenopalatine Greater palatine Anterior superior dental (infraorbital ) Facial artery

Littles Area (Plexus Kiesselbach)

Anterior inferior nasal septum Anastomoses from :
Anterior ethmoid Superior labial Sphenopalatine Greater palatine

Plexus Kiesselbach

Nerve Supply of Nose

Olfactory nerve : Carry sense of smell and supply olfactory region of nose Arranged into 10-12 nerves which pass through the cribriform plate and end in the olfactory bulb Nerves of common sensation : Anterior ethmoidal nerve Sphenopalatine ganglion Infraorbital nerve Greater palatine nerve

Autonomic :
Parasympathetic greater superficial petrosal vidian sphenopalatine ganglion Sympathetic upper 2 thoracic superior cervical gangglion deep petrosal nerve join parasympathetic to form vidian

Lymphatic Drainage

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