THE NOSE & NASAL CAVITY

NASAL CAVITY

The nasal cavity is a large space within the nose that is lined with mucous membranes and is responsible for filtering, warming, and humidifying the air that we breathe. It is divided into two sections by the nasal septum, with each section containing three bony projections called turbinates that help to increase the surface area of the nasal cavity and create turbulence in the air to enhance filtration.

The walls of the nasal cavity are covered in a layer of mucous membrane, which is rich in blood vessels, nerve endings, and specialized cells called goblet cells. The goblet cells produce a layer of mucus that helps to trap dust, bacteria, and other airborne particles before they can enter the lungs. The cilia, small hair-like structures on the surface of the mucous membrane, then work to move the mucus and trapped particles towards the back of the throat, where they can be swallowed or expelled.

The nasal cavity also contains a network of blood vessels and nerves that provide innervation and blood supply to the nasal mucosa. The sensory nerves in the nasal cavity play an important role in the sense of smell, while the blood vessels help to regulate blood flow to the nose and maintain proper nasal function.

OPENING OF NASAL CAVITY

The nasal cavity is the space inside the nose that allows air to flow through it and enter the respiratory system. There are two openings to the nasal cavity, one on each side of the nose, which are called the nostrils or nares. The nostrils are located at the front of the nose and are responsible for bringing air into the nasal cavity.

The nostrils are lined with small hairs called vibrissae, which help to filter out larger particles such as dust and pollen from the air before it enters the nasal cavity. Inside the nostrils, there are also small pockets called vestibules that contain sebaceous glands that secrete oil to help keep the area moist.

The nostrils open into the nasal vestibule, which is the area just inside the nostril. The nasal vestibule contains a number of important structures, including the nasal hairs and sebaceous glands, as well as the opening of the paranasal sinuses, which are air-filled spaces in the bones of the face that are connected to the nasal cavity.

Behind the nasal vestibule lies the main part of the nasal cavity, which is lined with a thin layer of mucous membrane. This mucous membrane is responsible for warming and humidifying the air as it passes through the nasal cavity, as well as filtering out smaller particles such as bacteria and viruses.

NOSE

The nose is a complex organ responsible for several functions related to the respiratory system, including breathing, smelling, and filtering air. The nose is made up of both bone and cartilage and is divided into two nasal cavities by the nasal septum.

GROSS ANATOMY OF THE NOSE

  1. Nasal Septum: The nasal septum is a bony and cartilaginous structure that divides the nasal cavity into two halves. It is made up of the perpendicular plate of the ethmoid bone, the vomer, and the quadrangular cartilage.
  2. Nostrils: The nostrils, also known as nares, are the openings of the nose through which air enters the nasal cavity. They are bordered by the nasal vestibule, which is lined with coarse hairs called vibrissae that trap larger particles and prevent them from entering the respiratory system.
  3. Nasal Cavities: The nasal cavities are two long, narrow passages that extend from the nostrils to the back of the throat. They are lined with a moist mucous membrane that contains numerous tiny hair-like projections called cilia, which help to filter and trap tiny particles such as dust and pollen.
  4. Turbinates: The nasal cavities are divided into three regions by the nasal conchae or turbinates, which are bony structures covered with mucous membranes that help to increase the surface area of the nasal mucosa. This increases the nose’s ability to filter, humidify, and warm the air before it reaches the lungs.
  5. Olfactory Region: The roof of the nasal cavity is the olfactory region, which contains the olfactory epithelium. This is the specialized tissue that contains millions of olfactory receptors, which are responsible for detecting different odor molecules.
  6. Paranasal Sinuses: The paranasal sinuses are air-filled spaces in the bones of the skull that are connected to the nasal cavity. There are four pairs of sinuses: frontal, maxillary, ethmoid, and sphenoid. The sinuses help to lighten the skull, produce mucus to moisturize the nasal cavity, and provide resonance to the voice.
  7. Nasolacrimal Ducts: The nasolacrimal ducts are small tubes that connect the eyes to the nasal cavity, allowing tears to drain out of the eyes and into the nose.
  8. Blood Vessels and Nerves: The nose is richly supplied with blood vessels and nerves that help to regulate its functions, including blood flow, mucus production, and sensation.

POSITION

The nose is located in the center of the face and extends from the upper part of the face down to the upper lip. It is the main external structure of the respiratory system and is responsible for filtering, warming, and humidifying the air we breathe. The nose is divided into two nasal cavities by the nasal septum, which is made up of bone and cartilage. Each nasal cavity contains three bony projections called the turbinates, which help to increase the surface area of the nasal cavity and create turbulence in the air to enhance filtration.

The nose is located above the mouth and is surrounded by other structures, including the eyes, cheeks, and forehead. The nasal bones make up the bridge of the nose, while the cartilage at the tip of the nose is responsible for the shape and support of the nostrils. The nasal ala are the external structures that form the sides of the nostrils and help to control the flow of air through the nose.

REGIONS OF THE NOSE

The nose can be divided into different regions based on its anatomy and structure. These regions include:

  1. Anterior nose: The anterior nose refers to the visible portion of the nose that protrudes from the face. It includes the nostrils or nares, which are the openings through which air enters the nasal cavity.
  2. Posterior nose: The posterior nose refers to the part of the nasal cavity that is located further back in the nasal passage. It includes the nasal conchae, which are bony projections that help to increase the surface area of the nasal cavity.
  3. Superior nose: The superior nose refers to the uppermost part of the nasal cavity. It includes the olfactory epithelium, which is responsible for detecting smells.
  4. Inferior nose: The inferior nose refers to the lowermost part of the nasal cavity. It includes the inferior turbinate, which is a long, narrow structure that helps to increase the surface area of the nasal cavity.

BLOOD SUPPLY OF NOSE

The nose is supplied with blood by several arteries that branch off from the carotid arteries and the branches of the external carotid artery. Here is a summary of the major arteries that supply blood to the nose:

  1. Anterior Ethmoid Artery: This artery supplies the anterior and superior parts of the nasal cavity, including the nasal septum, the roof of the nasal cavity, and the superior nasal conchae.
  2. Posterior Ethmoid Artery: This artery supplies the posterior and superior parts of the nasal cavity, including the superior and middle nasal conchae.
  3. Sphenopalatine Artery: This artery supplies the posterior and inferior parts of the nasal cavity, including the inferior nasal conchae, the nasal septum, and the lateral nasal wall.
  4. Greater Palatine Artery: This artery supplies the posterior hard palate, the medial wall of the maxillary sinus, and the posterior lateral nasal wall.
  5. Superior Labial Artery: This artery supplies the lower part of the nasal septum and the vestibule of the nose.
  6. Anterior Septal Branch of the Superior Labial Artery: This branch supplies the anterior part of the nasal septum.

These arteries form an extensive network of blood vessels that supply the nasal mucosa, which is the specialized tissue that lines the inside of the nose. The nasal mucosa is highly vascular and contains numerous tiny blood vessels that help to humidify and warm the air as it passes through the nose.

VENOUS DRAINAGE

The venous drainage of the nose is carried out by several veins that drain blood from the nasal cavity and transport it to larger veins that eventually empty into the heart. Here is a summary of the major veins that drain the nose:

  1. Anterior Ethmoid Vein: This vein drains the anterior and superior parts of the nasal cavity, including the nasal septum, the roof of the nasal cavity, and the superior nasal conchae. It drains into the ophthalmic vein or into the anterior facial vein.
  2. Posterior Ethmoid Vein: This vein drains the posterior and superior parts of the nasal cavity, including the superior and middle nasal conchae. It drains into the cavernous sinus or into the sphenopalatine vein.
  3. Sphenopalatine Vein: This vein drains the posterior and inferior parts of the nasal cavity, including the inferior nasal conchae, the nasal septum, and the lateral nasal wall. It drains into the internal jugular vein.
  4. Greater Palatine Vein: This vein drains the posterior hard palate, the medial wall of the maxillary sinus, and the posterior lateral nasal wall. It drains into the pterygoid plexus or into the sphenopalatine vein.
  5. Superior Labial Vein: This vein drains the lower part of the nasal septum and the vestibule of the nose. It drains into the facial vein.
  6. Anterior Septal Vein: This vein drains the anterior part of the nasal septum. It drains into the facial vein or into the sphenopalatine vein.

These veins form an intricate network of blood vessels that drain blood from the nasal mucosa and transport it back to the heart. The venous drainage of the nose is important for removing waste products, such as carbon dioxide and metabolic byproducts, from the nasal mucosa and returning oxygen-depleted blood back to the heart for reoxygenation.

NERVE SUPPLY OF THE NOSE

The nose is innervated by several nerves that provide sensory and motor functions. The sensory nerves of the nose provide information about the sense of smell, temperature, pressure, and pain. The motor nerves of the nose control the movement of the nasal muscles, which are important for regulating the size of the nasal cavity and controlling the flow of air through the nose.

Here is a summary of the major nerves that innervate the nose:

  1. Olfactory Nerve: This nerve provides the sense of smell and is responsible for detecting odors in the environment. The olfactory nerve fibers extend from the nasal cavity to the olfactory bulb in the brain.
  2. Trigeminal Nerve: This nerve is responsible for providing sensory information about touch, pressure, temperature, and pain. The ophthalmic branch of the trigeminal nerve supplies the nasal septum and the upper part of the nasal cavity, while the maxillary branch supplies the lower part of the nasal cavity.
  3. Facial Nerve: This nerve provides motor innervation to the nasal muscles, including the dilator naris and the compressor naris muscles. These muscles are important for regulating the size of the nasal cavity and controlling the flow of air through the nose.
  4. Sympathetic Nerves: These nerves provide a sympathetic innervation to the blood vessels in the nose. The sympathetic nervous system regulates the diameter of blood vessels and plays a role in controlling nasal blood flow.

The nerve supply of the nose is important for regulating the functions of the nasal cavity and providing sensory information about the environment. Damage or dysfunction of the nerves that innervate the nose can lead to problems with smell, breathing, and other nasal functions.

KEY FEATURE & FUNCTION OF THE NOSE:

  1. Nasal vestibule: This is the area just inside the nostrils and is lined with hairs that help filter out larger particles and prevent them from entering the respiratory system.
  2. Nasal conchae: These are bony structures inside the nasal cavity that help to increase the surface area of the nasal mucosa, the tissue lining the nasal cavity. This increases the nose’s ability to filter, humidify, and warm the air before it reaches the lungs.
  3. Olfactory epithelium: This is the specialized tissue lining the roof of the nasal cavity that is responsible for detecting smells. The olfactory epithelium contains millions of olfactory receptors that can detect different odor molecules.
  4. Paranasal sinuses: These are air-filled spaces in the bones of the skull that are connected to the nasal cavity. The sinuses help to lighten the skull, produce mucus to moisturize the nasal cavity, and provide resonance to the voice.
  5. Nasolacrimal ducts: These are small tubes that connect the eyes to the nasal cavity, allowing tears to drain out of the eyes and into the nose.
  6. Nerves and blood vessels: The nose is richly supplied with both nerves and blood vessels that help to regulate its functions, including blood flow, mucus production, and sensation.

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