29/2019 "Nasal Cavity - Anatomy, Blood Supply & Innervation | Kenhub
Nasal Cavity
‘The nasal eavity is an essential region of the body for three main
reasons
«+ itassists the human body to inhale and exhale air via special
respiratory epithelia
‘= it governs one of the five human senses which s the sense of j
smell using olfactory cells
«its bony borders including the nasal bones ang their adjacent alar
cartilage make up the centre of the face and are responsible for
the esthetic contours of a person's individual characteristics
Key Facts
Borders
Nasal conchae
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< Nasal cavity proper (Cavum nas) >
‘Superior: nasal bone, frontal bone, eribriform plate
of the ethmeid bone, body of the sphenoid bone
Inferior: palatine process and horizontal plate of the
maxilla
Anterior: nasal bones, nasal cartilage
Posterior: choanae of the skull
Lats
Inferior nasal concha
Medial: nasal septum
thmoid, palatine, sphencid, lacrimal bones;
‘Superior nasal concha: superiorly to the superior
meatus, drains sphenoethmoidal recess and
sphenoidal sinus
Middle nasal concha: inferiorly to the superior
meatus, drains the middle meatus, anterior and
middle ethmoidal sinuses, frontal sinus, maxillary
Inferior nasal concha: inferiorly to the middle
concha, drains the inferior meatus and nasolacrimal,
duct
1829/2019 "Nasal Cavity - Anatomy, Blood Supply & Innervation | Kenub
Vascularization Ophthalmic, maxillary, facial arteries and their
branches: anterior ethmoid, posterior ethmoid,
sphenopalatine, greater palatine, superior labial
arteries
Innervation Special visceral afferent: olfactory nerve (CN I)
General somatic afferent: branches of the
trigeminal nerve - nasociliar, nasopalatine nerves,
posterior nasal branches of maxillary nerve
Clinical relations Epistaxis, rhinitis, deviated septum,
In this article the nasal cavity will be discussed in detail, including its borders, conchae, nerve and vascular supply and
the most common pathological findings.
Borders
Superiorly, the nasal cavity is limited by several bones including the nasal bone, the frontal bone, the cribriform plate
of the ethmoid bone and the body of the sphenoid bone.
Anteriorly, the outer nose including the nasal bones and the attached cartilage and skin can be seen, with the two
nostrils creating constant communication with the external environment. inferiorly the palatine process of the
maxilla and the horizontal plate of the maxilla form a solid base lined with respiratory epithelium,
‘The choanae of the skull are situated posteriorly. Laterally as with superiorly, a range of cranial bones surround the
cavity including the maxilla, the ethmoid bone, the palatine bone, the sphenoid bone, the inferior nasal concha and the
lacrimal bone
The septum separates the nasal cavity into two symmetrical spaces and is made up of the perpendicular plate of the
ethmoid bone, the vorner and the septal cartilage.
Conchae
‘There are three nasal conchae situated on each side of the nasal septum. They act as drains for certain regions and
structures within the nasal cavity. They cascade caudally in an anterior direction,
‘The superior nasal conchais the smallest of the three and is mostly
located superior to the superior meatus. It drains the
sphenoethmoidal recess and the sphenoidal sinus. The part of it
that is located inferior to the superior meatus drains the superior
meatus and the posterior ethmoidal sinus,
‘The middle nasal concha and the concha below it are all below the j
superior meatus and it drains the middle meatus as well as the
anterior and middle ethmoidal sinuses, the frontal sinus and the
‘maxillary sinus.
es
isthe last of the three and the largest. It
drains the inferior meatus and the nasolacrimal duct.
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Nasal conchae (Conchae nasates) >
Blood Supply
‘The arterial supply of the nasal cavity is shared between three arteries which include:
+ the ophthalmic artery,
+ the maxillary artery
+ the facial artery
The following branches correspond to this trio and inciude:
+ the anterior ethmoid artery
+ the posterior ethmoid artery
+ the sphenopalatine artery
+ the greater palatine artery
+ the superior labial artery
As far as venous drainage goes, an intricate cavernous plexus runs
under the epithelium and drains into either the emissary vein, the
sphenopalatine vein or one of the ethmoidal branches.
Anterior ethenoica artery (Arteria
< cchmoicats anterion >
Innervation
Two types of nervous tissue help innervate the nasal cavity. The first is that which aids olfaction and its fibers contain
special visceral afferent fibers, while the second is that of general sensation or general somatic afferent fibers as they
are more commonly known.
‘The fibers of olfaction branch directly from the olfactory bulb of the olfactory nerve which is the first of the twelve
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