• Nose forms a resonance chamber for certain consonants in
speech. In phonating nasal consonants (M/N/NG), sound passes through the nasopharyngeal isthmus and is emitted through the nose. When nose (or nasopharynx) is blocked, speech becomes densal, i.e. M/N/NG are uttered as B/D/G, respectively. It is to be remembered that in hindi alphabets, last latter of a “varga”(sju{ : s, v, u, 3, ª M tju{ M t, y, b, w, g M kju{ M k, km, a, Ef, d) is substituted by its third letter. Thus, an affective person utters bfbf for gfgf and afaf for dfdf. Reverse is true in velopharyngeal insufficiency where gfgf is substituted for bfbf. NASAL REFLEXES • Several reflexes are initiated in the nasal mucosa. Smell of a palatable food cause reflex secretion of saliva and gastric juice. Irritation of nasal mucosa cause sneezing. Nasal function is closely related to pulmonary functions through nasobronchial and nasopulmonary reflexes. It has been observed that nasal obstruction leads to increased pulmonary resistance and is reversed when nasal obstruction is surgically treated. Nasal packing in cases of epistaxis or after nasal surgery lead to lowering of pO₂ which returns to normal after removal of the pack. Pulmonary hypertension or cor pulmonale can develop in children with long- standing nasal obstruction due to tonsil and adenoid hypertrophy and can be reversed after removal of the tonsils and adenoids. OLFACTION • Sense of smell is well-developed in lower animals to give warning of the environmental dangers but it is comparatively less important in man. Still it is important for pleasure and for enjoying the taste of food. When nose is blocked, food tastes bland and unpalatable. Vapours of ammonia are never used to test the sense of smell as they stimulate fibers of the trigeminal nerve and cause irritation in the nose rather than stimulate the olfactory receptors. 1. OLFACTORY PATHWAYS • Smell is perceived in the olfactory region of nose which is situated high up in the nasal cavity. This area contains millions of olfactory receptor cells. Peripheral process of each olfactory cell reaches the mucosal surface and is expanded into a ventricle with several cilia on it. This acts as a sensory receptor to receive odorous substances. Central processes of the olfactory cells are grouped into olfactory nerves which pass through the cribriform plate of ethmoid and end in the mitral cells of the olfactory bulb. Axons of mitral cells form olfactory tract and carry smell to the prepyriform cortex and the amygdaloid nucleus where it reaches consciousness. Olfactory system is also associated with autonomic system at the hypothalamic level.