ANATOMY OF NOSE AND

PARANASAL SINUS
SUPERVISOR :
dr. Oscar Djauhari, Sp.THT-KL

PRESENTED BY :
Vilia (2015.061.143)
Yosefina Cindy (2015.061.151)
Dyoza Ashara Cinnamon (2013730139)
SURFACE APPERANCE
 SKELETAL STRUCTURE

The skeleton of the nose is formed by three

structures
bone, cartilage and fibro-fatty tissue
Bone component located superiorly

Cartilage component and fibro-fatty tissue

located inferiorly
SKELETAL STRUCTURE
KEYSTONE AREA
MUSCLES
External Nose Blood Supply

Arterial supply
External carotid artery
Facial artery
Angular branch
Alar branch
Septal branch
External nasal branch

Internal carotid artery

Ophthalmic artery
Dorsal nasal branch
Supratrochlear artery
 INNERVATION

Sensory innervation Motor innervation

N. V
(trigeminal Facial Nerve
nerve )
(CN VII)

N. V1 N. V2
(ophthalmic (maxillary
nerve ) nerve )

external nasal nerve
supplies for the skin of the
dorsum of nose, nasal
alae and nasal vestibule.
infraorbital nerve
supplies for the
lateral aspects of the
nose
 INNERVATION

Sensory innervation of the external nose is derived from

the trigeminal nerve (CN V). The external nasal
nerve, a branch of the ophthalmic nerve (CN V1),
supplies the skin of the dorsum of nose, nasal alae and
nasal vestibule. The lateral aspects of the nose are
supplied by the infrorbital nerve, a branch of the
maxillary nerve (CN v2).

Motor innervation to the nasal muscles of facial

expression is via the facial nerve (CN VII).
NASAL CAVITY
FUNCTION OF NASAL CAVITY

The nasal cavity has four functions:

Warms and humidifies the inspired air.
Removes and traps pathogens and particulate
matter from the inspired air.
Responsible for sense of smell.
Drains and clears the paranasal sinuses and
lacrimal ducts.
NASAL CONCHA
Openings into the Nasal Cavity
FOSSA ROSENMLLER
Artery supply for nasal cavity
Kiesselbachs Plexus
Woodruffs Plexus
 Nerve of Nose
Autonomic nerve
Sympathetic nerve
Spinal cord segmen Th 1-2
Vasocontrictor
Noradrenaline (NA), Neuropeptie Y (NPY),
Avian Pancreactic Polypeptide (APP)
Parasympathetic nerve
Nucleus Salivatori Superior into
Sfenopalatine ganglion N. Vidianus
Secretion, vasodilatation
Acetylcholine, Vasoactive Intestinal
Polypeptide (VIP), Peptide Histidine
Isoleucine (PHI), Nitro Oxide (NO)

Sensory nerve
Trigeminal nerve
Protective reflex (sneezing, secretion)
Substance P, neuropeptide K, Calcitonin
Gene-Related Peptide (CGRP)
Olfactory nerve
Paranasal Sinus
 Maxillary Sinus

The maxillary sinus is the largest, borders the nasal cavity

laterally, and the orbital floor separates the upper part of the
sinus from the orbit.

The floor of the maxillary sinus is closely related to

the roots of the second premolar and first molar
teeth.

This creates a potential route for the spread of dentogenic

infections, and a tooth extraction may create a
communication between the oral cavity and maxillary sinus
(oroantral fistula).
 Ethmoidal Sinus

Superior and medial to the maxillary sinus are the ethmoid air
cells

The orbital plate of the ethmoid bone, called also the lamina
papyracea, forms the lateral bony wall that separates the
ethmoid air cells from the orbit

Paranasal sinus inflammations can spread through this

lamina to involve the orbit (orbital complications).
 Sphenoidal sinus

The sphenoid sinus is located at the approximate center of

the skull above the nasopharynx

It relates laterally to the cavernous sinus, the internal carotid

artery, and cranial nerves IIVI, and it is very closely related to
the optic canal.

The sphenoid sinus is bordered superiorly by the sella

turcica and pituitary and by the anterior and middle cranial
fossae.
 Frontal Sinus

The frontal sinus is located in the frontal bone, its floor

forming the medial portion of the orbital roof.

The sinus, which is highly variable in its extent, is bounded

behind by the anterior cranial fossa.

Inflammations of the frontal sinus can give rise to serious

complications because of its close proximity to the orbit and
cranial cavity (orbital cellulitis, epidural or subdural abscess,
meningitis).
Osteomeatal Complex
THANK YOU