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Chapter-04 Anatomy of the Nose, Paranasal Sinuses, and Anterior Skull Base

BOOK TITLE: Sataloff’s Comprehensive Textbook of Otolaryngology: Head & Neck Surgery (Rhinology/Allergy and Immunology) -Volume 2

Author
1. Singh Ameet
2. Tabaee Abtin
ISBN
9789351524564
DOI
10.5005/jp/books/12714_5
Edition
1/e
Publishing Year
2016
Pages
20
Author Affiliations
1. The George Washington University, Washington, District of Columbia, USA, The George Washington University, Washington, DC, USA
2. Beth Israel Medical Center; Icahn School of Medicine at Mount Sinai, New York, New York, USA, Icahn School of Medicine at Mount Sinai, New York, New York, USA, Weill Cornell Medical College, New York, New York, USA
Chapter keywords
nose, paranasal sinuses, anterior skull base, mucosal lining, columnar epithelium, goblet cells, columnar cells, basal cells, suprasellar area, bony scroll, submucosal tissue, maxillary sinus

Abstract

This chapter discusses anatomy of the nose, paranasal sinuses, and anterior skull base, where the nasal cavity and paranasal sinuses are paired airspaces within a bony and cartilaginous frame work. The mucosal lining is composed of ciliated, pseudostratified columnar epithelium with interspersed goblet cells, nonciliated columnar cells, and basal cells. The blood supply to the nasal septum and paranasal sinuses is extensive and comes from branches of both the internal and external carotid arteries. The bony scroll of the turbinates is covered by fibrovascular erectile submucosal tissue and respiratory epithelium. Inferior turbinate provides the most significant amount of temperature regulation, humidification, and filtration of inspired air. The suprasellar area harbors the circle of Willis. The mucociliary function of the maxillary sinus physiologically clears secretions to the natural ostia and infundibulum. The infundibulum is a three-dimensional space that serves as the physiological clearance area of the anterior ethmoid, maxillary and frontal sinuses.

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