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Anatomy of the Nose
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External Nose- Bony
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External Nose- Cartilaginous
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Dangerous area of the face
Dangerous area of the nasal cavity
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Nasal cavity Medial wall (Septum) Lateral wall Roof Floor Respiratory
Olfactory Vestibule Anterior nares (nostrils) Posterior nares (choanae)
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Vestibule
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Nasal septum Bony Cartilaginous Membranous
Perpendicular plate of ethmoid Perpendicular plate of Vomer Nasal crest of maxilla Nasal crest of palatine bone Rostrum of sphenoid Cartilaginous Quadrilateral cartilage Membranous Forms the columella
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Lateral wall of nasal cavity
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Ostio-meatal Complex (OMC)
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Mucosa Respiratory area Olfactory area Vestibule
Pseudo stratified ciliated columnar epithelium Mucous glands and goblet cells Olfactory area Vestibule Skin Turbinates: Vasular with submucosal sinusoids (Cavernous tissue)
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Blood supply
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Little’s area Caudal part of the nasal septum which has a rich submucosal arterial network: Septal branches of Anterior ethmoidal Sphenopalatine Greater palatine Superior labial Prone for drying effect of inspired air and to microtrauma due to picking of the nose Commonest cause and site of epistaxis in children DD: Bleeding from retrocolumellar vein
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Sphenopalatine artery is considered as THE artery of epistaxis
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Nerve supply Maxillary N Anterior ethmoidal N Olfactory
Sphenopalatine Lesser and greater palatine Anterior ethmoidal N Olfactory Autonomic- Vidian N
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Lymphatic drainage Anterior part Posterior part
Submandibular lymph nodes Posterior part Retropharyngeal lymph nodes Jugulo-digastric lymph nodes
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Thank you
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