SURGICAL ANATOMY :THE LATERAL NASAL WA

st
st

mt

it
BASAL LAMELLA (BL)
 pea

Ⅱ
Ⅰ

mo
Uncinate Process

2 processes
        Maxillary process
        Inferior process
Ethmoidal bulla

eb
The uncinate process develops reciprocally with the ethmoidal bulla

Torus lateralis Ethmoidal bulla

 Semilunar Hiatus:
2-dimensional curved groove between
the uncinate process and the ethmoidal bulla

Ethmoidal Infundibulum
       anterior border : lacrimal bone
       posterior border : anterior surface of the
ethmoidal
bulla  
      superior border : frontal recess
medial border : entire extent of the uncinate
process
      lateral border : lamina papyracea & frontal
process of
the maxilla
sh
ei

A: lacrimal bone
P: anterior surface of
the
ethmoidal bulla  
S: frontal recess
M: uncinate process
L: lamina papyracea
 Lateral Sinus
   When the posterior wall of the bulla
ethmoidalis is not
in contact with the basal lamella of the middle
turbinate,
the suprabullar recess (a space superior to the
bulla
ethmoidalis) and retrobullar recess (a space
behind the
bulla ethmoidalis) form lateral sinus (=sinus
lateralis of
Grünwald)

Borders
A: roof and posterior wall of the ethmoidal
bulla
 ls

ebc

A:roof and
posterior wall
of the ethmoidal
bulla
P:basal lamella of
the
middle turbinate
S:roof of the
ethmoid
ls
 Frontal Recess (Frontal Infundibulum):
Funnel-shaped narrowing towards the
frontal ostium

Borders:
       A: agger nasi
      P: ethmoidal bulla & 3rd lamella
S: ethmoid roof 
      M: middle turbinate
       L: lamina papyracea

       
 fr

sos

aec
A: agger nasi
P: ethmoidal bulla & 3rd
lamella
S: ethmoid roof 
M: middle turbinate
L: lamina papyracea
Fontanelle;Pars membrana;Membranous meatus
  Bony defect between the uncinate process

and the inferior turbinate

Anteri Posteri
or or
Fontanelle & Br of sphenopalatine
nerve and artery
Nasolacrimal duct; Hasner valve
5-18mm
f
r

nld
Anterior Ethmoid Cell (4-10):
frontal recess cell
infundibular cell
bullar cell
conchal cell
extramuralncell
(i.e. supradrbital cell,
agger nasi cell, Haller cell)

Posterior Ethmoid Cell (1-5):

intramural post ethm cell
extramural post ethm cell
(i.e. Onodi cell)
soc cg

ebc

ms
fs

anc
Hc
pec
Oc
MRm
 Sphenoidal Otium: Position
       13±3 mm above the floor of sphenoid sinus
        10±4 mm below from roof of ethmoid
        5±2 mm lateral to the nasal septum
        7 cm posteriorly from the nostril margin at
34±4
degree angle to the floor of nasal cavity
 ss

13±3 mm above the floor of sphenoid sinus

 10±4 mm below from roof of ethmoid
 5±2 mm lateral to the nasal septum
7 cm posteriorly from the nostril margin at 34±4
degree angle to the floor of nasal cavity
st

so

ns

ch
rominences or Bulges from above downwards
   Prominence of the optic canal      
    Prominence of the internal carotid artery
    Prominence of the maxillary nerve
    Prominence of the nerve of pterygoid canal
( vidian nerve)
Bulges within the Sphenoid Sinus in Saggital
Section
(20%-43%;dehi 6%)
(65%-98%;dehi 25%)

(14%-29%)

(29%-48%;dehi 10%)
 on

pg

ss iss

ica
 on
ica

ss
 on

ica

v2

vn