Escolar Documentos
Profissional Documentos
Cultura Documentos
& PA R A N A S A L
S IN U S ES
Supervisor:
dr. Oscar Djauhari, Sp.THT-KL
Presented by:
Annisa Tri Handayani (2011730010)
Clerkship of Ear Nose Throat Head and Neck Department
Regional Hospital R. Syamsudin SH
ExternalN ose
Pyramidal shape
Skeleton partly bony and partly
N asalCavity
= nasal fossae
Nasal septum nasal septal cartilage,
corresponding turbinates
Type ofParanasalSinuses
Frontal sinus
Ethmoid sinus
Maxillary sinus
Sphenoid sinus
FrontalSinuses
Located in the frontal bone
Its floor forming the medial portion of the orbital roof
Bounded behind by the anterior cranial fossa
Inflammations can give rise to serious complications
Sphenoid Sinuses
Located at the approximate center of the skull above
the nasopharynx.
Borders:
Its posterior wall is formed by the clivus.
It relates laterally to the cavernous sinus, the internal carotid
M axillary Sinuses
The largest of the paranasal sinuses
Border:
The anterior wall forms the facial surface of the maxilla
The posterios wall borders the infratemporal fossa
The medial wall constitutes the lateral wall of the nasal
cavity
The floor of the sinus is the alveolar process
The superior wall serves as the orbital floor
D rainage ofParanasalSinuses
Meatus superior
Located below the superior turbinate and above the medial
turbinate
Drainage the posterior ethmoid sinuses and sphenoid
sinus
Meatus media
Located between the medial turbinate and inferior turbinate
Drainage the frontal sinus, maxillary sinus, and anterior
ethmoid sinus
Meatus inferior
Situated below the inferior turbinate
The biggest meatus
An orifice of the ipsilateral naso-lacrimal duct.
obstruction
Contained in the middle third of lateral wall of
the nose, in the meatus medius, there orifice
channel of maxillaryy sinus, frontal sinus,
anterior ethmoid sinuses.
5 structures:
Maxillary ostium
Infundibulum
Ethmoidal bullae
Uncinate process
Hiatus semilunaris
Physiology ofParanasal
Sinuses
Acting as resonating chambers for
the voice
Moisturize and humidify ambient air
Lightening the weight of the facial
skeleton
conditioning
Smelling
Fonetic function
Static and mechanic function
lightening the weight of facial
skeleton, protection
Nasal reflex
TH AN K YO U