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    Nasal Cavity and
    Paranasal Sinuses
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    Roadmap
                      Gross
      Introduction               Positioning
                     Anatomy



      Radiographic
                      X Ray         CT
       Anatomy




          MRI        Questions
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    Introduction
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    Introduction

       Nasal cavity is a passage from
        the external nose anteriorly to
        the nasopharynx posteriorly.

       The frontal, ethmoid, sphenoid
        and maxillary sinuses form the
        paired paranasal sinuses.

       They are situated around and
        drain into the nasal cavity.

       The entire complex is lined by
        mucus secreting epithelium.
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     Gross
    Anatomy
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    Nasal Cavity

                 Nasal Cavity        Sagittal View
       Nasal Septum

       Floor of the nasal cavity

       Lateral wall of the cavity
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    Nasal Cavity

                    Lateral Wall   Sagittal view
       Maxillary

       Palatine

       Lacrimal

       Ethmoid
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    Nasal Cavity

                  Lateral Wall   Sagittal view
       Sphenoethmoidal recess

       Superior Turbinate
           Superior Meatus

       Middle turbinate
           Middle meatus

       Inferior turbinate
           Inferior meatus
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    Nasal Cavity

                 Lateral wall           Sagittal view
       Sphenoid >> Spenoethmoidal
        recess.

       Posterior group of ethmoid >>
        superior meatus.

       Frontal + Ant Ethmoidal +
        Maxillary >> middle meatus

       Nasolacrimal duct >> inferior
        meatus
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    Blood Supply of Nasal Cavity

       Sphenopalatine artery

       Greater palatine artery

       Superior labial branch of facial artery

       Anterior and posterior branches of ophthalmic artery
           Little’s area
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    Paranasal Sinuses


       Frontal

       Ethmoid

       Sphenoid

       Maxillary
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    Paranasal sinuses

        Maxillary sinus   Sphenoid sinus
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    Positioning
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    PA 15 Caldwell

          Position   Image
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    Occipito Mental OM (Waters)

          Position          Image
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    Lateral View

          Position   Image
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Radiologic
Anatomy
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    Plain X-ray
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Nasal Bones
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Nasal Bones &
Septum
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Paranasal sinuses
PA 15 Caldwell
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Paranasal sinuses
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Paranasal sinuses
Lateral View
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    CT
+                                       Nasal
                           Maxillary             Nasal
                                       Septum
               Zygomatic    Sinus               Concha
                 Arch                                    Nasopharynx




Nasal Cavity
Axial view
                                       Eustachian
                                         Tube
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Nasal Cavity
Axial view
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Nasal Cavity
Coronal View
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Nasal Cavity
Coronal View
               Turbinates
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Nasal Cavity
Coronal View
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Paranasal sinuses
Maxillary Sinus
Coronal View        Turbinates
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Paranasal sinuses
Maxillary Sinus
Axial view          Turbinates
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Paranasal sinuses
Maxillary Sinus
Coronal View        Turbinates
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Paranasal sinuses
Maxillary Sinus
Coronal View        Turbinates
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                    Frontal sinus




Paranasal sinuses
Frontal Sinus
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Paranasal sinuses
Frontal Sinus
Axial view
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Paranasal sinuses
Ethmoid Sinus
Coronal View        Turbinates
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Paranasal sinuses
Ethmoid Sinus
Axial view          Turbinates
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Paranasal sinuses
Ethmoid Sinus
Axial view          Turbinates
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Paranasal sinuses
Ethmoid Sinus
Axial view          Turbinates
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Paranasal sinuses
Sphenoid Sinus
Coronal View        Turbinates
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Paranasal sinuses
Sphenoid Sinus
Coronal View        Turbinates
+



Paranasal sinuses
Sphenoid Sinus
Axial view          Turbinates
+

    MRI
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MRI
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Questions ??
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