PNS

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Paranasalsinus
Airfilledspacepresent
withinsomebonearound
nasalcavity
l
it
Namedaccordingtobone
withinwhichtheyare
located
Frontal
Maxillary
Sphenoidal
Ethmoidal

Dr.K.S.Basnet
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drksbasnet
Paranasalsinus

Functionsofparanasal sinuses
Addsomeresonancetothevoice.
Possiblymakeskulllightentheskull.
Establishtheadultcontouroftheface.
Airconditioning
conditioningofinspiredair.
of inspired air.
Air

Allsinusesarerudimentaryor
absentatbirth.
b
b h
Enlargerapidlyduringthe
eruptionofpermanentteeth
(67yrs)andafterpuberty.
The
Thegrowthofthesinusesis
gro th of the sin ses is
duetoenlargementor
resorption ofthesurrounding
bone
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Maxillarysinus

Frontalsinus

Largest
Withinthebodyofmaxilla
1st sinustodevelop
Pyramidalinshape
B
Base
t
towardsthelateralwallofthe
d th l t l ll f th
nasalcavity
Apex directedlaterallyinthe
zygomatic processofthemaxilla
Floor isformedbythealveolar
processofthemaxillaandliesabout
1.25cmbelowthefloorofthenasal
cavity
NervesupplyThemaxillarysinuses
N
l Th
ill
i
areinnervatedby

Withinthefrontalbone.
Paired andseparatedbyseptum
Rudimentaryorabsentatbirthand
arewell
Developsbetween7th and8th years
andreachfullsizeonlyafterpuberty.
Prominentinmales.
Opensintothemiddlemeatus ofnose
attheanteriorendofthesemilunar
hiatus.
Thefrontalsinusesareinnervatedby
y
branchesofthesupraorbitalnerve
fromtheophthalmicnerve[V1].
Bloodsupplyisfrombranchesofthe
anteriorethmoidal arteries

infraorbitalandalveolarbranchesof
themaxillarynerve[V2]

Bloodsupply

infraorbitalandsuperioralveolar
branchesofthemaxillaryarteries.
5

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drksbasnet
Sphenoidal sinus

Maxillarysinus
Opensintothemiddle
meatus neartheposterior
near the posterior
endofsemilunar hiatus
Openingislocatedmuch
higherfromthefloorofthe
sinusindisadvantageous
positionofnaturaldrainage

Paired andseparatedbyseptum
Withinthebodyofsphenoidbone
Related
Superiorlywiththeopticchiasma and
hypophysis cerebri.
Laterallytotheinternalcarotidartery
andcavernoussinus

Opensintothesphenoethmoidal
recess.
Nervesupply
Posteriorethmoidal branchofthe
ophthalmicnerve[V1]
Maxillarynerve[V2]viaorbitalbranches
from the pterygopalatine ganglion.
fromthepterygopalatine
ganglion

Bloodsupply
Branchesofthepharyngealarteriesfrom
themaxillaryarteries.

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Ethmoidal sinus

Ethmoidal sinus

Numerous intercommunicating spaces

that lie within the labyrinth of the
ethmoid bone.

Nervesupply
Anterior andPosterior
ethmoidal branches ofthe
nasociliary nervefromthe
ophthalmicnerve[V1]
Themaxillarynerve[V2]via
orbitalbranchesfromthe
pterygopalatine
t
l ti ganglion.
li
Bloodsupply
Branchesoftheanteriorand
posteriorethmoidal arteries.

Range from 3 to 18 small sinuses and

divided into anterior, middle and
posterior groups.
Anterior ethmoidal sinus:
Upto 11 in numbers
Open into middle meatus through
ethmoidal infundibulum

Middle ethmoidal sinus:

Usually
y 3 in numbers
Open into middle meatus on or above
the ethmoidal bulla

Posterior ethmoidal sinus:

3 to 7 numbers
Open into the superior meatus
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drksbasnet
Appliedanatomy
Sinusitis
Maxillarysinusmayalsobeinfectedbydentalcarries
Maxillary sinus may also be infected by dental carries
Drainage

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