Ethmoid Bulla
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Ethmoid Bulla
The ethmoid bulla (or ethmoidal bulla) is an elevation on the lateral wall of the middle meatus of the nose. It is produced by middle ethmoidal cells. It develops during the first trimester of gestation, and varies significantly based on the size of air cells. Structure The ethmoid bulla is on the lateral wall of the middle meatus of the nose. It is produced by middle ethmoidal cells, which are contained within this bulla, and open on or near to it (often just below it). Just below the bulla is a curved fissure, the hiatus semilunaris. The maxillary sinus also opens below the bulla. It is the largest among the middle ethmoidal cells. Development The ethmoid bulla begins to develop between 8 weeks and 12 weeks of gestation Gestation is the period of development during the carrying of an embryo, and later fetus, inside viviparous animals (the embryo develops within the parent). It is typical for mammals, but also occurs for some non-mammals. Mammals during pregna .... V ...
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Middle Meatus
In anatomy, the term nasal meatus can refer to any of the three meatuses (passages) through the skulls nasal cavity: the superior meatus (''meatus nasi superior''), middle meatus (''meatus nasi medius''), and inferior meatus (''meatus nasi inferior''). The nasal meatuses are located beneath each of the corresponding nasal conchae. In the case where a fourth, supreme nasal concha is present, there is a fourth supreme nasal meatus. Structure The superior meatus is the smallest of the three. It is a narrow cavity located obliquely below the superior concha. This meatus is short, lies above and extends from the middle part of the middle concha below. From behind, the sphenopalatine foramen opens into the cavity of the superior meatus and the meatus communicates with the posterior ethmoidal cells. Above and at the back of the superior concha is the sphenoethmoidal recess which the sphenoidal sinus opens into. The superior meatus occupies the middle third of the nasal cavity’s l ...
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Human Nose
The human nose is the most protruding part of the face. It bears the nostrils and is the first organ of the respiratory system. It is also the principal organ in the olfactory system. The shape of the nose is determined by the nasal bones and the nasal cartilages, including the nasal septum which separates the nostrils and divides the nasal cavity into two. On average the nose of a male is larger than that of a female. The nose has an important function in breathing. The nasal mucosa lining the nasal cavity and the paranasal sinuses carries out the necessary conditioning of inhaled air by warming and moistening it. Nasal conchae, shell-like bones in the walls of the cavities, play a major part in this process. Filtering of the air by nasal hair in the nostrils prevents large particles from entering the lungs. Sneezing is a reflex to expel unwanted particles from the nose that irritate the mucosal lining. Sneezing can transmit infections, because aerosols are created in w ...
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Ethmoidal Cells
The ethmoid sinuses or ethmoid air cells of the ethmoid bone are one of the four paired paranasal sinuses. The cells are variable in both size and number in the lateral mass of each of the ethmoid bones and cannot be palpated during an extraoral examination. They are divided into anterior and posterior groups. The ethmoid air cells are numerous thin-walled cavities situated in the ethmoidal labyrinth and completed by the frontal, maxilla, lacrimal, sphenoidal, and palatine bones. They lie between the upper parts of the nasal cavities and the orbits, and are separated from these cavities by thin bony lamellae. Groups of sinuses The groups of the ethmoidal air cells drain into the nasal meatuses.Otorhinolaryngology, Head and Neck Surgery, Anniko, Springer, 2010, page 188 * The posterior group the ''posterior ethmoidal sinus'' drains into the superior meatus above the middle nasal concha; sometimes one or more opens into the sphenoidal sinus. * The anterior group the ''anterior ethmo ...
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First Trimester
Pregnancy is the time during which one or more offspring develops ( gestates) inside a woman's uterus (womb). A multiple pregnancy involves more than one offspring, such as with twins. Pregnancy usually occurs by sexual intercourse, but can also occur through assisted reproductive technology procedures. A pregnancy may end in a live birth, a miscarriage, an induced abortion, or a stillbirth. Childbirth typically occurs around 40 weeks from the start of the last menstrual period (LMP), a span known as the gestational age. This is just over nine months. Counting by fertilization age, the length is about 38 weeks. Pregnancy is "the presence of an implanted human embryo or fetus in the uterus"; implantation occurs on average 8–9 days after fertilization. An '' embryo'' is the term for the developing offspring during the first seven weeks following implantation (i.e. ten weeks' gestational age), after which the term ''fetus'' is used until birth. Signs an ...
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Gestation
Gestation is the period of development during the carrying of an embryo, and later fetus, inside viviparous animals (the embryo develops within the parent). It is typical for mammals, but also occurs for some non-mammals. Mammals during pregnancy can have one or more gestations at the same time, for example in a multiple birth. The time interval of a gestation is called the '' gestation period''. In obstetrics, ''gestational age'' refers to the time since the onset of the last menses, which on average is fertilization age plus two weeks. Mammals In mammals, pregnancy begins when a zygote (fertilized ovum) implants in the female's uterus and ends once the fetus leaves the uterus during labor or an abortion (whether induced or spontaneous). Humans In humans, pregnancy can be defined clinically or biochemically. Clinically, pregnancy starts from first day of the mother's last period. Biochemically, pregnancy starts when a woman's human chorionic gonadotropin (hCG) levels ...
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Nasal Meatus
In anatomy, the term nasal meatus can refer to any of the three meatuses (passages) through the skulls nasal cavity: the superior meatus (''meatus nasi superior''), middle meatus (''meatus nasi medius''), and inferior meatus (''meatus nasi inferior''). The nasal meatuses are located beneath each of the corresponding nasal conchae. In the case where a fourth, supreme nasal concha is present, there is a fourth supreme nasal meatus. Structure The superior meatus is the smallest of the three. It is a narrow cavity located obliquely below the superior concha. This meatus is short, lies above and extends from the middle part of the middle concha below. From behind, the sphenopalatine foramen opens into the cavity of the superior meatus and the meatus communicates with the posterior ethmoidal cells. Above and at the back of the superior concha is the sphenoethmoidal recess which the sphenoidal sinus opens into. The superior meatus occupies the middle third of the nasal cavity’s lat ...
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Hiatus Semilunaris
The semilunar hiatus or hiatus semilunaris, is a crescent-shaped groove in the lateral wall of the nasal cavity just inferior to the ethmoid bulla. It is the location of the openings of the maxillary sinuses. It is bounded inferiorly and anteriorly by the sharp concave margin of the uncinate process of the ethmoid bone, superiorly by the ethmoid bulla, and posteriorly by the middle nasal concha. Sinus drainage Following the curve anteriorly leads into the infundibulum of the frontonasal duct, which drains the frontal sinus. The anterior ethmoidal cells of the ethmoidal sinus open into the front part of the infundibulum as well. In slightly over 50% of subjects, this is directly continuous with the frontonasal duct from the frontal air sinus. When the anterior end of the uncinate process fuses with the front part of the bulla, however, this continuity is interrupted and the frontonasal duct then drains directly into the anterior end of the middle meatus. The ostium for the maxil ...
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Maxillary Sinus
The pyramid-shaped maxillary sinus (or antrum of Highmore) is the largest of the paranasal sinuses, and drains into the middle meatus of the nose through the osteomeatal complex.Human Anatomy, Jacobs, Elsevier, 2008, page 209-210 Structure It is the largest air sinus in the body. Found in the body of the maxilla, this sinus has three recesses: an alveolar recess pointed inferiorly, bounded by the alveolar process of the maxilla; a zygomatic recess pointed laterally, bounded by the zygomatic bone; and an infraorbital recess pointed superiorly, bounded by the inferior orbital surface of the maxilla. The medial wall is composed primarily of cartilage. The ostia for drainage are located high on the medial wall and open into the semilunar hiatus of the lateral nasal cavity; because of the position of the ostia, gravity cannot drain the maxillary sinus contents when the head is erect (see pathology). The ostium of the maxillary sinus is high up on the medial wall and on average is 2. ...
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