The ethmoid sinuses or ethmoid air cells of the

ethmoid bone The ethmoid bone (; from grc, ἡθμός, hēthmós, sieve) is an unpaired bone in the skull that separates the nasal cavity from the brain. It is located at the roof of the nose, between the two orbits. The cubical bone is lightweight due to a ...

are one of the four paired

paranasal sinus Paranasal sinuses are a group of four paired air-filled spaces that surround the nasal cavity. The maxillary sinuses are located under the eyes; the frontal sinuses are above the eyes; the ethmoidal sinuses are between the eyes and the sphenoid ...

es. 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 The ethmoidal labyrinth or lateral mass of the ethmoid bone consists of a number of thin-walled cellular cavities, the ethmoid air cells, arranged in three groups, anterior, middle, and posterior, and interposed between two vertical plates of bone ...

and completed by the

frontal Front may refer to: Arts, entertainment, and media Films * ''The Front'' (1943 film), a 1943 Soviet drama film * ''The Front'', 1976 film Music *The Front (band), an American rock band signed to Columbia Records and active in the 1980s and ea ...

maxilla The maxilla (plural: ''maxillae'' ) in vertebrates is the upper fixed (not fixed in Neopterygii) bone of the jaw formed from the fusion of two maxillary bones. In humans, the upper jaw includes the hard palate in the front of the mouth. The t ...

, lacrimal,

sphenoidal The sphenoid bone is an unpaired bone of the neurocranium. It is situated in the middle of the skull towards the front, in front of the basilar part of the occipital bone. The sphenoid bone is one of the seven bones that articulate to form the or ...

, and

palatine bone In anatomy, the palatine bones () are two irregular bones of the facial skeleton in many animal species, located above the uvula in the throat. Together with the maxillae, they comprise the hard palate. (''Palate'' is derived from the Latin ''pa ...

s. They lie between the upper parts of the

nasal cavities The nasal cavity is a large, air-filled space above and behind the nose in the middle of the face. The nasal septum divides the cavity into two cavities, also known as fossae. Each cavity is the continuation of one of the two nostrils. The nasal c ...

and the

orbits In celestial mechanics, an orbit is the curved trajectory of an object such as the trajectory of a planet around a star, or of a natural satellite around a planet, or of an artificial satellite around an object or position in space such as a p ...

, 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 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 inferio ...

above the

middle nasal concha The medial surface of the labyrinth of ethmoid consists of a thin lamella, which descends from the under surface of the cribriform plate, and ends below in a free, convoluted margin, the middle nasal concha (middle nasal turbinate). It is rough, a ...

; sometimes one or more opens into the

sphenoidal sinus The sphenoid sinus is a paired paranasal sinus occurring within the within the body of the sphenoid bone. It represents one pair of the four paired paranasal sinuses.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, ...

. * The anterior group the ''anterior ethmoidal sinus'' drains into the

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 inferio ...

of the

nose A nose is a protuberance in vertebrates that houses the nostrils, or nares, which receive and expel air for respiration alongside the mouth. Behind the nose are the olfactory mucosa and the sinuses. Behind the nasal cavity, air next passes th ...

by way of the

infundibulum An infundibulum (Latin for ''funnel''; plural, ''infundibula'') is a funnel-shaped cavity or organ. Anatomy * Brain: the pituitary stalk, also known as the ''infundibulum'' and ''infundibular stalk'', is the connection between the hypothalamus and ...

. The two groups are divided by the basal lamella. This is one of the bony divisions of the ethmoid bone and is mostly contained inside the

ethmoid labyrinth The ethmoidal labyrinth or lateral mass of the ethmoid bone consists of a number of thin-walled cellular cavities, the ethmoid air cells, arranged in three groups, anterior, middle, and posterior, and interposed between two vertical plates of bone ...

. Medially the lamella becomes the bony part of the middle concha.

Development

The ethmoidal cells (sinuses) and maxillary sinuses are present at birth.

Innervation

The ethmoidal air cells receive sensory fibers from the anterior and posterior

ethmoidal nerves The ethmoidal nerves, which arise from the nasociliary nerve, supply the ethmoidal cells; the posterior branch leaves the orbital cavity through the posterior ethmoidal foramen and gives some filaments to the sphenoidal sinus. There are two ethmoid ...

, and the orbital branches of the

pterygopalatine ganglion The pterygopalatine ganglion (aka Meckel's ganglion, nasal ganglion, or sphenopalatine ganglion) is a parasympathetic ganglion found in the pterygopalatine fossa. It is largely innervated by the greater petrosal nerve (a branch of the facial ne ...

, which carry the

postganglionic In the autonomic nervous system, fibers from the ganglion to the wikt:effector, effector organ are called postganglionic fibers. Neurotransmitters The neurotransmitters of postganglionic fibers differ: * In the parasympathetic division, neuro ...

parasympathetic The parasympathetic nervous system (PSNS) is one of the three divisions of the autonomic nervous system, the others being the sympathetic nervous system and the enteric nervous system. The enteric nervous system is sometimes considered part of t ...

nerve fibers for

mucous Mucus ( ) is a slippery aqueous secretion produced by, and covering, mucous membranes. It is typically produced from cells found in mucous glands, although it may also originate from mixed glands, which contain both serous and mucous cells. It is ...

secretion 440px Secretion is the movement of material from one point to another, such as a secreted chemical substance from a cell or gland. In contrast, excretion is the removal of certain substances or waste products from a cell or organism. The classical ...

from the

facial nerve The facial nerve, also known as the seventh cranial nerve, cranial nerve VII, or simply CN VII, is a cranial nerve that emerges from the pons of the brainstem, controls the muscles of facial expression, and functions in the conveyance of tas ...

Haller cell

Haller cell 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 e ...

s are infraorbital ethmoidal air cells lateral to the

lamina papyracea The orbital lamina of ethmoid bone, (or lamina papyracea or orbital lamina) is a smooth, oblong bone plate which forms the lateral surface of the labyrinth of the ethmoid bone in the skull. The plate covers in the middle and posterior ethmoidal c ...

. These may arise from the anterior or posterior ethmoidal sinuses.

Pathology

Acute ethmoiditis in childhood and ethmoidal carcinoma may spread superiorly causing meningitis and cerebrospinal fluid leakage or it may spread laterally into the orbit causing

proptosis Exophthalmos (also called exophthalmus, exophthalmia, proptosis, or exorbitism) is a bulging of the eye anteriorly out of the orbit. Exophthalmos can be either bilateral (as is often seen in Graves' disease) or unilateral (as is often seen in ...

and

diplopia Diplopia is the simultaneous perception of two images of a single object that may be displaced horizontally or vertically in relation to each other. Also called double vision, it is a loss of visual focus under regular conditions, and is often v ...

.Human Anatomy, Jacobs, Elsevier, 2008, page 210

Additional images

File:Slide2ROMA.JPG, Ethmoid sinus. Ethmoidal air cells.Deep dissection. Superior view. File:Diagram showing ethmoid sinus cancer that has spread to the lymph nodes CRUK 121.svg, Ethmoid sinus cancer that has spread to the lymph nodes

References

External links

* * {{Authority control Bones of the head and neck