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The human nose is the most protruding part of the face. It bears the nostrils and is the first organ of the
respiratory system The respiratory system (also respiratory apparatus, ventilatory system) is a biological system consisting of specific organs and structures used for gas exchange in animals and plants. The anatomy and physiology that make this happen varies g ...
. It is also the principal organ in the olfactory system. The shape 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 passe ...
is determined by the
nasal bone The nasal bones are two small oblong bones, varying in size and form in different individuals; they are placed side by side at the middle and upper part of the face and by their junction, form the bridge of the upper one third of the nose. Ea ...
s and the
nasal cartilages The nasal cartilages are structures within the nose that provide form and support to the nasal cavity. The nasal cartilages are made up of a flexible material called hyaline cartilage (packed collagen) in the distal portion of the nose. There are fi ...
, including the nasal septum which separates the nostrils and divides the
nasal cavity 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 ...
into two. On average the nose of a
male Male (symbol: ♂) is the sex of an organism that produces the gamete (sex cell) known as sperm, which fuses with the larger female gamete, or ovum, in the process of fertilization. A male organism cannot reproduce sexually without access to ...
is larger than that of a
female Female ( symbol: ♀) is the sex of an organism that produces the large non-motile ova (egg cells), the type of gamete (sex cell) that fuses with the male gamete during sexual reproduction. A female has larger gametes than a male. Fema ...
. The nose has an important function in breathing. The
nasal mucosa The nasal mucosa lines the nasal cavity. It is part of the respiratory mucosa, the mucous membrane lining the respiratory tract. The nasal mucosa is intimately adherent to the periosteum or perichondrium of the nasal conchae. It is continuous ...
lining the nasal cavity and the
paranasal sinuses 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 sph ...
carries out the necessary conditioning of inhaled air by warming and moistening it.
Nasal concha In anatomy, a nasal concha (), plural conchae (), also called a nasal turbinate or turbinal, is a long, narrow, curled shelf of bone that protrudes into the breathing passage of the nose in humans and various animals. The conchae are shaped lik ...
e, 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 A sneeze (also known as sternutation) is a semi-autonomous, convulsive expulsion of air from the lungs through the nose and mouth, usually caused by foreign particles irritating the nasal mucosa. A sneeze expels air forcibly from the mouth an ...
is a reflex to expel unwanted particles from the nose that irritate the mucosal lining. Sneezing can transmit infections, because
aerosol An aerosol is a suspension of fine solid particles or liquid droplets in air or another gas. Aerosols can be natural or anthropogenic. Examples of natural aerosols are fog or mist, dust, forest exudates, and geyser steam. Examples of anthropogen ...
s are created in which the droplets can harbour
pathogen In biology, a pathogen ( el, πάθος, "suffering", "passion" and , "producer of") in the oldest and broadest sense, is any organism or agent that can produce disease. A pathogen may also be referred to as an infectious agent, or simply a g ...
s. Another major function of the nose is
olfaction The sense of smell, or olfaction, is the special sense through which smells (or odors) are perceived. The sense of smell has many functions, including detecting desirable foods, hazards, and pheromones, and plays a role in taste. In humans, ...
, the sense of smell. The area of olfactory epithelium, in the upper nasal cavity, contains specialised olfactory cells responsible for this function. The nose is also involved in the function of speech. Nasal vowels and
nasal consonant In phonetics, a nasal, also called a nasal occlusive or nasal stop in contrast with an oral stop or nasalized consonant, is an occlusive consonant produced with a lowered velum, allowing air to escape freely through the nose. The vast major ...
s are produced in the process of nasalisation. The hollow cavities of the paranasal sinuses act as sound chambers that modify and amplify speech and other vocal sounds. There are several
plastic surgery Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes cranio ...
procedures that can be done on the nose, known as rhinoplasties available to correct various structural defects or to change the shape of the nose. Defects may be congenital, or result from nasal disorders or from trauma. These procedures are a type of reconstructive surgery. Elective procedures to change a nose shape are a type of cosmetic surgery.


Structure

Several
bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, ...
s and
cartilage Cartilage is a resilient and smooth type of connective tissue. In tetrapods, it covers and protects the ends of long bones at the joints as articular cartilage, and is a structural component of many body parts including the rib cage, the neck ...
s make up the bony-cartilaginous framework of the nose, and the internal structure. The nose is also made up of types of soft tissue such as
skin Skin is the layer of usually soft, flexible outer tissue covering the body of a vertebrate animal, with three main functions: protection, regulation, and sensation. Other animal coverings, such as the arthropod exoskeleton, have different ...
, epithelia, mucous membrane, muscles, nerves, and
blood vessel The blood vessels are the components of the circulatory system that transport blood throughout the human body. These vessels transport blood cells, nutrients, and oxygen to the tissues of the body. They also take waste and carbon dioxide awa ...
s. In the skin there are
sebaceous gland A sebaceous gland is a microscopic exocrine gland in the skin that opens into a hair follicle to secrete an oily or waxy matter, called sebum, which lubricates the hair and skin of mammals. In humans, sebaceous glands occur in the greatest n ...
s, and in the mucous membrane there are
nasal glands The nasal glands are the seromucous glands in the respiratory The respiratory system (also respiratory apparatus, ventilatory system) is a biological system consisting of specific organs and structures used for gas exchange in animals and pla ...
. The bones and cartilages provide strong protection for the internal structures of the nose. There are several muscles that are involved in movements of the nose. The arrangement of the cartilages allows flexibility through muscle control to enable airflow to be modified.


Bones

The bony structure of the nose is provided by the
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. T ...
,
frontal bone The frontal bone is a bone in the human skull. The bone consists of two portions.'' Gray's Anatomy'' (1918) These are the vertically oriented squamous part, and the horizontally oriented orbital part, making up the bony part of the forehead, ...
, and a number of smaller bones. The topmost bony part of the nose is formed by the nasal part of the frontal bone, which lies between the brow ridges, and ends in a serrated nasal notch. A left and a right
nasal bone The nasal bones are two small oblong bones, varying in size and form in different individuals; they are placed side by side at the middle and upper part of the face and by their junction, form the bridge of the upper one third of the nose. Ea ...
join with the nasal part of the frontal bone at either side; and these at the side with the small lacrimal bones and the frontal process of each maxilla. The internal roof of the nasal cavity is composed of the horizontal, perforated cribriform plate of the ethmoid bone through which pass sensory fibres of the
olfactory nerve The olfactory nerve, also known as the first cranial nerve, cranial nerve I, or simply CN I, is a cranial nerve that contains sensory nerve fibers relating to the sense of smell. The afferent nerve fibers of the olfactory receptor neurons t ...
. Below and behind the cribriform plate, sloping down at an angle, is the face of the sphenoid bone. The wall separating the two cavities of the nose, the nasal septum, is made up of bone inside and cartilage closer to the tip of the nose. The bony part is formed by the
perpendicular plate of the ethmoid bone The perpendicular plate of the ethmoid bone (vertical plate) is a thin, flattened lamina, polygonal in form, which descends from the under surface of the cribriform plate, and assists in forming the septum of the nose; it is generally deflected ...
at the top, and the
vomer bone The vomer (; lat, vomer, lit=ploughshare) is one of the unpaired facial bones of the skull. It is located in the midsagittal line, and articulates with the sphenoid, the ethmoid, the left and right palatine bones, and the left and right maxil ...
below. The floor of the nose is made up of the incisive bone and the horizontal plates of the palatine bones, and this makes up the hard palate of the roof of the mouth. The two horizontal plates join at the midline and form the posterior nasal spine that gives attachment to the musculus uvulae in the
uvula The palatine uvula, usually referred to as simply the uvula, is a conic projection from the back edge of the middle of the soft palate, composed of connective tissue containing a number of racemose glands, and some muscular fibers. It also conta ...
. The two maxilla bones join at the base of the nose at the lower nasal midline between the nostrils, and at the top of the
philtrum The philtrum ( la, philtrum from Ancient Greek ''phíltron,'' lit. "love charm"), or medial cleft, is a vertical indentation in the middle area of the upper lip, common to therian mammals, extending in humans from the nasal septum to the tuberc ...
to form the anterior nasal spine. This thin projection of bone holds the cartilaginous center of the nose. It is also an important cephalometric landmark.


Cartilages

The
nasal cartilages The nasal cartilages are structures within the nose that provide form and support to the nasal cavity. The nasal cartilages are made up of a flexible material called hyaline cartilage (packed collagen) in the distal portion of the nose. There are fi ...
are the septal, lateral, major alar, and minor alar cartilages. The major and minor cartilages are also known as the greater and lesser alar cartilages. There is a narrow strip of cartilage called the vomeronasal cartilage that lies between the
vomer The vomer (; lat, vomer, lit=ploughshare) is one of the unpaired facial bones of the skull. It is located in the midsagittal line, and articulates with the sphenoid, the ethmoid, the left and right palatine bones, and the left and right max ...
and the septal cartilage. The
septal nasal cartilage The septal nasal cartilage (cartilage of the septum or quadrangular cartilage) is composed of hyaline cartilage. It is somewhat quadrilateral in form, thicker at its margins than at its center, and completes the separation between the nasal cavit ...
, extends from the nasal bones in the midline, to the bony part of the septum in the midline, posteriorly. It then passes along the floor of the nasal cavity. The septum is quadrangular–the upper half is attached to the two lateral nasal cartilages which are fused to the dorsal septum in the midline. The septum is laterally attached, with loose ligaments, to the bony margin of the anterior nasal aperture, while the inferior ends of the lateral cartilages are free (unattached). The three or four minor alar cartilages are adjacent to the lateral cartilages, held in the
connective tissue Connective tissue is one of the four primary types of animal tissue, along with epithelial tissue, muscle tissue, and nervous tissue. It develops from the mesenchyme derived from the mesoderm the middle embryonic germ layer. Connective tiss ...
membrane, that connects the lateral cartilages to the frontal process of the maxilla. The nasal bones in the upper part of the nose are joined by the midline internasal suture. They join with the
septal cartilage The nasal septum () separates the left and right airways of the nasal cavity, dividing the two nostrils. It is depressed by the depressor septi nasi muscle. Structure The fleshy external end of the nasal septum is called the columella or col ...
at a junction known as the rhinion. The rhinion is the midpoint of the internasal suture at the join with the cartilage, and from the rhinion to the apex, or tip, the framework is of cartilage. The
major alar cartilage The major alar cartilage (greater alar cartilage) (lower lateral cartilage) is a thin, flexible plate, situated immediately below the lateral nasal cartilage, and bent upon itself in such a manner as to form the medial wall and lateral wall of t ...
s are thin, U-shaped plates of cartilage on each side of the nose that form the lateral and medial walls of the vestibule, known as the medial and lateral crura. The medial crura are attached to the septal cartilage, forming fleshy parts at the front of the nostrils on each side of the septum, called the ''medial crural footpods''. The medial crura meet at the midline below the end of the septum to form the columella and lobule. The lobule contains the tip of the nose and its base contains the nostrils. At the peaks of the folds of the medial crura, they form the alar domes the tip-defining points of the nose, separated by a notch. They then fold outwards, above and to the side of the nostrils forming the lateral crura. The major alar cartilages are freely moveable and can respond to muscles to either open or constrict the nostrils. There is a reinforcing structure known as the nasal scroll that resists internal collapse from airflow pressure generated by normal breathing. This structure is formed by the junction between the lateral and major cartilages. Their edges interlock by one scrolling upwards and one scrolling inwards.


Muscles

The muscles of the nose are a subgroup of the
facial muscles The facial muscles are a group of striated skeletal muscles supplied by the facial nerve (cranial nerve VII) that, among other things, control facial expression. These muscles are also called mimetic muscles. They are only found in mammals, a ...
. They are involved in respiration and facial expression. The muscles of the nose include the procerus, nasalis, depressor septi nasi, levator labii superioris alaeque nasi, and the orbicularis oris of the mouth. As are all of the facial muscles, the muscles of the nose are innervated by the facial nerve and its branches. Although each muscle is independent, the muscles of the nose form a continuous layer with connections between all the components of the muscles and ligaments, in the nasal part of a superficial muscular aponeurotic system (SMAS). The SMAS is continuous from the nasofrontal process to the nasal tip. It divides at level of the nasal valve into superficial and deep layers, each layer having medial and lateral components. The
procerus muscle The procerus muscle (or pyramidalis nasi) is a small pyramidal slip of muscle deep to the superior orbital nerve, artery and vein. ''Procerus'' is Latin, meaning tall or extended. Structure The procerus muscle arises by tendinous fibers from t ...
produces wrinkling over the bridge of the nose, and is active in concentration and frowning. It is a prime target for Botox procedures in the forehead to remove the lines between the eyes. The nasalis muscle consists of two main parts: a transverse part called the
compressor naris The nasalis muscle is a sphincter-like muscle of the nose. It has a transverse part and an alar part. It compresses the nasal cartilages, and can "flare" the nostrils. Some people can use it to close the nostrils to prevent entry of water when und ...
, and an alar part termed the dilator naris. The compressor naris muscle compresses the nostrils and may completely close them. The alar part, the dilator naris mainly consists of the dilator naris posterior, and a much smaller dilator naris anterior, and this muscle flares the nostrils. The dilator naris helps to form the upper ridge of the philtrum. The anterior, and the posterior dilator naris, (the alar part of the nasalis muscle), give support to the nasal valves. The depressor septi nasi may sometimes be absent or rudimentary. The depressor septi pulls the columella, the septum, and the tip of the nose downwards. At the start of inspiration this muscle tenses the nasal septum and with the dilator naris widens the nostrils. The levator labii superioris alaeque nasi divides into a medial and a lateral slip. The medial slip blends into the perichondrium of the major alar cartilage and its overlying skin. The lateral slip blends at the side of the upper lip with the levator labii superioris, and with the orbicularis oris. The lateral slip raises the upper lip and deepens and increases the curve above the nasolabial furrow. The medial slip pulls the lateral crus upwards and modifies the curve of the furrow around the alae, and dilates the nostrils.


Soft tissue

The skin of the nose varies in thickness along its length. From the glabella to the bridge (the nasofrontal angle) the skin is thick, fairly flexible, and mobile. It tapers to the bridge where it is thinnest and least flexible as it is closest to the underlying bone. From the bridge until the tip of the nose the skin is thin. The tip is covered in skin that is as thick as the top section, and has many large sebaceous glands. The thickness of the skin varies but is still separated from the underlying bones and cartilage by four layers – a superficial fatty layer; a fibromuscular layer continued from the SMAS; a deep fatty layer, and the periosteum. Other areas of soft tissue are found where there is no support from cartilage; these include an area around the sides of the septum – the paraseptal area –, an area around the lateral cartilages, an area at the top of the nostril, and an area in the alae.


External nose

The nasal root is the top of the nose that attaches the nose to the forehead. The nasal root is above the
bridge A bridge is a structure built to span a physical obstacle (such as a body of water, valley, road, or rail) without blocking the way underneath. It is constructed for the purpose of providing passage over the obstacle, which is usually someth ...
and below the
glabella The glabella, in humans, is the area of skin between the eyebrows and above the nose. The term also refers to the underlying bone that is slightly depressed, and joins the two brow ridges. It is a cephalometric landmark that is just superior t ...
, forming an indentation known as the nasion at the frontonasal suture where the
frontal bone The frontal bone is a bone in the human skull. The bone consists of two portions.'' Gray's Anatomy'' (1918) These are the vertically oriented squamous part, and the horizontally oriented orbital part, making up the bony part of the forehead, ...
meets the nasal bones. The nasal dorsum also known as the ''nasal ridge'' is the border between the root and the tip of the nose which in profile can be variously shaped. The ala of the nose (ala nasi, "wing of the nose"; plural ''alae'') is the lower lateral surface of the external nose, shaped by the alar cartilage and covered in dense connective tissue. The alae flare out to form a rounded eminence around the nostril.
Sexual dimorphism Sexual dimorphism is the condition where the sexes of the same animal and/or plant species exhibit different morphological characteristics, particularly characteristics not directly involved in reproduction. The condition occurs in most an ...
is evident in the larger nose of the male. This is due to the increased testosterone that thickens the brow ridge and the bridge of the nose making it wider. Differences in the
symmetry Symmetry (from grc, συμμετρία "agreement in dimensions, due proportion, arrangement") in everyday language refers to a sense of harmonious and beautiful proportion and balance. In mathematics, "symmetry" has a more precise definiti ...
of the nose have been noted in studies. Asymmetry is predominantly seen in wider left-sided nasal and other facial features.


Nasal cavity

The
nasal cavity 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 ...
is the large internal space of the nose, and is in two parts – the nasal vestibule and the nasal cavity proper. The nasal vestibule is the frontmost part of the
nasal cavity 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 ...
, enclosed by cartilages. The vestibule is lined with skin, hair follicles, and a large number of sebaceous glands. A mucous ridge known as the limen nasi separates the vestibule from the rest of the nasal cavity and marks the change from the skin of the vestibule to the respiratory epithelium of the rest of the nasal cavity. This area is also known as a mucocutaneous junction and has a dense microvasculature. The nasal cavity is divided into two cavities by the nasal septum, and each is accessed by an external nostril. The division into two cavities enables the functioning of the nasal cycle that slows down the conditioning process of the inhaled air. At the back of the nasal cavity there are two openings, called
choana The choanae (singular choana), posterior nasal apertures or internal nostrils are two openings found at the back of the nasal passage between the nasal cavity and the throat in tetrapods, including humans and other mammals (as well as crocodili ...
e (also ''posterior nostrils''), that give entrance to the nasopharynx, and rest of the respiratory tract. On the outer wall of each cavity are three shell-like bones called conchae, arranged as
superior Superior may refer to: *Superior (hierarchy), something which is higher in a hierarchical structure of any kind Places *Superior (proposed U.S. state), an unsuccessful proposal for the Upper Peninsula of Michigan to form a separate state *Lake ...
, middle and inferior nasal conchae. Below each concha is a corresponding superior, middle, and inferior nasal meatus, or passage. Sometimes when the superior concha is narrow, a fourth supreme nasal concha is present situated above and sharing the space with the superior concha. The term concha refers to the actual bone; when covered by soft tissue and mucosa, and functioning, a concha is termed a turbinate. Excessive moisture as tears collected in the lacrimal sac travel down the nasolacrimal ducts where they drain into the inferior meatus in the nasal cavity. Most of the nasal cavity and paranasal sinuses is lined with respiratory epithelium as
nasal mucosa The nasal mucosa lines the nasal cavity. It is part of the respiratory mucosa, the mucous membrane lining the respiratory tract. The nasal mucosa is intimately adherent to the periosteum or perichondrium of the nasal conchae. It is continuous ...
. In the roof of each cavity is an area of specialised olfactory epithelium. This region is about 5 square cm, covering the superior concha, the cribriform plate, and the nasal septum. There is a nasal valve area that is the narrowest part of the nasal passage. An external valve exists in the larger ala part of the vestibule. An internal nasal valve typically referred to as the nasal valve, is a slit-like segment between part of the upper lateral cartilage and the septum in the middle third of the cavity. The valves regulate the airflow and resistance. Air breathed in is forced to pass through the narrow internal nasal valve, and then expands as it moves into the nasal cavity. The sudden change in the speed and pressure of the airflow creates turbulence that allows optimum contact with the respiratory epithelium for the necessary warming, moisturising, and filtering. The turbulence also allows movement of the air to pass over the olfactory epithelium and transfer odour information. The angle of the valve between the septum and the sidewall needs to be sufficient for unobstructed airflow, and this is normally between 10 and 15 degrees. The borders of each nasal cavity are a roof, floor, medial wall (the septum), and lateral wall. The middle part of the roof of the nasal cavity is composed of the horizontal, perforated cribriform plate of the ethmoid bone, through which pass sensory fibres of the
olfactory nerve The olfactory nerve, also known as the first cranial nerve, cranial nerve I, or simply CN I, is a cranial nerve that contains sensory nerve fibers relating to the sense of smell. The afferent nerve fibers of the olfactory receptor neurons t ...
into the cranial cavity.


Paranasal sinuses

The mucosa that lines the nasal cavity extends into its chambers, the
paranasal sinuses 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 sph ...
. The nasal cavity and the paranasal sinuses are referred to as the ''sinonasal tract'' or ''sinonasal region'', and its anatomy is recognised as being unique and complex. Four paired paranasal sinuses – the frontal sinus, the sphenoid sinus, the ethmoid sinus and the maxillary sinus drain into regions of the nasal cavity. The sinuses are air-filled extensions of the nasal cavity into the cranial bones. The frontal sinuses are located in the frontal bone; the sphenoidal sinuses in the sphenoid bone; the maxillary sinuses in the maxilla; and the ethmoidal sinuses in the ethmoid bone. A narrow opening called a sinus ostium from each of the paranasal sinuses allows drainage into the nasal cavity. The maxillary sinus is the largest of the sinuses and drains into the middle meatus. Most of the ostia open into the middle meatus and the anterior ethmoid, that together are termed the ostiomeatal complex. Adults have a high concentration of
cilia The cilium, plural cilia (), is a membrane-bound organelle found on most types of eukaryotic cell, and certain microorganisms known as ciliates. Cilia are absent in bacteria and archaea. The cilium has the shape of a slender threadlike proje ...
in the ostia. The cilia in the sinuses beat towards the openings into the nasal cavity. The increased numbers of cilia and the narrowness of the sinus openings allow for an increased time for moisturising, and warming.


Nose shape

The shape of the nose varies widely due to differences in the nasal bone shapes and formation of the bridge of the nose. Some nose shapes were classified for
surgeries Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pat ...
by Eden Warwick in ''Nasology''. These were later incorporated into a nasal index by
Paul Topinard Paul Topinard (4 November 1830, L'Isle-Adam Parmain, Val-d'Oise – 20 December 1911)Douglas & Ballard (2008), p. 68. was a French physician and anthropologist who was a student of Paul Broca and whose views influenced the methodology adopted by ...
. Anthropometric studies have importantly contributed to craniofacial surgery, and the nasal index is a recognised anthropometric index used in nasal surgery. File:Class_I_nose.jpg, Class I. The aquiline nose. File:Class_II_nose.jpg, Class II. The Grecian nose. File:Class_III_nose.jpg, Class III. The African nose. File:Class_IV_nose.jpg, Class IV. The hawk nose. File:Class_V_nose.jpg, Class V. The snub nose. File:Class_VI_nose.jpg, Class VI. The celestial nose.
Paul Topinard Paul Topinard (4 November 1830, L'Isle-Adam Parmain, Val-d'Oise – 20 December 1911)Douglas & Ballard (2008), p. 68. was a French physician and anthropologist who was a student of Paul Broca and whose views influenced the methodology adopted by ...
developed the nasal index as a method of classifying ethnic groups. The index is based on the ratio of the breadth of the nose to its height. The nasal dimensions are also used to classify nasal morphology into five types: ''Hyperleptorrhine'' is a very long, narrow nose with a nasal index of 40 to 55. ''Leptorrhine'' describes a long, narrow nose with an index of 55–70. ''Mesorrhine'' is a medium nose with an index of 70–85. ''Platyrrhine'' is a short, broad nose with an index of 85–99·9. The fifth type is the ''hyperplatyrrhine'' having an index of more than 100. Some deformities of the nose are named, such as the pug nose and the saddle nose. The pug nose is characterised by excess tissue from the apex that is out of proportion to the rest of the nose. A low and underdeveloped nasal bridge may also be evident. A saddle nose deformity involving the collapse of the bridge of the nose is mostly associated with trauma to the nose but can be caused by other conditions including
leprosy Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria '' Mycobacterium leprae'' or '' Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve d ...
. Werner syndrome, a condition associated with premature aging, causes a "bird-like" appearance due to pinching of the nose.
Down syndrome Down syndrome or Down's syndrome, also known as trisomy 21, is a genetic disorder caused by the presence of all or part of a third copy of chromosome 21. It is usually associated with physical growth delays, mild to moderate intellectual d ...
commonly presents a small nose with a flattened nasal bridge. This can be due to the absence of one or both nasal bones, shortened nasal bones, or nasal bones that have not fused in the midline.


Blood supply and drainage


Supply

The blood supply to the nose is provided by branches of the ophthalmic, maxillary, and facial arteries – branches of the carotid arteries. Branches of these arteries anastomose to form
plexus In neuroanatomy, a plexus (from the Latin term for "braid") is a branching network of vessels or nerves. The vessels may be blood vessels (veins, capillaries) or lymphatic vessels. The nerves are typically axons outside the central nervous system ...
es in and under the nasal mucosa. In the septal region Kiesselbach's plexus is a common site of nosebleeds. Branches of the ophthalmic artery – the anterior and posterior ethmoidal arteries supply the roof, upper bony septum, and ethmoidal and frontal sinuses. The anterior ethmoidal artery also helps to supply the lower septal cartilage. Another branch is the
dorsal nasal artery The dorsal nasal artery is an artery of the face. It is one of the two terminal branches of the ophthalmic artery. It contributes arterial supply to the lacrimal sac, and outer surface of the nose. Structure Origin The dorsal nasal artery is on ...
a terminal branch that supplies the skin of the alae and dorsum. Branches of the maxillary artery include the greater palatine artery; the sphenopalatine artery and its branches – the
posterior lateral nasal arteries The sphenopalatine artery passes through the sphenopalatine foramen into the cavity of the nose, at the back part of the superior meatus. Here it gives off its posterior lateral nasal branches which spread forward over the conchæ and meatuses, a ...
and posterior septal nasal branches; the pharyngeal branch; and the infraorbital artery and its branches – the superior anterior and posterior alveolar arteries. The sphenopalatine artery and the ethmoid arteries supply the outer walls of the nasal cavity. There is additional supply from a branch of the facial artery – the superior labial artery. The sphenopalantine artery is the artery primarily responsible for supplying the nasal mucosa. The skin of the alae is supplied by the septal and lateral nasal branches of the facial artery. The skin of the outer parts of the alae and the dorsum of the nose are supplied by the
dorsal nasal artery The dorsal nasal artery is an artery of the face. It is one of the two terminal branches of the ophthalmic artery. It contributes arterial supply to the lacrimal sac, and outer surface of the nose. Structure Origin The dorsal nasal artery is on ...
a branch of the ophthalmic artery, and the infraorbital branch of the maxillary arteries.


Drainage

Veins of the nose include the angular vein that drains the side of the nose, receiving lateral nasal veins from the alae. The angular vein joins with the superior labial vein. Some small veins from the dorsum of the nose drain to the nasal arch of the
frontal vein The frontal vein (supratrochlear vein) begins on the forehead in a venous plexus which communicates with the frontal branches of the superficial temporal vein. The veins converge to form a single trunk, which runs downward near the middle line of ...
at the root of the nose. In the posterior region of the cavity, specifically in the posterior part of the inferior meatus is a
venous plexus In vertebrates, a venous plexus is a normal congregation anywhere in the body of multiple veins. A list of venous plexuses: * Basilar plexus * Batson venous plexus * Internal vertebral venous plexuses * Pterygoid plexus * Submucosal venous ple ...
known as Woodruff's plexus. This plexus is made up of large thin-walled veins with little soft tissue such as muscle or fiber. The mucosa of the plexus is thin with very few structures.


Lymphatic drainage

From different areas of the nose superficial
lymphatic vessel The lymphatic vessels (or lymph vessels or lymphatics) are thin-walled vessels (tubes), structured like blood vessels, that carry lymph. As part of the lymphatic system, lymph vessels are complementary to the cardiovascular system. Lymph ves ...
s run with the veins, and deep lymphatic vessels travel with the arteries.
Lymph Lymph (from Latin, , meaning "water") is the fluid that flows through the lymphatic system, a system composed of lymph vessels (channels) and intervening lymph nodes whose function, like the venous system, is to return fluid from the tissues ...
drains from the anterior half of the nasal cavity, including both the medial and lateral walls, to join that of the external nasal skin to drain into the submandibular lymph nodes. The rest of the nasal cavity and paranasal sinuses all drain to the upper deep cervical lymph nodes, either directly or through the retropharyngeal lymph nodes. The back of the nasal floor probably drains to the parotid lymph nodes.


Nerve supply

The nerve supply to the nose and paranasal sinuses comes from two branches of the
trigeminal nerve In neuroanatomy, the trigeminal nerve ( lit. ''triplet'' nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and che ...
(CN V): the ophthalmic nerve (CN V1), the
maxillary nerve In neuroanatomy, the maxillary nerve (V) is one of the three branches or divisions of the trigeminal nerve, the fifth (CN V) cranial nerve. It comprises the principal functions of sensation from the maxilla, nasal cavity, sinuses, the pala ...
(CN V2), and branches from these. In the nasal cavity, the nasal mucosa is divided in terms of nerve supply into a back lower part (posteroinferior), and a frontal upper part (anterosuperior). The posterior part is supplied by a branch of the maxillary nerve – the nasopalatine nerve which reaches the septum. Lateral nasal branches of the greater palatine nerve supply the lateral wall. The frontal upper part is supplied from a branch of the ophthalmic nerve – the nasociliary nerve, and its branches – the anterior and posterior ethmoidal nerves. Most of the external nose – the dorsum, and the apex are supplied by the infratrochlear nerve, (a branch of the nasociliary nerve). The external branch of the anterior ethmoidal nerve also supplies areas of skin between the root and the alae. The alae of the nose are supplied by nasal branches of CN V2, the infraorbital nerve, and internal nasal branches of infraorbital nerve that supply the septum and the vestibule. The maxillary sinus is supplied by
superior alveolar nerves The alveolar nerves include three superior alveolar nerves: the anterior superior alveolar nerve, middle superior alveolar nerve, and posterior superior alveolar nerve, and an inferior alveolar nerve. The superior alveolar nerves are all branches ...
from the maxillary and infraorbital nerves. The frontal sinus is supplied by branches of the
supraorbital nerve The supraorbital nerve is one of two branches of the frontal nerve, itself a branch of the ophthalmic nerve. The other branch of the frontal nerve is the supratrochlear nerve. Structure The supraorbital nerve branches from the frontal nerve mi ...
. The ethmoid sinuses are supplied by anterior and posterior ethmoid branches of the nasociliary nerve. The sphenoid sinus is supplied by the posterior ethmoidal nerves.


Movement

The muscles of the nose are supplied by branches of the facial nerve. The nasalis muscle is supplied by the buccal branches. It may also be supplied by one of the zygomatic branches. The procerus is supplied by
temporal branches of the facial nerve The temporal branches of the facial nerve (frontal branch of the facial nerve) crosses the zygomatic arch to the temporal region, supplying the auriculares anterior and superior, and joining with the zygomaticotemporal branch of the maxillary nerve ...
and lower zygomatic branches; a supply from the buccal branch has also been described. The depressor septi is innervated by the buccal branch, and sometimes by the zygomatic branch, of the facial nerve. The levator labii superioris alaeque nasi is innervated by zygomatic and superior buccal branches of the facial nerve.


Smell

The sense of smell is transmitted by the
olfactory nerve The olfactory nerve, also known as the first cranial nerve, cranial nerve I, or simply CN I, is a cranial nerve that contains sensory nerve fibers relating to the sense of smell. The afferent nerve fibers of the olfactory receptor neurons t ...
s. Olfactory nerves are bundles of very small unmyelinated axons that are derived from
olfactory receptor neuron An olfactory receptor neuron (ORN), also called an olfactory sensory neuron (OSN), is a sensory neuron within the olfactory system. Structure Humans have between 10 and 20 million olfactory receptor neurons (ORNs). In vertebrates, ORNs are ...
s in the
olfactory mucosa The olfactory mucosa is located in the upper region of the nasal cavity and is made up of the olfactory epithelium and the underlying lamina propria, connective tissue containing fibroblasts, blood vessels, Bowman's glands and bundles of fine ...
. The axons are in varying stages of maturity, reflecting the constant turnover of neurons in the olfactory epithelium. A plexiform network is formed in the lamina propria, by the bundles of axons that are surrounded by olfactory ensheathing cells. In as many as twenty branches, the bundled axons cross the cribriform plate and enter the overlying olfactory bulb ending as glomeruli. Each branch is enclosed by an outer dura mater that becomes continuous with the nasal periosteum.


Autonomic supply

The nasal mucosa in the nasal cavity is also supplied by the
autonomic nervous system The autonomic nervous system (ANS), formerly referred to as the vegetative nervous system, is a division of the peripheral nervous system that supplies internal organs, smooth muscle and glands. The autonomic nervous system is a control system t ...
.
Postganglionic nerve fibers In the autonomic nervous system, fibers from the ganglion to the effector organ are called postganglionic fibers. Neurotransmitters The neurotransmitters of postganglionic fibers differ: * In the parasympathetic division, neurons are ''chol ...
from the deep petrosal nerve join with preganglionic nerve fibers from the greater petrosal nerve to form the nerve of the pterygoid canal. Sympathetic postganglionic fibers are distributed to the blood vessels of the nose. Postganglionic parasympathetic fibres derived from the pterygopalatine ganglion provide the secretomotor supply to the nasal mucous glands, and are distributed via branches of the maxillary nerves.


Development


Development of the nose

In the early development of the embryo, neural crest cells migrate to form the mesenchymal tissue as ectomesenchyme of the pharyngeal arches. By the end of the fourth week, the first pair of pharyngeal arches form five facial prominences or processes - an unpaired frontonasal process, paired mandibular processes and paired maxillary processes. The nose is largely formed by the fusion of these five facial prominences. The frontonasal process gives rise to the bridge of the nose. The medial nasal processes provide the crest and the tip of the nose, and the lateral nasal processes form the alae or sides of the nose. The frontonasal process is a proliferation of mesenchyme in front of  the brain vesicles, and makes up the upper border of the stomadeum.  During the fifth week the maxillary processes increase in size and at the same time the
ectoderm The ectoderm is one of the three primary germ layers formed in early embryonic development. It is the outermost layer, and is superficial to the mesoderm (the middle layer) and endoderm (the innermost layer). It emerges and originates from t ...
of  the frontonasal process becomes thickened at its sides and also increases in size, forming the nasal placodes. The nasal placodes are also known as the olfactory placodes. This development is induced by the ventral part of the forebrain. In the sixth week the ectoderm in each nasal placode invaginates to form an indented oval-shaped pit, which forms a  surrounding  raised ridge of tissue. Each nasal pit forms a  division between the ridges, into a lateral nasal process on the outer edge, and a medial nasal process on the inner edge. In the sixth week the nasal pits deepen as they penetrate into the underlying mesenchyme. At this time, the medial nasal processes migrate towards each other and fuse forming the primordium of the bridge of the nose and the septum. The migration is helped by the increased growth of the maxillary prominences medially, which compresses the medial nasal processes towards the midline.  Their merging takes place at the surface, and also at a deeper level. The merge forms the intermaxillary segment, and this is continuous with the rostral part of the nasal septum. The tips of the maxillary processes also grow and fuse with the intermaxillary process. The intermaxillary process gives rise to the
philtrum The philtrum ( la, philtrum from Ancient Greek ''phíltron,'' lit. "love charm"), or medial cleft, is a vertical indentation in the middle area of the upper lip, common to therian mammals, extending in humans from the nasal septum to the tuberc ...
of the upper lip. At the end of the sixth week the nasal pits have deepened further and they fuse to make a large ectodermal nasal sac. This sac will be above and to the back of the intermaxillary process. Leading into the seventh week, the nasal sac floor and posterior wall grow to form a thickened plate-like ectodermal structure called the nasal fin. The nasal fin separates the sac from the oral cavity. Within the fin, vacuoles develop that fuse with the nasal sac. This enlarges the nasal sac and at the same time thins the fin to a membrane - the oronasal membrane that separates the nasal pits from the oral cavity. During the seventh week the oronasal membrane ruptures and disintegrates to form an opening - the single primitive choana.  The intermaxillary segment extends posteriorly to form the primary palate which makes up the floor of the nasal cavity. During the eighth and ninth weeks a pair of thin extensions form from the medial walls of the maxillary process. These extensions are called the palatine shelves that form the secondary palate. The secondary palate will endochondrally ossify to form the hard palate - the end-stage floor of the nasal cavity.  During this time ectoderm and mesoderm of the frontonasal process produce the midline septum. The septum grows down from the roof of the nasal cavity and fuses with the developing palates along the midline. The septum divides the nasal cavity into two nasal passages opening into the pharynx through the definitive choanae. At ten weeks, the cells differentiate into muscle,
cartilage Cartilage is a resilient and smooth type of connective tissue. In tetrapods, it covers and protects the ends of long bones at the joints as articular cartilage, and is a structural component of many body parts including the rib cage, the neck ...
, and
bone A bone is a rigid organ that constitutes part of the skeleton in most vertebrate animals. Bones protect the various other organs of the body, produce red and white blood cells, store minerals, provide structure and support for the body, ...
. Problems at this stage of development can cause
birth defect A birth defect, also known as a congenital disorder, is an abnormal condition that is present at birth regardless of its cause. Birth defects may result in disabilities that may be physical, intellectual, or developmental. The disabilities ca ...
s such as choanal atresia (absent or closed passage), facial clefts and nasal dysplasia (faulty or incomplete development) or extremely rarely polyrrhinia the formation of a duplicate nose. Normal development is critical because the newborn infant breathes through the nose for the first six weeks, and any nasal blockage will need emergency treatment to clear.


Development of the paranasal sinuses

The four pairs of
paranasal sinuses 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 sph ...
- the maxillary, ethmoid, sphenoid, and frontal, develop from the nasal cavity as invaginations extending into their named bones. Two pairs of sinuses form during prenatal development and two pairs form after birth. The maxillary sinuses are the first to appear during the fetal third month. They slowly expand within the maxillary bones and continue to expand throughout childhood. The maxillary sinuses form as invaginations from the nasal sac. The ethmoid sinuses appear in the fetal fifth month as invaginations of the middle meatus. The ethmoid sinuses do not grow into the ethmoid bone and do not completely develop until puberty.  The sphenoid sinuses are extensions of the ethmoid sinuses into the sphenoid bones. They begin to develop around two years of age, and continue to enlarge during childhood. The frontal sinuses only develop in the fifth or sixth year of childhood, and continue expanding throughout adolescence. Each frontal sinus is made up of two independent spaces that develop from two different sources; one from the expansion of ethmoid sinuses into frontal bone, and the other develops from invagination. They never coalesce so drain independently.


Function


Respiration

The nose is the first organ of the upper respiratory tract in the
respiratory system The respiratory system (also respiratory apparatus, ventilatory system) is a biological system consisting of specific organs and structures used for gas exchange in animals and plants. The anatomy and physiology that make this happen varies g ...
. Its main respiratory function is the supply and conditioning, by warming, moisturising and filtering of particulates of inhaled air. Nasal hair in the nostrils traps large particles preventing their entry into the lungs. The three positioned nasal conchae in each cavity provide four grooves as air passages, along which the air is circulated and moved to the nasopharynx. The internal structures and cavities, including the conchae and paranasal sinuses form an integrated system for the conditioning of the air breathed in through the nose. This functioning also includes the major role of the
nasal mucosa The nasal mucosa lines the nasal cavity. It is part of the respiratory mucosa, the mucous membrane lining the respiratory tract. The nasal mucosa is intimately adherent to the periosteum or perichondrium of the nasal conchae. It is continuous ...
, and the resulting conditioning of the air before it reaches the lungs is important in maintaining the internal environment and proper functioning of the lungs. The turbulence created by the conchae and meatuses optimises the warming, moistening, and filtering of the mucosa. A major protective role is thereby provided by these structures of the upper respiratory tract, in the passage of air to the more delicate structures of the lower respiratory tract.
Sneezing A sneeze (also known as sternutation) is a semi-autonomous, convulsive expulsion of air from the lungs through the nose and mouth, usually caused by foreign particles irritating the nasal mucosa. A sneeze expels air forcibly from the mouth an ...
is an important protective reflex action initiated by irritation of the
nasal mucosa The nasal mucosa lines the nasal cavity. It is part of the respiratory mucosa, the mucous membrane lining the respiratory tract. The nasal mucosa is intimately adherent to the periosteum or perichondrium of the nasal conchae. It is continuous ...
to expel unwanted particles through the mouth and nose. Photic sneezing is a reflex brought on by different stimuli such as bright lights. The nose is also able to provide sense information as to the temperature of the air being breathed. Variations in shape of the nose have been hypothesised to possibly be adaptive to regional differences in temperature and humidity, though they may also have been driven by other factors such as sexual selection.


Sense of smell

The nose also plays the major part in the olfactory system. It contains an area of specialised cells,
olfactory receptor neuron An olfactory receptor neuron (ORN), also called an olfactory sensory neuron (OSN), is a sensory neuron within the olfactory system. Structure Humans have between 10 and 20 million olfactory receptor neurons (ORNs). In vertebrates, ORNs are ...
s responsible for the sense of smell (olfaction).
Olfactory mucosa The olfactory mucosa is located in the upper region of the nasal cavity and is made up of the olfactory epithelium and the underlying lamina propria, connective tissue containing fibroblasts, blood vessels, Bowman's glands and bundles of fine ...
in the upper nasal cavity, contains a type of nasal gland called olfactory glands or Bowman's glands which help in olfaction. The nasal conchae also help in olfaction function, by directing air-flow to the olfactory region.


Speech

Speech is produced with pressure from the lungs. This can be modified using airflow through the nose in a process called nasalisation. This involves the lowering of the soft palate to produce nasal vowels and consonants by allowing air to escape from both the nose and the mouth. Nasal airflow is also used to produce a variety of nasal clicks called click consonants. The large, hollow cavities of the paranasal sinuses act as resonating chambers that modify, and amplify speech and other vocal vibrations passing through them.


Clinical significance

One of the most common medical conditions involving the nose is a nosebleed (epistaxis). Most nosebleeds occur in Kiesselbach's plexus, a vascular plexus in the lower front part of the septum involving the convergence of four arteries. A smaller proportion of nosebleeds that tend to be nontraumatic occur in Woodruff's plexus. Woodruff's plexus is a
venous plexus In vertebrates, a venous plexus is a normal congregation anywhere in the body of multiple veins. A list of venous plexuses: * Basilar plexus * Batson venous plexus * Internal vertebral venous plexuses * Pterygoid plexus * Submucosal venous ple ...
of large thin-walled
vein Veins are blood vessels in humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, both of which carry oxygenated ...
s lying in the posterior part of the inferior meatus. Another common condition is nasal congestion, usually a symptom of infection, particularly sinusitis, or other inflammation of the nasal lining called rhinitis, including
allergic rhinitis Allergic rhinitis, of which the seasonal type is called hay fever, is a type of inflammation in the nose that occurs when the immune system overreacts to allergens in the air. Signs and symptoms include a runny or stuffy nose, sneezing, red, ...
and nonallergic rhinitis. Chronic nasal obstruction resulting in breathing through the mouth can greatly impair or prevent the nostrils from flaring. One of the causes of
snoring Snoring is the vibration of respiratory structures and the resulting sound due to obstructed air movement during breathing while sleeping. The sound may be soft or loud and unpleasant. Snoring during sleep may be a sign, or first alarm, of ob ...
is nasal obstruction," and anti-snoring devices such as a nasal strip help to flare the nostrils and keep the airway open. Nasal flaring, is usually seen in children when breathing is difficult. Most conditions of nasal congestion also cause a loss of the sense of smell ( anosmia). This may also occur in other conditions, for example following trauma, in Kallmann syndrome or
Parkinson's disease Parkinson's disease (PD), or simply Parkinson's, is a long-term degenerative disorder of the central nervous system that mainly affects the motor system. The symptoms usually emerge slowly, and as the disease worsens, non-motor symptoms beco ...
. A blocked sinus ostium, an opening from a paranasal sinus, will cause fluid to accumulate in the sinus. In children the nose is a common site of foreign bodies. The nose is one of the exposed areas that is susceptible to
frostbite Frostbite is a skin injury that occurs when exposed to extreme low temperatures, causing the freezing of the skin or other tissues, commonly affecting the fingers, toes, nose, ears, cheeks and chin areas. Most often, frostbite occurs in t ...
. Because of the special nature of the blood supply to the human nose and surrounding area, it is possible for retrograde infections from the nasal area to spread to the brain. For this reason, the area from the corners of the mouth to the bridge of the nose, including the nose and
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. T ...
, is known as the
danger triangle of the face The danger triangle of the face consists of the area from the corners of the mouth to the bridge of the nose, including the nose and maxilla. Due to the special nature of the blood supply to the human nose and surrounding area, it is possible, ...
. Infections or other conditions that may result in destruction of, or damage to a part of the nose include rhinophyma, skin cancers particularly basal-cell carcinoma, paranasal sinus and nasal cavity cancer,
granulomatosis with polyangiitis Granulomatosis with polyangiitis (GPA), previously known as Wegener's granulomatosis (WG), is a rare long-term systemic disorder that involves the formation of granulomas and inflammation of blood vessels (vasculitis). It is a form of vasculitis ...
,
syphilis Syphilis () is a sexually transmitted infection caused by the bacterium '' Treponema pallidum'' subspecies ''pallidum''. The signs and symptoms of syphilis vary depending in which of the four stages it presents (primary, secondary, latent, a ...
,
leprosy Leprosy, also known as Hansen's disease (HD), is a long-term infection by the bacteria '' Mycobacterium leprae'' or '' Mycobacterium lepromatosis''. Infection can lead to damage of the nerves, respiratory tract, skin, and eyes. This nerve d ...
, recreational use of cocaine,
chromium Chromium is a chemical element with the symbol Cr and atomic number 24. It is the first element in group 6. It is a steely-grey, lustrous, hard, and brittle transition metal. Chromium metal is valued for its high corrosion resistance and hard ...
and other toxins. The nose may be stimulated to grow in
acromegaly Acromegaly is a disorder that results from excess growth hormone (GH) after the growth plates have closed. The initial symptom is typically enlargement of the hands and feet. There may also be an enlargement of the forehead, jaw, and nose. Othe ...
, a condition caused by an excess of
growth hormone Growth hormone (GH) or somatotropin, also known as human growth hormone (hGH or HGH) in its human form, is a peptide hormone that stimulates growth, cell reproduction, and cell regeneration in humans and other animals. It is thus important in ...
. A common anatomic variant is an air-filled cavity within a concha known as a concha bullosa. In rare cases a polyp can form inside a bullosa. Usually a concha bullosa is small and without symptoms but when large can cause obstruction to sinus drainage. Some drugs can be nasally administered, including drug delivery to the brain, and these include
nasal spray Nasal sprays are used to deliver medications locally in the nasal cavities or systemically. They are used locally for conditions such as nasal congestion and allergic rhinitis. In some situations, the nasal delivery route is preferred for syst ...
s and topical treatments. The septal cartilage can be destroyed through the repeated inhalation of recreational drugs such as
cocaine Cocaine (from , from , ultimately from Quechua: ''kúka'') is a central nervous system (CNS) stimulant mainly used recreationally for its euphoric effects. It is primarily obtained from the leaves of two Coca species native to South Am ...
. This, in turn, can lead to more widespread collapse of the nasal skeleton.
Sneezing A sneeze (also known as sternutation) is a semi-autonomous, convulsive expulsion of air from the lungs through the nose and mouth, usually caused by foreign particles irritating the nasal mucosa. A sneeze expels air forcibly from the mouth an ...
can transmit infections carried in the expelled droplets. This route is called either airborne transmission or
aerosol An aerosol is a suspension of fine solid particles or liquid droplets in air or another gas. Aerosols can be natural or anthropogenic. Examples of natural aerosols are fog or mist, dust, forest exudates, and geyser steam. Examples of anthropogen ...
transmission.


Surgical procedures

Badly positioned alar cartilages lack proper support, and can affect the function of the external nasal valve. This can cause breathing problems particularly during deep inhalation. The surgical procedure to correct breathing problems due to disorders in the nasal structures is called a rhinoplasty, and this is also the procedure used for a cosmetic surgery when it is commonly called a "nose job". For surgical procedures of rhinoplasty, the nose is mapped out into a number of subunits and segments. This uses nine ''aesthetic nasal subunits'' and six ''aesthetic nasal segments''. A septoplasty is the specific surgery to correct a nasal septum deviation. A broken nose can result from trauma. Minor fractures may heal on their own. Surgery known as reduction may be carried out on more severe breaks that cause dislocation. Several nasal procedures of the nose and paranasal sinuses can be carried out using minimally-invasive nasal
endoscopy An endoscopy is a procedure used in medicine to look inside the body. The endoscopy procedure uses an endoscope to examine the interior of a hollow organ or cavity of the body. Unlike many other medical imaging techniques, endoscopes are inse ...
. These procedures aim to restore sinus ventilation, mucociliary clearance, and maintain the health of the sinus mucosa. Some non-nasal surgeries can also be carried out through the use of an endoscope that is entered through the nose. These endoscopic endonasal surgeries are used to remove tumours from the front of the base of the skull. Swollen conchae can cause obstruction and nasal congestion, and may be treated surgically by a turbinectomy.


Society and culture

Some people choose to have cosmetic surgery (called a rhinoplasty) to change the appearance of their nose. Nose piercings, such as in the nostril, septum, or bridge, are also common. In certain
Asia Asia (, ) is one of the world's most notable geographical regions, which is either considered a continent in its own right or a subcontinent of Eurasia, which shares the continental landmass of Afro-Eurasia with Africa. Asia covers an are ...
n countries such as China, Japan, South Korea, Malaysia, Thailand and Bangladesh, rhinoplasties are commonly carried out to create a more developed nose bridge or a "high nose". Similarly, " DIY nose lifts" in the form of re-usable cosmetic items have become popular and are sold in many Asian countries such as China, Japan, South Korea, Taiwan, Sri Lanka and Thailand. A high-bridged nose has been a common beauty ideal in many Asian cultures dating back to the beauty ideals of ancient China and India. In
New Zealand New Zealand ( mi, Aotearoa ) is an island country in the southwestern Pacific Ocean. It consists of two main landmasses—the North Island () and the South Island ()—and over 700 smaller islands. It is the sixth-largest island coun ...
, nose pressing (" hongi") is a traditional
greeting Greeting is an act of communication in which human beings intentionally make their presence known to each other, to show attention to, and to suggest a type of relationship (usually cordial) or social status (formal or informal) between indi ...
originating among the
Māori people The Māori (, ) are the indigenous Polynesian people of mainland New Zealand (). Māori originated with settlers from East Polynesia, who arrived in New Zealand in several waves of canoe voyages between roughly 1320 and 1350. Over severa ...
. However it is now generally confined to certain traditional celebrations. The
Hanazuka The , an alteration of the original is a monument in Kyoto, Japan, dedicated to the sliced noses of killed Korean soldiers and civilians as well as Ming Chinese troops taken as war trophy, war trophies during the Japanese invasions of Korea (159 ...
monument enshrines the mutilated noses of at least 38,000 Koreans killed during the Japanese invasions of Korea from 1592 to 1598. Nose-picking is a common, mildly taboo habit. Medical risks include the spread of infections, nosebleeds and, rarely, perforation of the nasal septum. When it becomes compulsive it is termed rhinotillexomania. The wiping of the nose with the hand, commonly referred to as the " allergic salute", is also mildly taboo and can result in the spreading of infections as well. Habitual as well as fast or rough nose wiping may also result in a crease (known as a transverse nasal crease or groove) running across the nose, and can lead to permanent physical deformity observable in childhood and adulthood. Nose fetishism (or nasophilia) is the sexual partialism for the nose.


Neanderthals

Clive Finlayson Prof. Clive Finlayson MBE FLS (born 15 January 1955) is a Gibraltarian zoologist, paleoanthropologist and paleontologist. He is the incumbent Director of the Gibraltar Museum. Finlayson has published various works mainly based on his resear ...
of the
Gibraltar Museum The Gibraltar National Museum is a national museum of the history, culture and natural history of Gibraltar located within the city centre of the British overseas territory of Gibraltar. Founded in 1930 by the then Governor of Gibraltar, Gener ...
said the large
Neanderthal Neanderthals (, also ''Homo neanderthalensis'' and erroneously ''Homo sapiens neanderthalensis''), also written as Neandertals, are an Extinction, extinct species or subspecies of archaic humans who lived in Eurasia until about 40,000 years ag ...
noses were an adaption to the cold, Todd C. Rae of the American Museum of Natural History said primate and arctic animal studies have shown sinus size reduction in areas of extreme cold rather than enlargement in accordance with Allen's rule. Therefore, Todd C. Rae concludes that the design of the large and
prognathic Prognathism, also called Habsburg jaw or Habsburgs' jaw primarily in the context of its prevalence amongst members of the House of Habsburg, is a positional relationship of the mandible or maxilla to the skeletal base where either of the jaws pr ...
Neanderthal nose was evolved for the hotter climate of the Middle East and Africa and remained unchanged when they entered Europe. Miquel Hernández of the Department of Animal Biology at the
University of Barcelona The University of Barcelona ( ca, Universitat de Barcelona, UB; ; es, link=no, Universidad de Barcelona) is a public university located in the city of Barcelona, Catalonia, in Spain. With 63,000 students, it is one of the biggest universities i ...
said the "high and narrow nose of Eskimos and
Neanderthals Neanderthals (, also ''Homo neanderthalensis'' and erroneously ''Homo sapiens neanderthalensis''), also written as Neandertals, are an extinct species or subspecies of archaic humans who lived in Eurasia until about 40,000 years ago. While ...
" is an "adaption to a cold and dry environment", since it contributes to warming and moisturizing the air and the "recovery of heat and moisture from expired air".


See also

* Empty nose syndrome, a nose crippled by excessive resection of the inferior and/or middle turbinates of the nose * Dried nasal mucus * Nasothek *
Neti (Hatha Yoga) Neti (Sanskrit: नेती ''netī'') is an important part of Shatkarma (sometimes known as Shatkriya), the yogic system of body cleansing techniques. It can have universal application, irrespective of their religion. It is intended mainly to ...
, an Ayurvedic technique of nasal cleansing * Obligate nasal breathing * Sròn, the
Scottish Gaelic Scottish Gaelic ( gd, Gàidhlig ), also known as Scots Gaelic and Gaelic, is a Goidelic language (in the Celtic branch of the Indo-European language family) native to the Gaels of Scotland. As a Goidelic language, Scottish Gaelic, as well as ...
word for nose and the name of some hills in the
Scottish Highlands The Highlands ( sco, the Hielands; gd, a’ Ghàidhealtachd , 'the place of the Gaels') is a historical region of Scotland. Culturally, the Highlands and the Lowlands diverged from the Late Middle Ages into the modern period, when Lowland S ...


Further reading

*


References


External links

* * {{Authority control Facial features Nose
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 passe ...
Human head and neck Sensory organs