Inferior nasal concha

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Inferior nasal concha
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Medial wall of left orbit. (Inferior nasal concha visible in center in yellow.)
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Figure 1: Lateral wall of right nasal cavity showing inferior concha in situ. (pink)
Details
Articulations Ethmoid, maxilla, lacrimal and palatine bone
Identifiers
Latin concha nasi inferior,
concha nasalis inferior
TA98 A02.1.08.001
TA2 740
FMA 54736
Anatomical terms of bone

The inferior nasal concha (inferior turbinated bone or inferior turbinal/turbinate) is one of the three paired nasal conchae in the nose. It extends horizontally along the lateral wall of the nasal cavity and consists of a lamina of spongy bone, curled upon itself like a scroll, (turbinate meaning inverted cone). [1] The inferior nasal conchae are considered a pair of facial bones. As the air passes through the turbinates, the air is churned against these mucosa-lined bones in order to receive warmth, moisture and cleansing. Superior to inferior nasal concha are the middle nasal concha and superior nasal concha which both arise from the ethmoid bone, of the cranial portion of the skull. [2] Hence, these two are considered as a part of the cranial bones.

Contents

It has two surfaces, two borders, and two extremities.

Structure

Right and left inferior nasal conchae BodyParts3D Inferior nasal concha.stl
Right and left inferior nasal conchae

Surfaces

The medial surface is convex, perforated by numerous apertures, and traversed by longitudinal grooves for the lodgement of vessels.

The lateral surface is concave, and forms part of the inferior meatus.

Borders

Its upper border is thin, irregular, and connected to various bones along the lateral wall of the nasal cavity.

It may be divided into three portions: of these,

The inferior border is free, thick, and cellular in structure, more especially in the middle of the bone.

Extremities

Both extremities are more or less pointed, the posterior being the more tapering.

Development

The inferior nasal concha is ossified from a single center, which appears about the fifth month of fetal life in the lateral wall of the cartilaginous nasal capsule.[ citation needed ]

The entire inferior concha may be absent in some people. This is a consequence of embryologic agenesis and is a normal anatomic variant. [3]

Clinical significance

Dysfunction

Large, swollen inferior turbinates may lead to blockage of nasal breathing. Allergies, exposure to environmental irritants, or a persistent inflammation within the sinuses can lead to turbinate swelling. Deformity of the nasal septum can also result in enlarged turbinates.

Treatment of the underlying allergy or irritant may reduce turbinate swelling. In cases that do not resolve, or for treatment of deviated septum, turbinate surgery may be required.

Surgery

Inferior turbinate reduction is a surgery to reduce the size of the inferior turbinates. There are different techniques, including bipolar radiofrequency ablation (also known as somnoplasty), electrocautery, and use of cold steel instruments (eg, microdebrider). Inferior turbinectomy is a surgery to remove the inferior turbinates.

In the case of turbinate reduction, only small amounts of turbinate tissue are removed because the turbinates are essential for respiration. Turbinectomy is usually reserved for patients who have persistent symptoms despite previous turbinate reduction surgery. Risks of reduction of the inferior or middle turbinates include empty nose syndrome.

Additional images

See also

Related Research Articles

<span class="mw-page-title-main">Maxilla</span> Upper jaw bone

The maxilla in vertebrates is the upper fixed 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 two maxillary bones are fused at the intermaxillary suture, forming the anterior nasal spine. This is similar to the mandible, which is also a fusion of two mandibular bones at the mandibular symphysis. The mandible is the movable part of the jaw.

<span class="mw-page-title-main">Ethmoid bone</span> Bone in the skull

The ethmoid bone 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 spongy construction. The ethmoid bone is one of the bones that make up the orbit of the eye.

<span class="mw-page-title-main">Sphenoid bone</span> Bone at the front of the skull

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 orbit. Its shape somewhat resembles that of a butterfly or bat with its wings extended.

<span class="mw-page-title-main">Palatine bone</span> Bone of the facial skeleton

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.

<span class="mw-page-title-main">Lacrimal bone</span> Smallest and most fragile bone of the human skull and face

The lacrimal bone is a small and fragile bone of the facial skeleton; it is roughly the size of the little fingernail. It is situated at the front part of the medial wall of the orbit. It has two surfaces and four borders. Several bony landmarks of the lacrimal bone function in the process of lacrimation or crying. Specifically, the lacrimal bone helps form the nasolacrimal canal necessary for tear translocation. A depression on the anterior inferior portion of the bone, the lacrimal fossa, houses the membranous lacrimal sac. Tears or lacrimal fluid, from the lacrimal glands, collect in this sac during excessive lacrimation. The fluid then flows through the nasolacrimal duct and into the nasopharynx. This drainage results in what is commonly referred to a runny nose during excessive crying or tear production. Injury or fracture of the lacrimal bone can result in posttraumatic obstruction of the lacrimal pathways.

<span class="mw-page-title-main">Vomer</span> Unpaired facial bone of the skull

The vomer 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 maxillary bones. The vomer forms the inferior part of the nasal septum in humans, with the superior part formed by the perpendicular plate of the ethmoid bone. The name is derived from the Latin word for a ploughshare and the shape of the bone.

<span class="mw-page-title-main">Nasal cavity</span> Large, air-filled space above and behind the nose in the middle of the face

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 cavity is the uppermost part of the respiratory system and provides the nasal passage for inhaled air from the nostrils to the nasopharynx and rest of the respiratory tract.

<span class="mw-page-title-main">Nasal concha</span> Piece of bone in the breathing passage of humans and other animals

In anatomy, a nasal concha, 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 like an elongated seashell, which gave them their name. A concha is any of the scrolled spongy bones of the nasal passages in vertebrates.

<span class="mw-page-title-main">Orbit (anatomy)</span> Cavity or socket of the skull in which the eye and its appendages are situated

In anatomy, the orbit is the cavity or socket/hole of the skull in which the eye and its appendages are situated. "Orbit" can refer to the bony socket, or it can also be used to imply the contents. In the adult human, the volume of the orbit is 30 millilitres, of which the eye occupies 6.5 ml. The orbital contents comprise the eye, the orbital and retrobulbar fascia, extraocular muscles, cranial nerves II, III, IV, V, and VI, blood vessels, fat, the lacrimal gland with its sac and duct, the eyelids, medial and lateral palpebral ligaments, cheek ligaments, the suspensory ligament, septum, ciliary ganglion and short ciliary nerves.

<span class="mw-page-title-main">Uncinate process of ethmoid bone</span>

In the ethmoid bone, a sickle shaped projection, the uncinate process, projects posteroinferiorly from the ethmoid labyrinth. Between the posterior edge of this process and the anterior surface of the ethmoid bulla, there is a two-dimensional space, resembling a crescent shape. This space continues laterally as a three-dimensional slit-like space - the ethmoidal infundibulum. This is bounded by the uncinate process, medially, the orbital lamina of ethmoid bone, laterally, and the ethmoidal bulla, posterosuperiorly. This concept is easier to understand if one imagine the infundibulum as a prism so that its medial face is the hiatus semilunaris. The "lateral face" of this infundibulum contains the ostium of the maxillary sinus, which, therefore, opens into the infundibulum.

<span class="mw-page-title-main">Ethmoid sinus</span> Air-filled space near the nasal cavity

The ethmoid sinuses or ethmoid air cells of the ethmoid bone are one of the four paired paranasal sinuses. Unlike the other three pairs of paranasal sinuses which consist of one or two large cavities, the ethmoidal sinuses entail a number of small air-filled cavities. The cells are located within the lateral mass (labyrinth) of each ethmoid bone and are variable in both size and number. The cells are grouped into anterior, middle, and posterior groups; the groups differ in their drainage modalities, though all ultimately drain into either the superior or the middle nasal meatus of the lateral wall of the nasal cavity.

<span class="mw-page-title-main">Sphenoidal conchae</span>

The sphenoidal conchae are two thin, curved plates, situated at the anterior and lower part of the body of the sphenoid. An aperture of variable size exists in the anterior wall of each, and through this the sphenoidal sinus opens into the nasal cavity.

<span class="mw-page-title-main">Ethmoidal labyrinth</span>

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; the lateral plate forms part of the orbit, the medial plate forms part of the nasal cavity. In the disarticulated bone many of these cells are opened into, but when the bones are articulated, they are closed in at every part, except where they open into the nasal cavity.

<span class="mw-page-title-main">Perpendicular plate of ethmoid bone</span>

The perpendicular plate of the ethmoid bone 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 a little to one or other side. The anterior border articulates with the spine of the frontal bone and the crest of the nasal bones.

<span class="mw-page-title-main">Middle nasal concha</span>

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.

<span class="mw-page-title-main">Perpendicular plate of palatine bone</span>

The perpendicular plate of palatine bone is the vertical part of the palatine bone, and is thin, of an oblong form, and presents two surfaces and four borders.

<span class="mw-page-title-main">Frontal process of maxilla</span> Plate which forms part of the lateral boundary of the nose

The frontal process of the maxilla is a strong plate, which projects upward, medialward, and backward from the maxilla, forming part of the lateral boundary of the nose.

<span class="mw-page-title-main">Body of sphenoid bone</span>

The body of the sphenoid bone, more or less cubical in shape, is hollowed out in its interior to form two large cavities, the sphenoidal sinuses, which are separated from each other by a septum.

<span class="mw-page-title-main">Human nose</span> Feature of the human face

The human nose 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.

<span class="mw-page-title-main">Ethmoidal process of inferior nasal concha</span>

Behind the lacrimal process of the inferior nasal conchae lies a broad, thin plate, the ethmoidal process, which ascends to join the uncinate process of the ethmoid; from its lower border a thin lamina, the maxillary process, curves downward and lateralward; it articulates with the maxilla and forms a part of the medial wall of the maxillary sinus.

References

PD-icon.svgThis article incorporates text in the public domain from page 169 of the 20th edition of Gray's Anatomy (1918)

  1. "Definition of TURBINATE". www.merriam-webster.com.
  2. Bell, Daniel. "Dr". Radiopaedia. Retrieved 28 February 2022.
  3. Tubbs, R. Shane; Shoja, Mohammadali M.; Loukas, Marios (July 2016). Bergman's Comprehensive Encyclopedia of Human Anatomic Variation (3rd ed.). Wiley-Blackwell. ISBN   978-1-118-43035-4.