The ophthalmic artery (OA) is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the OA supply all the structures in the orbit as well as some structures in the nose, face and meninges. Occlusion of the OA or its branches can produce sight-threatening conditions.
The orbital or horizontal part of the frontal bone consists of two thin triangular plates, the orbital plates, which form the vaults of the orbits, and are separated from one another by a median gap, the ethmoidal notch.
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.
The ethmoid sinus or ethmoid air cells of the ethmoid bone is 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.
The nasociliary nerve is a branch of the ophthalmic nerve (CN V1; one of three branches of the trigeminal nerve a.k.a. CN V). It is intermediate in size between the two other main branches of the ophthalmic nerve, the frontal nerve and the lacrimal nerve, and is more deeply placed.
The sphenoid sinus is one of the four paired paranasal sinuses that is contained within the body of the sphenoid bone. The sphenoid sinuses vary in size and shape, and owing to the lateral displacement of the intervening septum they are rarely symmetrical. They cannot be palpated during an extraoral examination.
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 for maxillary sinus.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.
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.
Ethmoidal arteries may refer to:
The anterior ethmoidal artery, also anterior ethmoid artery is an artery of the head.
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 ethmoidal nerves on each side of the face:
The anterior ethmoidal nerve is a nerve which provides sensory branches to the nasal cavity. The nerve is the continuation of the nasociliary nerve after it enters the anterior ethmoidal foramen into the anterior ethmoidal air cells. The nasociliary nerve arises from the Ophthalmic division of the Trigeminal nerve within the orbit. The anterior ethmoidal nerve arises only after the nasociliary has given off its four branches - 1) Ramus communicans to ciliary ganglion, 2) Long ciliary nerves, 3) infratrochlear nerve, 4) Posterior ethmoidal nerve.
The anterior cranial fossa is a depression in the floor of the cranial base which houses the projecting frontal lobes of the brain. It is formed by the orbital plates of the frontal, the cribriform plate of the ethmoid, and the small wings and front part of the body of the sphenoid; it is limited behind by the posterior borders of the small wings of the sphenoid and by the anterior margin of the chiasmatic groove. The lesser wings of the sphenoid separate the anterior and middle fossae.
The posterior ethmoidal artery is an artery of the head which supplies the nasal septum. It is smaller than the anterior ethmoidal artery.
The orbital process of the palatine bone is placed on a higher level than the sphenoidal, and is directed upward and lateralward from the front of the vertical part, to which it is connected by a constricted neck. It presents five surfaces, which enclose an air cell. Of these surfaces, three are articular and two non-articular.
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.
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, anastomose with the ethmoidal arteries and the nasal branches of the descending palatine, and assist in supplying the frontal, maxillary, ethmoidal, and sphenoidal sinuses.
