The ophthalmic artery (OA) is an artery of the head. It is the first branch of the internal carotid artery distal to the cavernous sinus. Branches of the ophthalmic artery supply all the structures in the orbit around the eye, as well as some structures in the nose, face, and meninges. Occlusion of the ophthalmic artery 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 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.
The nasociliary nerve is a branch of the ophthalmic nerve (CN V1) (which is in turn a branch of the trigeminal nerve (CN V)). It is intermediate in size between the other two branches of the ophthalmic nerve, the frontal nerve and lacrimal nerve.
The sphenoid sinus is a paired paranasal sinus occurring within the body of the sphenoid bone. It represents one pair of the four paired paranasal sinuses. The pair of sphenoid sinuses are separated in the middle by a septum of sphenoid sinuses. Each sphenoid sinus communicates with the nasal cavity via the opening of sphenoidal sinus. The two sphenoid sinuses vary in size and shape, and are usually asymmetrical.
The semilunar hiatus is a crescent-shaped/semicircular/ curved slit/groove upon the lateral wall of the nasal cavity at the middle nasal meatus just inferior to the ethmoidal bulla. It is the location of the openings for the frontal sinus, maxillary sinus, and anterior ethmoidal sinus. It is bounded inferiorly and anteriorly by the sharp concave margin of the uncinate process of the ethmoid bone, superiorly by the ethmoidal bulla, and posteriorly by the ethmoidal process of the inferior nasal concha. It leads into the ethmoidal infundibulum; it marks the medial limit of the ethmoidal infundibulum.
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.
The anterior ethmoidal artery is a branch of the ophthalmic artery in the orbit. It exits the orbit through the anterior ethmoidal foramen alongside the anterior ethmoidal nerve. It contributes blood supply to the ethmoid sinuses, frontal sinuses, the dura mater, lateral nasal wall, and nasal septum. It issues a meningeal branch, and nasal branches.
The anterior ethmoidal foramen is a small opening in the ethmoid bone in the skull.
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 maxillary hiatus is the opening of a maxillary sinus into the middle nasal meatus of the nasal cavity. It is situated superoposteriorly upon the lateral nasal wall, opening into the nasal cavity at the posterior portion of the ethmoidal infundibulum. Its opening in the maxillary sinus is present upon the superior part of the medial wall of the sinus near the roof of the sinus; because of the position, gravity cannot drain the maxillary sinus contents when the head is erect.
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 nerve is a nerve of the head. It is a branch of the nasociliary nerve (itself a branch of the ophthalmic nerve (CN V1)). It provides sensory innervation to the sphenoid sinus and ethmoid sinus, and part of the dura mater in the anterior cranial fossa.
The posterior ethmoidal artery is an artery of the head which arises from the ophthalmic artery to supply the posterior ethmoidal air cells, and the meninges. 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.
In anatomy, the orbital septum is a membranous sheet that acts as the anterior (frontal) boundary of the orbit. It extends from the orbital rims to the eyelids. It forms the fibrous portion of the eyelids.
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.
In anatomy, the term nasal meatus can refer to any of the three meatuses (passages) through the skull's nasal cavity: the superior meatus, middle meatus, and inferior meatus.
