Sinusitis Essay

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Sinusitis The nose is made up of structures both external and internal. These structures have several functions to include identification of odors, passageway for inspired and expired air humidification, filtration and warmth of inspired air, and resonance of laryngeal sound. The external nose is formed by bone and cartilage covered by skin with nares at the anterior openings of the nose. The floor of the nose is formed by the soft and hard palate while the roof is formed by the frontal and sphenoid bone. The internal nose is covered by a vascular mucous membrane thickly lined with small hairs and mucous secretions. This membrane collects and carries debris and bacteria from the inspired air to the nasopharynx for swallowing or expectoriation. The mucous contains immunoglobulins and enzymes that serve as a line of defense from infection. The internal noses is divided by the septum into two anterior cavities the vestibules. The lateral walls of the nose are formed by the turbinates, curved bony structures, covered by mucous membrane, that run horizontally and protrude into the nasal cavity. The inferior, medial, and superior turbinates increase the surface area of the nose to warm, humidify and filter inspired air. The paranasal sinuses are air filled paired extensions of the nasal cavities with in the bones of the skull. They are lined with mucous membranes and cilia that move secretions along excretory pathways. Their openings into the nasal cavity are easily obstructed. The maxillary sinuses lie along the lateral wall of the nasal cavity in the maxillary base. Frontal sinuses are in the frontal bone superior to the nasal cavities. Only the maxillary and frontal sinuses are accessible for physical examination. Acute sinus infections are uncommon compared with viral rhinitis. Sinusitis usually follows an acute respiratory infection and is

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