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Extension into the maxillary alveolar process may cause the roots of the molars and even premolars to lie just beneath the floor of the sinus or even project through the floor and into the sinus; in such cases, the roots of the teeth are typically surrounded by a thin layer of bone, but may sometimes lie directly underneath the mucous membrane ...
There is a rich blood supply to the nasal cavity. Blood supply comes from branches of both the internal and external carotid artery, including branches of the facial artery and maxillary artery. The named arteries of the nose are: Sphenopalatine artery and greater palatine artery, branches of the maxillary artery.
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. [1] [2]: 345–346 Due to the special nature of the blood supply to the human nose and surrounding area, it is possible for retrograde infection from the nasal area to spread to the brain, causing cavernous sinus thrombosis, meningitis, or brain abscess.
The posterior superior alveolar artery (posterior dental artery) is a branch of the maxillary artery. [1] [2] It is one of two or three superior alveolar arteries. It provides arterial supply to the molar and premolar teeth, maxillary sinus and adjacent bone, and the gingiva. [2]
It supplies the ala and dorsum of the nose, anastomosing with its fellow, with the septal and alar branches, with the dorsal nasal branch of the ophthalmic artery, and with the infraorbital branch of the internal maxillary. If the posterior lateral nasal artery is superficial in the nasal wall, a laceration may occur during an aggressive curettage.
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. [32]
There is contention as whether this is truly part of Kiesselbach's plexus. Most sources quote that it is not part of the plexus, but rather one of the blood supplies for the nasal septum itself. [2] It runs vertically downwards just behind the columella, and crosses the floor of the nose. It joins the venous plexus on the lateral nasal wall.
The sphenopalatine artery is the artery commonly responsible for epistaxis (difficult to control bleeding of the nasal cavity, especially the posterior nasal cavity). [3] In severe nose bleed cases which do not stop after intense packing of anti-clotting agents, the sphenopalatine artery can be ligated (clipped and then cut) during open surgery ...