Maxillary Sinus Anatomy
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Questions and Answers

What is the average capacity of the maxillary sinus?

  • 25 ml
  • 20 ml
  • 15 ml (correct)
  • 10 ml
  • During which stage of life do the maxillary sinuses develop?

  • During the third month of intrauterine life (correct)
  • At birth
  • After the eruption of the permanent teeth
  • During puberty
  • What is the location of the ostium maxillare?

  • In the middle nasal meatus (correct)
  • In the oral cavity
  • In the nasal cavity
  • In the floor of the orbit
  • What is the main direction of expansion of the maxillary sinus during its development?

    <p>Inferior</p> Signup and view all the answers

    What is the consequence of facial growth on the maxillary sinus?

    <p>Enlargement</p> Signup and view all the answers

    When does the growth of the maxillary sinus slow down?

    <p>During puberty</p> Signup and view all the answers

    What is the approximate width of the maxillary sinus?

    <p>2.5 cm</p> Signup and view all the answers

    What is the location of the maxillary sinus in the body?

    <p>In the body of the maxilla</p> Signup and view all the answers

    What is the size of the maxillary sinus at birth?

    <p>8X4 mm</p> Signup and view all the answers

    What is the shape of the maxillary sinus?

    <p>Pyramidal</p> Signup and view all the answers

    What is the function of the maxillary sinus in relation to the skull?

    <p>Lightening the weight of the skull</p> Signup and view all the answers

    Where is the ostium of the maxillary sinus located?

    <p>On the top of the medial wall of the sinus</p> Signup and view all the answers

    What is produced by the maxillary sinus?

    <p>Lysozyme</p> Signup and view all the answers

    What is the function of the maxillary sinus in relation to voice?

    <p>Resonance of voice</p> Signup and view all the answers

    Which tooth is located in the floor of the maxillary sinus?

    <p>All of the above</p> Signup and view all the answers

    What is the function of the maxillary sinus in relation to olfaction?

    <p>Regulating olfactory modulation</p> Signup and view all the answers

    What is the epithelial layer of the maxillary sinus mucous membrane composed of?

    <p>Pseudostratified columnar ciliated cells and other types</p> Signup and view all the answers

    What is the function of the goblet cell in the maxillary sinus?

    <p>To produce and secrete mucous</p> Signup and view all the answers

    What is the characteristic of the subepithelial connective tissue layer of the maxillary sinus?

    <p>It is loose and contains few elastic fibers</p> Signup and view all the answers

    What is the type of mucous membrane that lines the maxillary sinus?

    <p>Respiratory type</p> Signup and view all the answers

    What is the difference between the mucous membrane of the maxillary sinus and the nasal cavity?

    <p>The mucous membrane of the maxillary sinus is thinner</p> Signup and view all the answers

    What is the clinical condition characterized by the communication between the oral cavity and the maxillary sinus?

    <p>Oro-antral fistula</p> Signup and view all the answers

    What type of glands are present in the subepithelial connective tissue layer of the maxillary sinus?

    <p>Serous and mucous glands</p> Signup and view all the answers

    What is the route by which the secretions of the serous and mucous glands reach the sinus lumen?

    <p>Through excretory ducts that pierce the basal lamina</p> Signup and view all the answers

    Study Notes

    Maxillary Sinus Overview

    • Maxillary sinus, also known as the Antrum of Higmore, is the largest bilateral air sinus in the maxilla, providing a pneumatic space.
    • It opens into the middle nasal meatus via openings known as ostium maxillare, located in the hiatus semilunaris.
    • Average dimensions: approximately 3.5 cm (anterior-posterior) x 3.2 cm (height) x 2.5 cm (width).
    • Average capacity is around 15 ml.

    Development and Growth

    • Develops by the third month of intrauterine life, expanding from the mucous membrane of the nasal cavity.
    • Enlarge primarily inferiorly in the maxilla and continue to grow variably with facial growth until adult size is achieved by the eruption of permanent teeth.
    • At birth, size is comparable to a small lima bean (8x4 mm), with a shape and orientation directed anteriorly and posteriorly.

    Anatomical Features

    • Shape: Pyramidal with a base, apex, and four walls.
    • Base: Lateral wall of the nasal cavity.
    • Apex: Directed towards the zygomatic process of the maxilla.
    • Anterior wall: Facial surface of the maxilla.
    • Posterior wall: Infratemporal surface of the maxilla.
    • Roof: Floor of the orbit; Floor: Alveolar process of the maxilla.

    Functions of Maxillary Sinus

    • Reduces skull weight and enhances voice resonance.
    • Regulates air pressure during respiration for olfactory and respiratory modulation.
    • Conditions inspired air and provides craniofacial protection against trauma.
    • Produces lysozyme, a bactericidal enzyme, aiding in protecting against nasal mucosa infections.

    Opening and Drainage

    • The sinus drains into the nasal cavity through its ostium, positioned at the highest part of the medial wall within the hiatus semilunaris.

    Relation to Teeth

    • Floor of the sinus correlates with the roots of permanent teeth, including first molars, second and third molars, first and second premolars, and occasionally canines.
    • Deciduous teeth correspond as well (D E, rarely C).

    Histology

    • Lined with a thinner respiratory-type mucous membrane than the nasal cavity.
    • Consists of pseudostratified columnar ciliated cells, basal cells, columnar non-ciliated cells, and goblet cells (mucus-producing).
    • Lamina propria contains loose collagen bundles, few elastic fibers, serous, and mucous glands with ducts leading into the sinus.

    Clinical Considerations

    • Conditions like maxillary sinusitis, oro-antral fistula/communication, cysts, and tumors can affect the maxillary sinus.

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    Description

    Test your knowledge of the maxillary sinus, a pneumatic space located in the body of the maxilla. Learn about its dimensions, openings, and location in the nasal cavity.

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