Specialist ENT ANATOMY OF NASAL SEPTUM

ANATOMY OF NASAL SEPTUM

The nasal septum divides the nasal cavity into two halves.

The nasal septum has three parts:
Specialist ENT Screenshot 2020 11 26 Ganpati nose
1. Columellar septum- It is formed of columella. It is made up of medial crura of alar cartilages joined together by fibrous tissue and covered on either side by skin. a. Membranous septum- It consists of double layer of skin with no bony or cartilaginous support. It is situated between columella and caudal border of septal cartilage Both columellar and membranous parts are freely movable from side to side. 2. Septum proper- It consists of osteo-cartilaginous framework. It is covered by nasal mucous membrane. Bony part: This is made up of:
  1. Postero-superiorly: The perpendicular plate of the ethmoid.
  2. Postero-inferiorly: Vomer.
Cartilaginous part: It is formed by quadrilateral septal cartilage. Articulation of the nasal septum: Superiorly: Sphenoid Rostrum. Anteriorly: Nasal bones, nasal spine of frontal bones. Inferiorly: a) Nasal crest of the maxilla. b) Nasal crest palatine process. c) Anterior nasal spine of maxilla. Blood Supply: The blood supply of the septum includes: Arterial supply: Internal carotid system 1.Anterior ethmoidal artery (branches of ophthalmic artery 2. Posterior ethmoidal artery (branches of ophthalmic artery) External carotid system 1.Sphenopalatine artery (branch of maxillary artery) gives nasopalatine and posterior medial nasal branches. 2. Septal branch of greater palatine artery (branch of maxillary artery). 3. Septal branch of superior labial artery (branch of facial artery). The above four arteries form a plexus in the antero–inferior portion of the nasal septum called the Kiesselbach’s plexus or Little area. Venous Drainage: a. Sphenopalatine vein. b. Anterior and posterior ethmoidal veins. c. Anterior facial vein. d. Cerebral veins. Nerve supply:
  1. Trigeminal nerve including Anterior ethmoidal nerve.
  2.  Sphenopalatine ganglion.

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