ANATOMIC AND PHYSIOLOGICAL CONSIDERATIONS IN SINUSITIS

ANATOMIC AND PHYSIOLOGICAL CONSIDERATIONS IN SINUSITIS
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DOI:
10.1016/0091-6749(92)90161-t
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发表时间:
1992-09-01
影响因子:
14.2
通讯作者:
NACLERIO, RM
NACLERIO, RM
中科院分区:
医学1区
文献类型:
--
作者:
WAGENMANN, M;NACLERIO, RM

文献摘要

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鼻、副鼻窦及相关结构的解剖学和生理学对了解鼻窦炎非常重要。本文对鼻的气流、血流、鼻循环、组织学和发育解剖学作了简要的描述。这些成分结合联合收割机,通过加温、过滤和过滤来调节吸入的空气。鼻腔和副鼻窦由假复层柱状纤毛上皮覆盖,上皮上有一层薄的粘膜层。在鼻窦中,纤毛的搏动指向其自然开口。大多数副鼻窦的窦口通向中鼻道和前筛窦的区域,即骨道复合体。该区域的阻塞会降低清除率,并在鼻窦炎的病理生理学中起主要作用。
The anatomy and physiology of the nose, the paranasal sinuses, and related structures are of major importance in understanding sinusitis. A brief description of the airflow, blood flow, nasal cycle, histology and the developmental anatomy are given. These elements combine to condition inhaled air by warming, humidifying, and filtering it. An important mechanism for understanding sinusitis is mucociliary clearance. The nasal cavity and the paranasal sinuses are covered by a pseudostratified, columnar, ciliated epithelium with a thin mucous layer on top of it. In the sinuses the beat of the cilia is directed toward their natural ostia. The ostia of most of the paranasal sinuses lead into the region of the middle meatus and the anterior ethmoid, the osteomeatal complex. Obstruction in this area reduces clearance and plays a major role in the pathophysiology of sinusitis.