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The superior meatus occupies the middle third of the nasal cavity’s lateral wall. The middle meatus is the middle-sized and located nasal opening, lying underneath the middle concha and above the inferior concha where the meatus extends along its length.
The canal containing the duct is called the nasolacrimal canal.It is formed by indentations in the inferior nasal conchae, maxilla and lacrimal bone.The canal drains into the nasal cavity through the anterior portion of the inferior meatus, which is between the inferior concha and the floor of the nasal cavity.
The inferior nasal concha is ossified from a single center, which appears about the fifth month of fetal life in the lateral wall of the cartilaginous nasal capsule. [citation needed] The entire inferior concha may be absent in some people. This is a consequence of embryologic agenesis and is a normal anatomic variant. [3]
It has been proposed, that the airflow in ENS patients is changed so that most of the air flows through the middle meatus, compared to most of the air flowing through the inferior meatus in healthy individuals. This can be corrected via inferior meatus augmentation (IMAP surgery). [19]
The inferior conchae are graded 1–4 based on the inferior concha classification system (known as the inferior turbinate classification system) in which the total amount of the airway space that the inferior concha takes up is estimated. Grade 1 is 0–25% of the airway, grade 2 is 26–50% of the airway, grade 3 is 51–75% of the airway and ...
Excessive moisture as tears collected in the lacrimal sac travel down the nasolacrimal ducts where they drain into the inferior meatus in the nasal cavity. [23] Most of the nasal cavity and paranasal sinuses is lined with respiratory epithelium as nasal mucosa. In the roof of each cavity is an area of specialised olfactory epithelium.
On the nasal surface of the body of the maxilla, in front of the opening of the sinus is a deep groove, the lacrimal groove (or lacrimal sulcus), which is converted into the nasolacrimal canal, by the lacrimal bone and inferior nasal concha; this canal opens into the inferior meatus of the nose and transmits the nasolacrimal duct.
The ethmoid bulla (or ethmoidal bulla) is a rounded elevation upon the lateral wall of the middle nasal meatus [1] [2]: 377 (nasal cavity inferior to the middle nasal concha) produced by one or more of the underlying middle ethmoidal air cells (which open into the nasal cavity upon or superior to the ethmoidal bulla [2]: 374 [3]).